Attachment 4- Nellis AFB Base Pass Request.xlsx
XLSX spreadsheet 26 KB Posted
- Attached to
- 99 CES - INSTALL FLOW METER FOR FACILITY 1711
- Solicitation number
- FA486126R0019
About this file
This is a base access form template for Nellis Air Force Base (AFB) used to request visitor passes and base entry authorization. The form requires complete information from a sponsoring military member, including rank, full name, DOD ID number, unit assignment, phone number, and signature with date. Nellis AFB mandates that individuals present either a REAL ID or two forms of identification for base access, with special procedures required for non-U.S. citizens, who must provide additional documentation such as Permanent Residency Cards or Employment Authorization Cards and contact the Pass & ID office at (702) 652-3218 for processing guidance.
The form requires detailed information about the individual requesting base access, including full name, middle initial, full Social Security number, date of birth, driver's license state and number, and proposed access dates and hours. Completed forms must be submitted via email to 99SFSS5B-PASSANDREGISTRATION@US.AF.MIL or hand-carried to Building 696 next to the Main Gate. The Pass & ID office operates Monday through Friday from 0830 to 1400 hours, with a standard processing time of 3-5 duty days; emergency requests should be directed to the Operations section at (702) 652-0064. Sponsors are responsible for tracking their pass request status, as approval notifications are not automatically issued, and must return all terminated or expired DBIDS cards to Pass & ID or the Visitor Control Center.
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Text version
Nellis AFB Base Access Form Nellis AFB Mass Pass Request Form
| * Please complete this form in its entirety * | ||
| SPONSOR RANK: | Directions: | Information: |
| SPONSOR FULL NAME | This form needs to be filled out in its entirety. Nellis AFB only accepts REAL IDs or two forms of IDs for base access. If an individual is not a US citizen, please consult the Pass & ID office at (702) 652-3218 for additional information. Please attach additional documents such as Permanent Residency Cards/Employment Authorization Cards for non-U.S. Citizens. | Once the form is completed, email it to 99SFSS5B-PASSANDREGISTRATION@US.AF.MIL if you have an @us.af.mil email or hand carry the form to Bldg. 696, next to Main Gate. Pass & ID hours of operation are Monday-Friday, 0830-1400. We require at a minimum, 3-5 duty days to process base pass requests. For emergencies, please coordinate with the Operations section at (702) 652-0064. It is the sponsors responsibility to contact us for the status of the pass request. We do not notify sponsors when the pass has been approved. *Sponsors* you must turn in all terminated/expired DBIDS cards (visitor passes) to Pass & ID or the Visitor Control Center. |
| SPONSOR DOD ID# | ||
| SPONSOR UNIT: | ||
| PHONE NUMBER: | ||
| SPONSOR SIGNATURE: | ||
| DATE SIGNED: | ||
| Justification: |
| *THIS FORM MUST BE FILLED OUT BY THE PERSON SIGNING THIS FORM.* | |||||||||
| Company | Last Name | First Name | MI | Full SSN # | D.O.B. | DL State | Driver's License # | Begin/End Dates | Days/Hours |
| Name of Company | Doe | John | J | 000-00-0000 | 1/1/50 | NV | 123456789 | 27JUN22-26JUN23 | M-F 0600-1800 |
&"Times New Roman,Regular"&12CUI
&"Times New Roman,Regular"CUI Controlled by: 99 SFS/S3B Category: PRVCY Dissemination Control: FED ONLY
File details come from the government source that posted it. Updated .