Attachment 6 - Official Short Term Request(Blank).xlsx

XLSX spreadsheet 42 KB Posted

Attached to
Integrated Solid Waste Management and Recycling Services for JB Andrews
Solicitation number
FA286025Q6001
Issued by

About this file

Attachment 6 is an Official Short Term Request form for base access at the 316th Security Support Squadron Visitor Control Center. The form is designed to capture detailed sponsor and visitor information, including personal details such as DOD ID, name, unit/organization, contact information, Social Security Number, date of birth, access start and end dates, and destination state identification.

The form is marked with a Privacy Act 1974 warning, emphasizing strict confidentiality and direct delivery to the intended recipient. It is specifically related to a solicitation (FA286025Q6001) for Integrated Solid Waste Management and Recycling Services at Joint Base Andrews, where this access form is required for a mandatory site visit scheduled for October 6th at 9:30 am. Potential vendors are limited to two personnel per company and must submit the completed base access form by October 1st at 12 pm to the designated Air Force contact.

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Text version

Sheet1

316th Security Support Squadron /Visitor Control Center
Automated Short Term Access Request
Sponsor InformationDOD ID #
Last nameFirst NameUnit/OrganizationContact #
E-Mail AddressUpdated
Visitor Information
Last NameFirst NameMISSNDOBStart DateEnd DateDestinationState & DL NumberState/TagCompany/Org

PRIVACY ACT 1974- Contents shall not be disclosed, discussed, or shared with individuals unless they have direct need-to-know in the performance of their official duties. Deliver this document directly to the intended recipient DO NOT drop off with a third-party.

Sheet2

Sheet3 image1.jpeg image2.jpeg

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