Base Access Request .docx
DOCX document 175 KB Posted
- Attached to
- Shaw OS2 High Speed Fiber Optic Cable
- Solicitation number
- FA480326Q0112
About this file
This is a Base Access Request form from the 20th Fighter Wing at Shaw Air Force Base, South Carolina, dated August 17, 2026. The document is a template used to request Criminal Background History Checks and grant base access to Shaw AFB personnel and visitors. The form requires submission by government email to the 20th Security Forces Squadron (20 SFS/S-5V) at the specified points of contact: Ms. Jacqueline Hernandez-Sears, SSgt Austin Simerly, and Mr. Joshua Arbeiter, with contact via email or phone at 803-895-9085 or 803-895-9086.
The form collects personal information including full legal name, date of birth, Social Security number, state driver's license number (with Real ID compliance verification), and U.S. citizenship status. Sponsors are responsible for ensuring individuals return their Defense Biometric Identification System (DBIDS) passes upon termination or when access is no longer required, and must notify Security Forces for pass deactivation if retrieval is not possible. Non-U.S. citizens must submit scanned documentation such as foreign visas, Permanent Resident Cards (Form I-551), or Employment Authorization Cards (Form I-766) prior to visiting the Visitor Control Center. All visitors must present identification compliant with the Real ID Act or possess a Federal ID to receive base access passes. The form emphasizes that abuse of approved privileges may result in loss of access and potential criminal charges.
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Text version
CUI
CUI
DEPARTMENT OF THE AIR FORCE
20th FIGHTER WING (ACC)
SHAW AIR FORCE BASE SOUTH CAROLINA
DATE: 17-Aug-26
MEMORANDUM FOR 20 SFS/S-5V
(email to: Ms. Jacqueline Hernandez-Sears jacqueline.hernandez-sears.1@us.af.mil, SSgt Austin Simerly austin.simerly@us.af.mil, and Mr. Joshua Arbeiter joshua.arbeiter.2@us.af.mil 803-895-9085 or 803-895-9086 / VCC Email: udg_20sfs_vcc@us.af.mil)
FROM:
SUBJECT:
WHO:
WHAT FOR:
WHERE:
If base wide give justification:
WHEN (ACCESS DATE/DAYS/TIMES):
SPONSOR NAME:
DOD EDPI:
CONTACT INFO:
The information below is protected under Privacy Act 1974 and will only be used to process Criminal Background History Checks to grant or deny access to Shaw AFB. It is further understood that anyone abusing approved privileges could, at a minimum, lose said privilege and possibly face criminal charges.
Full Legal Name (Last, First MI) Date Of Birth (Year/Mo/Day) Social Security Number
(XXX-XX-XXXX)
ST-DL #
(REAL ID Y/N)
(T-0 Standard - in accordance with DoDM 5200.08V3, DAFMAN 31-101V3), U.S.
Citizen (Y/N)
PLEASE READ THE STATEMENTS BELOW
1. I UNDERSTAND THAT AS THE SPONSOR I AM RESPONSIBLE FOR THE PERSON(S) LISTED ON THIS FORM, AND FOR ENSURING THE ABOVE NAME INDIVIDUAL(S) TURNS IN THE DBIDS PASS OR RETRIEVE THE PASS ONCE THE INDIVIDUAL(S) ARE TERMINATED, QUIT, OR NO LONGER REQUIRES ACCESS. IF I AM NOT ABLE TO RETRIEVE THE PASS, I WILL NOTIFY SECURITY FORCES TO HAVE THE INDIVIDUAL(S) PASS DEACTIVATED IN DBIDS.
2. If you, as the sponsor, filled out the request and answered N for U.S Citizen please make sure you submit scanned in documents before coming to the VCC. **i.e.-FOREIGN VISA, PERMANENT RESIDENT CARD (Form I-551) & EMPLOYMENT AUTHORIZATION CARD (Form I-766) HOLDERS, ETC.
3. AS THE SPONSOR, I will inform my visitors they must have identification in compliance with the Real ID Act OR have a Federal ID in which cases they do not. If they do not, they will not be able to receive a pass from the VCC.
4. THIS FORM MUST BE SENT BY THE SPONSOR LISTED ABOVE FROM THEIR GOVERNMENT EMAIL AND RECEIVED AT THE EMAIL ADDRESSES/FAX NUMBER LISTED ABOVE IN THE 20 SFS/S-5V SECTION OR THE REQUEST WILL NOT BE PROCESSED.
CUI
CUI
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File details come from the government source that posted it. Updated .