JL_4c_III_Log_Information___INSERT_COMPANY_NAME.pdf
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- Solicitation number
- N40192
About this file
This is a log sheet template for III (Interstate Identification Index) requests related to base access. The form appears to be designed for tracking multiple requests (numbered 1-30) with columns for recording key information including request type (all marked as QH), III requester, date of request, subject name (last, first, MI), FBI number, date of birth (formatted as YYYY-MM-DD), SSN (formatted as 123-45-6789), purpose code (all marked as C), and specific reason (all listed as "MG-Base Access"). The form is currently blank except for the pre-filled QH request types and C purpose codes, indicating it is meant to be completed as requests are made.
This template appears to be an administrative document associated with a larger contract for Housing Operations and Maintenance Services (HOMS) and Change of Occupancy Maintenance (COMS) for Unaccompanied Housing. The form's purpose is specifically for tracking background check requests for individuals who may need base access as part of the contract performance.
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Text version
RN
REQUEST
TYPE
QH/QR
III REQUESTER
DATE OF
REQUEST
SUBJECT FBI DOB SSN
PUR
CODE C/
J/ F/ H/ D
SPECIFIC REASON FOR III
REQUEST LIST
ASSOCIATED
INVESTIGATION AND
INDICATE IF QUERY MADE
AT TIME OF ARREST
1 QH C MG-Base Access
2 QH C MG-Base Access
3 QH C MG-Base Access
4 QH C MG-Base Access
5 QH C MG-Base Access
6 QH C MG-Base Access
7 QH C MG-Base Access
8 QH C MG-Base Access
9 QH C MG-Base Access
10 QH C MG-Base Access
11 QH C MG-Base Access
12 QH C MG-Base Access
13 QH C MG-Base Access
14 QH C MG-Base Access
15 QH C MG-Base Access
16 QH C MG-Base Access
17 QH C MG-Base Access
18 QH C MG-Base Access
19 QH C MG-Base Access
20 QH C MG-Base Access
21 QH C MG-Base Access
22 QH C MG-Base Access
23 QH C MG-Base Access
24 QH C MG-Base Access
25 QH C MG-Base Access
26 QH C MG-Base Access
27 QH C MG-Base Access
28 QH C MG-Base Access
29 QH C MG-Base Access
30 QH C MG-Base Access
LAST, FIRST MI
1256740857A Typewritten Text
YYYY-MM-DD
1256740857A Typewritten Text 123-45-6789
1256740857A Typewritten Text
| SUBJECTQH_11: |
| SUBJECTQH_10: |
| SUBJECTQH_9: |
| SUBJECTQH_8: |
| SUBJECTQH_7: |
| SUBJECTQH_6: |
| SUBJECTQH_5: |
| SUBJECTQH_4: |
| SUBJECTQH_3: |
| SUBJECTQH_2: |
| SUBJECTQH: |
| DOBQH_2: |
| DOBQH: |
| DOBQH_3: |
| DOBQH_4: |
| SUBJECTQH_14: |
| SUBJECTQH_13: |
| SUBJECTQH_12: |
| SSNQH: |
| SSNQH_2: |
| SSNQH_3: |
| DOBQH_5: |
| DOBQH_6: |
| DOBQH_7: |
| SUBJECTQH_15: |
| SSNQH_4: |
| DOBQH_8: |
| SUBJECTQH_16: |
| SSNQH_5: |
| DOBQH_9: |
| SUBJECTQH_17: |
| SSNQH_6: |
| DOBQH_10: |
| SUBJECTQH_18: |
| SSNQH_7: |
| DOBQH_11: |
| SUBJECTQH_19: |
| SSNQH_8: |
| DOBQH_12: |
| SUBJECTQH_20: |
| SSNQH_9: |
| DOBQH_13: |
| SUBJECTQH_21: |
| SSNQH_10: |
| DOBQH_14: |
| SUBJECTQH_22: |
| SSNQH_11: |
| DOBQH_15: |
| SUBJECTQH_23: |
| SSNQH_12: |
| DOBQH_16: |
| SUBJECTQH_24: |
| SSNQH_13: |
| DOBQH_17: |
| SUBJECTQH_25: |
| SSNQH_14: |
| DOBQH_18: |
| SUBJECTQH_26: |
| SSNQH_15: |
| DOBQH_19: |
| SUBJECTQH_27: |
| SSNQH_16: |
| DOBQH_20: |
| SUBJECTQH_28: |
| SSNQH_17: |
| DOBQH_21: |
| SUBJECTQH_29: |
| SSNQH_18: |
| DOBQH_22: |
| SUBJECTQH_30: |
| SSNQH_19: |
| DOBQH_23: |
| SSNQH_20: |
| DOBQH_24: |
| SSNQH_21: |
| DOBQH_25: |
| SSNQH_22: |
| DOBQH_26: |
| SSNQH_23: |
| DOBQH_27: |
| SSNQH_24: |
| DOBQH_28: |
| SSNQH_25: |
| DOBQH_29: |
| SSNQH_26: |
| DOBQH_30: |
| SSNQH_27: |
| SSNQH_28: |
| SSNQH_29: |
| SSNQH_30: |
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