Base_Access_Info.docx

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OCONUS PACAF AND USAFE BOILER INSPECTIONS FY17
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FA805117R3009
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Base Access Template

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DEPARTMENT OF THE AIR FORCE

PACIFIC AIR FORCES

DATE

MEMORANDUM FOR 18 SFS/S5-B

FROM: YOUR OFFICE SYMBOL OR NAME

SUBJECT: Unescorted Base Access with Driving Privileges for Non-SOFA

1. State the purpose for this memorandum. Give your pertinent information excluding any Freedom of Information Act data. State the reason for your request and the personnel you are seeking access for. Include the status (SOFA, non-SOFA, local national), point of entrance and point of origin (if coming from off-island), type of passport (if traveling), inclusive dates of visitation (Start date to End Date), and justification of why access should be granted. Time periods and days of the week needed for access are to be included. If 24hrs access is needed, state the reasoning. If more than one guest is to be sponsored, include an attachment with above information. Please be specific with dates and times. You MUST also attach a photocopy of their passports, you can use a driver’s license of they are a Japanese citizen. (18thWG/PA and DODDS are exceptions per KAABI 31-101 Para 1.6.5.1.3) 10 July 2013. If the individual/individuals have their own vehicle/vehicles, ensure you put the correct info (see below) or N/A if they are not driving. ATTACH A COPY OF ALL VEHICLE INFORMATION IF DRIVING(JCI,PDI, INTERNATIONAL DRIVERS LICENSE -If applicable) Please drop off to Pass and ID (Bldg 31) with a wet signature. There will be a 7-10 day processing period not to include weekends and holidays. Also guest requesting a SOFA Permit must attend the NEW COMERS BRIEF at the SCHILLING on WEDNESDAY @ 0700 before we can grant a SOFA Permit unless you have a JP license. Please call 634-3437/1033 for any questions or concerns.

NAME

(Last, First /A-Z order)

Passport, Driver’s License # or Residence Card
CURRENT ADDRESS/

Physical Address on Island Vehicle Information

MIYAGI, Namae
Japanese

Non-SOFA

DL#123456789

1-02-34 Some Okinawa City, Okinawa N/A

DOE, John
American Non-SOFA

PP#12345612

123 Pine Anywhere, USA License Plate #/Make/# of Doors/Color/Model/etc.

SMITH, John
American Non-SOFA

PP#12345612SD

1-2-13 Sunabe Okinawa

Rental Car

2. Visitor passes issued by the 18 SFS only grant access onto the installation. Entry into other facilities, but not limited to, Morale Welfare and Recreation (MWR) facilities, AAFES, commissary, and so forth is determined by the owner/user personnel and their agency regulations.

3. I am aware of the rules and regulation as stated in USFJINST 31-205 and KABI 31-218 concerning SOFA license issuance and driving privileges on the installation. If granted, personnel will attend 18 WG Safety Local Condition training, report to Pass and Registration (with all appropriate attachments) for issuance. If you have any questions, please feel free to contact me or my POC, NAME of POC, at XXX-XXXX

JOHN Q. PUBLIC, Rank, BANCH
Position/Duty Title or Military Affiliation

1st Ind, YOUR OFFICE SYMBOL, Date of Letter Authorization for Driving Privileges

1. The attached personnel/list of personnel was checked against the Kadena AB Barment Roster and SFMIS, there is / there is no derogatory information on file. All personnel have International Driver’s Permit/Stateside License attached.

Pass and Registration Clerk 18th Security Forces Squadron

18 SFS/S-5

MEMORANDUM FOR 18 MSG/CD

Approved/Disapproved.

ALFREDO REYES, MSgt, USAF
NCOIC, Pass and Registration

2nd Ind, 18 MSG/CD

MEMORANDUM FOR YOUR OFFICE SYMBOL and # of personnel

Approved/Disapproved.

PETER M. POLLOCK, Colonel, USAF 18th Mission Support Group

This memo may contain Personal Data which must be protected IAW DoD 5400.11R and is For Official Use Only. Privacy Act of 1974 Applies (5 USC 552a).

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