JBER_Access_Request_Form_Blank.xlsx

XLSX spreadsheet 93 KB Posted

Attached to
AFICA Runway Rubber Removal and Airfield Painting at Wake Island
Solicitation number
FA5215-18-R-9004
Issued by

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Base Access Request Form

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NEW ADDITIONS

673 SFS ONLY NEW ADDITIONS

1) Type dates and phone numbers without spaces, dashes or slashes. EXAMPLE: 6jun1990 or 9072224440; it will automatically format.
2) Non-U.S. citizens MUST be identified and a copy of their E-Verify letter must accompany the request list.
3) DO NOT include currently approved individuals in "NEW ADDITIONS"; they go in the "UPDATES" Tab.
Last NameFirst NameMiddle NameSexDate of BirthDL or ID #State of IssueU.S. CitizenPassport #Company NameSponsoring Organization (To be conpleted by Sponsoring Unit POC ONLY)Access DatesDays of AccessAccess HoursEscort
Organization NamePoint of ContactDoD ID #Phone #StartEndSuMoTuWeThFrSaStartEnd
DENIED
FAKYesX0000Y
MALNo0030N
UAR0100
AZ0130
CA0200
CO0230
CT0300
DE0330
FL0400
GA0430
HI0500
IA0530
ID0600
IL0630
IN0700
KS0730
KY0800
LA0830
MA0900
MD0930
ME1000
MI1030
MN1100
MO1130
MS1200
MT1300
NC1330
ND1400
NE1430
NH1500
NJ1530
NM1600
NY1630
OH1700
OK1730
OR1800
PA1830
RI1900
SC1930
SD2000
TN2030
TX2100
UT2130
VA2200
VT2230
WA2300
WI2330
WV2359
WY
AS
DC
FM
GU
MH
MP
PW
PR
VI

UPDATES & CORRECTIONS

673 SFS ONLY UPDATES/CORRECTIONS

1) Type dates and phone numbers without spaces, dashes or slashes. EXAMPLE: 6jun1990 or 9072224440; it will automatically format.
2) Non-U.S. citizens MUST be identified and a copy of their E-Verify letter must accompany the request list.
3) DO NOT include NEW individuals in this tab; they go in the "NEW ADDITIONS" Tab.
Last NameFirst NameMiddle NameSexDate of BirthDL or ID #State of IssueU.S. CitizenPassport #Company NameSponsoring Organization (To be conpleted by Sponsoring Unit POC ONLY)Start DateEnd DateDays of AccessAccess HoursEscort
Organization NamePoint of ContactDoD ID #Phone #SuMoTuWeThFrSaStartEnd
DENIED
FAKYesX0000Y
MALNo0030N
UAR0100
AZ0130
CA0200
CO0230
CT0300
DE0330
FL0400
GA0430
HI0500
IA0530
ID0600
IL0630
IN0700
KS0730
KY0800
LA0830
MA0900
MD0930
ME1000
MI1030
MN1100
MO1130
MS1200
MT1300
NC1330
ND1400
NE1430
NH1500
NJ1530
NM1600
NY1630
OH1700
OK1730
OR1800
PA1830
RI1900
SC1930
SD2000
TN2030
TX2100
UT2130
VA2200
VT2230
WA2300
WI2330
WV2359
WY
AS
DC
FM
GU
MH
MP
PW
PR
VI

DELETIONS & REMOVALS

673 SFS ONLY DELETIONS /REMOVALS

1) Type dates and phone numbers without spaces, dashes or slashes.
EXAMPLE: 6jun1990 or 9072224440; it will automatically format.
Last NameFirst NameMiddle NameSexDate of BirthDL or ID #State of IssueU.S. CitizenPassport #Company NameSponsoring Organization (To be conpleted by Sponsoring Unit POC ONLY)
Organization NamePoint of ContactDoD ID #Phone #
DENIED
FAKYes0000Y
MALNo0030N
AR0100
AZ0130
CA0200
CO0230
CT0300
DE0330
FL0400
GA0430
HI0500
IA0530
ID0600
IL0630
IN0700
KS0730
KY0800
LA0830
MA0900
MD0930
ME1000
MI1030
MN1100
MO1130
MS1200
MT1300
NC1330
ND1400
NE1430
NH1500
NJ1530
NM1600
NY1630
OH1700
OK1730
OR1800
PA1830
RI1900
SC1930
SD2000
TN2030
TX2100
UT2130
VA2200
VT2230
WA2300
WI2330
WV2359
WY
AS
DC
FM
GU
MH
MP
PW
PR
VI

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