Attachment 4a-DHS Form 11000-25 Instructions.pdf

FLETC Contractor New Requirements & Procedures

In order to align with the DHS Personnel Security, FLETC will begin utilizing the DHS 11000-25 form starting October 1, 2019 for all contractors requesting access to the FLETC. This includes PIV Contractors, Temporary/Intermittent Contractors, as well as PO Contractors. This form will replace the following:

FTC-OSPR-17

Completion Instructions:

1. The Sponsor will complete Section I (Note: Sponsor signature is not required).

a. Only federal employees are authorized to sponsor contractors (unless previously approved b OSPR).

b. Type of Request (if completing electronically), for T/I or PO Contractors will be “Temporary Position”

c. Type of Request (if completing electronically), for PIV Contractors will be “New Request” or “Reinvestigation”

2. The Contractor will complete Section II (Note: Contractor signature is not required).

a. The contractor must include the dates of access being requested next to the “Position Title.” **Any forms missing dates will be rejected back to the sponsor.

3. OSPR will complete Sections III and IV.

4. Contractors are required to complete the I-9, OF306 and Non-Disclosure in addition to the DHS 1100-25.

5. All requests will be submitted either through email or hand delivered to the FLETC Visitor Control Center (VCC) for processing. New named box pending.[DSM1]