NEW Base Pass Template.pdf
PDF 345 KB Posted
- Attached to
- DDR Carpet Replacement
- Solicitation number
- FA483025Q0050
About this file
This document is a Request for Installation Access form from the 23d Security Forces Squadron at Moody Air Force Base for a carpet installation project. The form is associated with RFQ #FA483025Q0036 and is designed to request base access for a contractor named John Smith from ABCD LLC. for a site visit to Building 780 at the 23 MXS (Maintenance Squadron). The access pass is valid from 7 APR to 7 APR 2025, with specific requirements for providing personal identification information including the last 6 digits of SSN/DOB. The document is marked as Controlled Unclassified Information (CUI) and includes a warning about unauthorized disclosure of personal information, with a note that SSN/DOB information is mandatory for base access.
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Other files
| File | Type | Posted |
|---|---|---|
| SitePhotos.pdf | ||
| DDR - Carpet FAQ.pdf | ||
| Updated Combo-Synopsis.pdf | ||
| FloorPlan - BLDG 408 Carpet Plan.pdf | ||
| DDR.BaseMap.pdf | ||
| Combo-Synopsis.pdf | ||
| Carpet SOW - DDR.pdf |
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Text version
CCUI
DEPARTMENT OF THE AIR FORCE
23D SECURITY FORCES SQUADRON (ACC)
MOODY AIR FORCE BASE GEORGIA
MEMORANDUM FOR 23 SFS
FROM: 23 CONS
SUBJECT: Request for Installation Access
1. I am requesting a pass for the following people to Moody AFB for the purpose of a site visit for a carpet installation project at the 23 MXS. (RFQ #FA483025Q0036)
Full Name: as they appear on their valid state ID.
Last 6 of
SSN / DOB
Organization/Company Name:
Expiration Date:
(not to exceed 1yr)
JUNE ALBA, SSGT, USAF
23 CONS PKB, NCOIC
Attack · Rescue · Prevail
Unauthorized disclosure or misuse of this PERSONAL INFORMATION may result in disciplinary action, criminal and/or civil penalties.
**Write N/A if contractor declined to provide information. Be advised that SSN/DOB information is required for base access. Security Forces will ask for it at the Visitor's Center if not detailed in this form.
2. Request pass for the following person(s) to Moody AFB for SITE VISIT: 23 MXS - BLDG 780
| Text1: JOHN SMITH |
| Text2: 12-3456 / 1JAN1990 |
| Text3: ABCD LLC. |
| Text4: 7 APR - 7 APR 2025 |
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File details come from the government source that posted it. Updated .