Attachment 8 - Hill AFB Site Visit Visitor Authorization List.pdf

VISITOR AUTHORIZATION LIST

FOR OFFICIAL USE ONLY;

The information herein is For Official Use Only (FOUO) which must be protected under the Freedom of Information Act of 1966 and Privacy Act of 1974, as amended. Unauthorized disclosure or misuse of this

PERSONAL INFORMATION may result in criminal and/or civil penalties.

Enter your event’s information below (all fields are required):

Event Name: Site Visit for Hill AFB West and Transient Apron Gates authorized to enter: South Gate Date of Event: 21 July 2020 Time of Event: 0900-1200 MST Location of Event: Enter through South Gate, Meet at Utah Resident

Office Bldg. 361 (Parking Lot)

PERSONNEL ATTENDING EVENT

(Provide name and license information for each visitor)

Last Name First Name ID #, Drivers License #, FDO #

ISSUED BY

(State, Country)

A = Approve D = Denied Access

(Form continues on next page…)

Sponsor Information Authenticated By:

(Pass & ID Clerk click signature block to sign)

Name:

X

VCC Clerk

DOD number on back of ID

Org:

Duty Phone:

Cell Phone:

(alternate phone #)

VISITOR AUTHORIZATION LIST

FOR OFFICIAL USE ONLY;

The information herein is For Official Use Only (FOUO) which must be protected under the Freedom of Information Act of 1966 and Privacy Act of 1974, as amended. Unauthorized disclosure or misuse of this

PERSONAL INFORMATION may result in criminal and/or civil penalties. (continued…)

Last Name First Name ID #, Drivers License #, FDO #

ISSUED BY

(State, Country)

A = Approve D = Denied Access

/// Last Entry /// ///