Atch 5 - Base Pass Request.pdf
PDF 205 KB Posted
- Attached to
- Appropriated Funds (APF) Linen Services Federal contract opportunity
- Solicitation number
- FA483025Q0018
About this file
This is a base pass request form from the 23D Security Forces Squadron at Moody Air Force Base in Georgia. The form is used to request installation access passes for personnel and is marked "FOR OFFICIAL USE ONLY" as Controlled Unclassified Information (CUI).
The form requires the requesting squadron/person/company to provide specific details including: full names as they appear on valid state IDs, last 6 digits of SSN or date of birth, organization/company/school name, and expiration date (not to exceed 1 year). The requestor must also provide a brief synopsis explaining the specific reason and location personnel will be traveling to on base. The form is part of the documentation requirements for a site visit related to solicitation FA483025Q0018 for APF Linen Services, where interested vendors must submit completed base pass requests by March 5, 2025 at 2:00 PM EST to attend the March 7, 2025 site visit.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Questions and Answers - 25Q0018 APF Linen.pdf | ||
| Solicitation - FA483025Q0018.pdf | ||
| Atch 7 - PPI Form.pdf | ||
| Atch 6 - PPQ Questionnaire.pdf | ||
| Atch 2 - APF Linen Services PWS 4Feb2025.pdf | ||
| Solicitation - FA483025Q0018.pdf | ||
| Atch 1 - Pricing Schedule.xlsx | XLSX spreadsheet | |
| Atch 2 - APF Linen Services PWS 4Feb2025.pdf | ||
| Atch 3 - WD 2015-4493 Rev 27.pdf | ||
| Atch 4 - Insurance Compliance (AFFARs).pdf | ||
| Atch 5 - Base Pass Request.pdf | ||
| Atch 6 - PPQ Questionnaire.pdf |
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Text version
FOR OFFICIAL USE ONLY
DEPARTMENT OF THE AIR FORCE
23D SECURITY FORCES SQUADRON (ACC)
MOODY AIR FORCE BASE GEORGIA
MEMORANDUM FOR 23 SFS
FROM: Squadron or Person/Company Requesting Access
SUBJECT: Request for Installation Access
1. I am requesting a pass for the following people to Moody AFB for the purpose of (state reason and location personnel will be traveling to on base, please be specific).
Full Name: as they appear on their valid state ID.
Last 6 of
SSN/DOB
Organization/Company /School Name:
Expiration Date:
(not to exceed 1yr)
2. Brief synopsis of the situation: (explain the situation that requires the individual to have access to the installation).
First M. Last Name, Rank, USAF Duty Title
Attack · Rescue · Prevail The information here is Controlled Unclassified Information (CUI) which must be protected under the Freedom of Information Act of 1996 and Privacy Act of 1974, as amended. Unauthorized disclosure or misuse of this PERSONAL INFORMATION may result in disciplinary action, criminal and/or civil penalties.
| Full Name as they appear on their valid state IDRow1: |
| Last 6 of SSNDOBRow1: |
| OrganizationCompany School NameRow1: |
| Expiration Date not to exceed 1yrRow1: |
| Full Name as they appear on their valid state IDRow2: |
| Last 6 of SSNDOBRow2: |
| OrganizationCompany School NameRow2: |
| Expiration Date not to exceed 1yrRow2: |
| Full Name as they appear on their valid state IDRow3: |
| Last 6 of SSNDOBRow3: |
| OrganizationCompany School NameRow3: |
| Expiration Date not to exceed 1yrRow3: |
| Full Name as they appear on their valid state IDRow4: |
| Last 6 of SSNDOBRow4: |
| OrganizationCompany School NameRow4: |
| Expiration Date not to exceed 1yrRow4: |
| Full Name as they appear on their valid state IDRow5: |
| Last 6 of SSNDOBRow5: |
| OrganizationCompany School NameRow5: |
| Expiration Date not to exceed 1yrRow5: |
| Full Name as they appear on their valid state IDRow6: |
| Last 6 of SSNDOBRow6: |
| OrganizationCompany School NameRow6: |
| Expiration Date not to exceed 1yrRow6: |
File details come from the government source that posted it. Updated .