Attachment 5 - Base Pass Request.pdf

PDF 117 KB Posted

Attached to
Bemiss Field Tree Cutting Federal contract opportunity
Solicitation number
FA483025Q0062
Issued by
Department of the Air Force Air Combat Command

About this file

This document is a Base Pass Request form for the 23d Security Forces Squadron at Moody Air Force Base in Georgia. The form is specifically related to the Bemiss Field Tree Cutting solicitation (FA483025Q0062), which requires a base pass for potential vendors attending a site visit on 14 July 2025 at 2:00 PM EST. To attend the site visit, interested vendors must complete this form and email it to the contracting points of contact no later than 2:00 PM EST on 3 July 2025. A government-issued REAL ID is mandatory for installation entrance. The form captures essential information including full names, organization details, and the last 6 digits of SSN/DOB, with an expiration date not to exceed one year. The document is marked as Controlled Unclassified Information (CUI) and includes a warning about unauthorized disclosure or misuse of personal information.

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Text version

CCUI

DEPARTMENT OF THE AIR FORCE

23D SECURITY FORCES SQUADRON (ACC)

MOODY AIR FORCE BASE GEORGIA

MEMORANDUM FOR 23 SFS

FROM: Squadron or Person/Company Requesting Acces

SUBJECT: Request for Installation Access

1. I am requesting a pass for the following people to Moody AFB for the purpose of (state reason and location personnel will be traveling to on base, please be specific).

Full Name: as they appear on their valid state ID.

Last 6 of

SSN/DOB

Organization/Company /School Name:

Expiration Date:

(not to exceed 1yr)

2. Brief synopsis of the situation: (explain the situation that requires the individual to have access to the installation).

, , USAF

Attack · Rescue · Prevail

Unauthorized disclosure or misuse of this PERSONAL INFORMATION may result in disciplinary action, criminal and/or civil penalties.

File details come from the government source that posted it. Updated .