Attachment 5 - BlankBaseAccessRequestFORM.pdf

PDF 103 KB Posted Jul 29, 2026

Attached to: Aircraft Wash and Lubrication Operations
Solicitation number: FA664826Q0008
Issued by: Department of the Air Force Reserve Command

About this file

Written by GovTribe AI · Jul 29, 2026

This is a Background Investigation Request form used by Homestead ARB (Army Reserve Base) to initiate background checks for contractor personnel. The form is marked "FOR OFFICIAL USE ONLY" and is designed to collect personal identification information on multiple individuals for vetting purposes.

The form requires the following administrative details: company name, jobsites, job end date (with a maximum duration of one year), requester name, request date, and requester phone number. For each individual submitted, the form collects last name, first name, middle initial, date of birth, Social Security Number, driver's license number, state of issue, U.S. citizenship status (yes or no), and if applicable, alien registration number. The form contains multiple rows to accommodate batch submissions of up to approximately 15 individuals per page, with designated spaces marked "VCC / BDOC USE ONLY" for internal government processing and tracking purposes.

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Other files

File	Type	Posted
FA664826Q0008_Amendment3.1.pdf	PDF	Aug 11, 2026
Combo_Syn_Sol_Aircraft_Wash_Lub_Ops_R1.1.docx	DOCX document	Aug 11, 2026
Attachment 3 - WD_SCA_2015-4543_Rev36.pdf	PDF	Aug 10, 2026
PWS3_F-16 Aircraft Wash Procedures.docx	DOCX document	Aug 10, 2026
FA664826Q0008_Amendment3.pdf	PDF	Aug 10, 2026
Aircraft Wash Services PWS_R1.docx	DOCX document	Aug 10, 2026
PWS2_AIRCRAFT LUBRICATION..pdf	PDF	Aug 10, 2026
Airpark Map.pdf	PDF	Aug 10, 2026
Combo_Syn_Sol_Aircraft_Wash_Lub_Ops_R1.docx	DOCX document	Aug 10, 2026
Questions_Answers.xlsx	XLSX spreadsheet	Aug 10, 2026
PWS1_AFRC164.pdf	PDF	Aug 10, 2026
Attachment 1 - Solicitation_FA664826Q0008.pdf	PDF	Jul 29, 2026
Attachment 4 - DAF Regulation IAW Policy Memo 26-C-13.pdf	PDF	Jul 29, 2026
Attachment 3 - WD_SCA 15-4543.txt	TXT text file	Jul 29, 2026
Combo_Syn_Sol_Aircraft_Wash_Lub_Ops.docx	DOCX document	Jul 29, 2026
Attachment 2 - Aircraft Wash Services PWS_072126.docx	DOCX document	Jul 29, 2026

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LAST NAME FIRST NAME M DOB SSN DRIVER'S LICENSE # STATE OF

ISSUE

US CITIZEN?

YES OR NO

IF NO, ALIEN

REGISTRATION #

VCC / BDOC USE

ONLY

LAST NAME FIRST NAME M DOB SSN DRIVER'S LICENSE # STATE OF

ISSUE

US CITIZEN?

YES OR NO

IF NO, ALIEN

REGISTRATION #

VCC / BDOC USE

ONLY

LAST NAME FIRST NAME M DOB SSN DRIVER'S LICENSE # STATE OF

ISSUE

US CITIZEN?

YES OR NO

IF NO, ALIEN

REGISTRATION #

VCC / BDOC USE

ONLY

LAST NAME FIRST NAME M DOB SSN DRIVER'S LICENSE # STATE OF

ISSUE

US CITIZEN?

YES OR NO

IF NO, ALIEN

REGISTRATION #

VCC / BDOC USE

ONLY

LAST NAME FIRST NAME M DOB SSN DRIVER'S LICENSE # STATE OF

ISSUE

US CITIZEN?

YES OR NO

IF NO, ALIEN

REGISTRATION #

VCC / BDOC USE

ONLY

LAST NAME FIRST NAME M DOB SSN DRIVER'S LICENSE # STATE OF

ISSUE

US CITIZEN?

YES OR NO

IF NO, ALIEN

REGISTRATION #

VCC / BDOC USE

ONLY

LAST NAME FIRST NAME M DOB SSN DRIVER'S LICENSE # STATE OF

ISSUE

US CITIZEN?

YES OR NO

IF NO, ALIEN

REGISTRATION #

VCC / BDOC USE

ONLY

COMPANY NAME: _______________ REQUESTER NAME:_______________

JOBSITES: _______________ REQUEST DATE: _______________

JOB END DATE: _______________ REQUESTER PHONE #: ____________

*MAX 1 YEAR*

BACKGROUND INVESTIGATION REQUEST

FOR OFFICIAL USE ONLY

HOMESTEAD ARB

LAST NAME FIRST NAME M DOB SSN DRIVER'S LICENSE # STATE OF

ISSUE

US CITIZEN?

YES OR NO

IF NO, ALIEN

REGISTRATION #

VCC / BDOC USE

ONLY

LAST NAME FIRST NAME M DOB SSN DRIVER'S LICENSE # STATE OF

ISSUE

US CITIZEN?

YES OR NO

IF NO, ALIEN

REGISTRATION #

VCC / BDOC USE

ONLY

LAST NAME FIRST NAME M DOB SSN DRIVER'S LICENSE # STATE OF

ISSUE

US CITIZEN?

YES OR NO

IF ALIEN / RESIDENT

A NUMER

VCC / BDOC USE

ONLY

LAST NAME FIRST NAME M DOB SSN DRIVER'S LICENSE # STATE OF

ISSUE

US CITIZEN?

YES OR NO

IF NO, ALIEN

REGISTRATION #

VCC / BDOC USE

ONLY

LAST NAME FIRST NAME M DOB SSN DRIVER'S LICENSE # STATE OF

ISSUE

US CITIZEN?

YES OR NO

IF NO, ALIEN

REGISTRATION #

VCC / BDOC USE

ONLY

LAST NAME FIRST NAME M DOB SSN DRIVER'S LICENSE # STATE OF

ISSUE

US CITIZEN?

YES OR NO

IF NO, ALIEN

REGISTRATION #

VCC / BDOC USE

ONLY

LAST NAME FIRST NAME M DOB SSN DRIVER'S LICENSE # STATE OF

ISSUE

US CITIZEN?

YES OR NO

IF NO, ALIEN

REGISTRATION #

VCC / BDOC USE

ONLY

Sheet1

LAST NAMERow1:

FIRST NAMERow1:

MRow1:

DOBRow1:

SSNRow1:

DRIVER S LICENSE Row1:

STATE OF ISSUERow1:

US CITIZEN YES OR NORow1:

IF NO ALIEN REGISTRATION Row1:

FIRST NAMEVCC BDOC USE ONLY:

LAST NAMERow1_2:

FIRST NAMERow1_2:

MRow1_2:

DOBRow1_2:

SSNRow1_2:

DRIVER S LICENSE Row1_2:

STATE OF ISSUERow1_2:

US CITIZEN YES OR NORow1_2:

IF NO ALIEN REGISTRATION Row1_2:

FIRST NAMEVCC BDOC USE ONLY_2:

LAST NAMERow1_3:

FIRST NAMERow1_3:

MRow1_3:

DOBRow1_3:

SSNRow1_3:

DRIVER S LICENSE Row1_3:

STATE OF ISSUERow1_3:

US CITIZEN YES OR NORow1_3:

IF NO ALIEN REGISTRATION Row1_3:

FIRST NAMEVCC BDOC USE ONLY_3:

LAST NAMERow1_4:

FIRST NAMERow1_4:

MRow1_4:

DOBRow1_4:

SSNRow1_4:

DRIVER S LICENSE Row1_4:

STATE OF ISSUERow1_4:

US CITIZEN YES OR NORow1_4:

IF NO ALIEN REGISTRATION Row1_4:

FIRST NAMEVCC BDOC USE ONLY_4:

LAST NAMERow1_5:

FIRST NAMERow1_5:

MRow1_5:

DOBRow1_5:

SSNRow1_5:

DRIVER S LICENSE Row1_5:

STATE OF ISSUERow1_5:

US CITIZEN YES OR NORow1_5:

IF NO ALIEN REGISTRATION Row1_5:

FIRST NAMEVCC BDOC USE ONLY_5:

LAST NAMERow1_6:

FIRST NAMERow1_6:

MRow1_6:

DOBRow1_6:

SSNRow1_6:

DRIVER S LICENSE Row1_6:

STATE OF ISSUERow1_6:

US CITIZEN YES OR NORow1_6:

IF NO ALIEN REGISTRATION Row1_6:

FIRST NAMEVCC BDOC USE ONLY_6:

LAST NAMERow1_7:

FIRST NAMERow1_7:

MRow1_7:

DOBRow1_7:

SSNRow1_7:

DRIVER S LICENSE Row1_7:

STATE OF ISSUERow1_7:

US CITIZEN YES OR NORow1_7:

IF NO ALIEN REGISTRATION Row1_7:

FIRST NAMEVCC BDOC USE ONLY_7:

LAST NAMERow1_8:

FIRST NAMERow1_8:

MRow1_8:

DOBRow1_8:

SSNRow1_8:

DRIVER S LICENSE Row1_8:

STATE OF ISSUERow1_8:

US CITIZEN YES OR NORow1_8:

IF NO ALIEN REGISTRATION Row1_8:

FIRST NAMEVCC BDOC USE ONLY_8:

LAST NAMERow1_9:

FIRST NAMERow1_9:

MRow1_9:

DOBRow1_9:

SSNRow1_9:

DRIVER S LICENSE Row1_9:

STATE OF ISSUERow1_9:

US CITIZEN YES OR NORow1_9:

IF NO ALIEN REGISTRATION Row1_9:

FIRST NAMEVCC BDOC USE ONLY_9:

LAST NAMERow1_10:

FIRST NAMERow1_10:

MRow1_10:

DOBRow1_10:

SSNRow1_10:

DRIVER S LICENSE Row1_10:

STATE OF ISSUERow1_10:

US CITIZEN YES OR NORow1_10:

IF ALIEN RESIDENT A NUMERRow1:

FIRST NAMEVCC BDOC USE ONLY_10:

LAST NAMERow1_11:

FIRST NAMERow1_11:

MRow1_11:

DOBRow1_11:

SSNRow1_11:

DRIVER S LICENSE Row1_11:

STATE OF ISSUERow1_11:

US CITIZEN YES OR NORow1_11:

IF NO ALIEN REGISTRATION Row1_10:

FIRST NAMEVCC BDOC USE ONLY_11:

LAST NAMERow1_12:

FIRST NAMERow1_12:

MRow1_12:

DOBRow1_12:

SSNRow1_12:

DRIVER S LICENSE Row1_12:

STATE OF ISSUERow1_12:

US CITIZEN YES OR NORow1_12:

IF NO ALIEN REGISTRATION Row1_11:

FIRST NAMEVCC BDOC USE ONLY_12:

LAST NAMERow1_13:

FIRST NAMERow1_13:

MRow1_13:

DOBRow1_13:

SSNRow1_13:

DRIVER S LICENSE Row1_13:

STATE OF ISSUERow1_13:

US CITIZEN YES OR NORow1_13:

IF NO ALIEN REGISTRATION Row1_12:

FIRST NAMEVCC BDOC USE ONLY_13:

LAST NAMERow1_14:

FIRST NAMERow1_14:

MRow1_14:

DOBRow1_14:

SSNRow1_14:

DRIVER S LICENSE Row1_14:

STATE OF ISSUERow1_14:

US CITIZEN YES OR NORow1_14:

IF NO ALIEN REGISTRATION Row1_13:

FIRST NAMEVCC BDOC USE ONLY_14:

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File details come from the government source that posted it. Updated Aug 17, 2026.