Base Ketchikan SITKA USCG Access Pass Vetting Request RV2.pdf
PDF 279 KB Posted
- Attached to
- UNITED STATES COAST GUARD KETCHIKAN
- Solicitation number
- Not on record
About this file
This is a Base Ketchikan Access Pass Vetting Request form designed to collect personal information from individuals applying for base access passes.
The form captures essential passholder information including full name (Last, First, Middle initial), date of birth, and identification details. Applicants must provide their identification type (Federal Issued ID, State Issued ID, or Other), identification number, and the issuing state. A contact phone number is requested but not marked as required. The form includes a vehicle registration question asking whether the passholder needs a vehicle registered to the pass, with a note indicating this is typically not needed for vendors or contractors and should not be selected if a parking pass already exists for the vehicle or multiple vehicles will be used. All fields marked with asterisks are required for form submission. The form is hosted on Microsoft Forms and clarifies that submitted data will be sent to the form owner, with Microsoft disclaiming responsibility for privacy and security practices.
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Text version
Base Ketchikan Access Pass Vetting Request
* Required
Passholder's Information
(Last, First, M.)
Passholder's Name: * 5.
Enter your answer
Passholder's Date of Birth * 6.
Please input date (M/d/yyyy)
Federal Issued ID
State Issued ID
Passholder's Identification Type: * 7.
Other
Passholder's Identification Number: * 8.
Enter your answer
State that Issued the ID: * 9.
Select your answer
Passholder's Contact Number:10.
Enter your answer
No
Yes
(Do not select if there is already a parking pass with the vehicle or there will be multiple vehicles used) Note: Not typically needed for Vendors or Contractors
Do you need a vehicle registered to the pass? * 11.
This content is created by the owner of the form. The data you submit will be sent to the form owner. Microsoft is not responsible for the privacy or security practices of its customers, including those of this form owner. Never give out your password.
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File details come from the government source that posted it. Updated .