NEW Base Pass Template.pdf
PDF 403 KB Posted
- Attached to
- 74 FGS Camera Replacement
- Solicitation number
- FA483025Q0051
About this file
This document is a base pass request form for a site visit related to a camera installation project at Moody Air Force Base. The form is part of RFQ #FA483025Q0051 for the 74th Fighter Generation Squadron, and is designed to request installation access for contractors. The document requires contractors to provide full names, last 6 digits of SSN/DOB, organization/company name, and an expiration date for base access passes, with a note that SSN/DOB information is mandatory for entry. The site visit is scheduled for Monday, April 28, 2025 at 1:00 PM EST, with contractors required to arrive at the Visitor's Center by 12:30 PM EST. Completed base pass forms must be emailed to june.alba@us.af.mil by Friday, April 25, 2025 at 1:00 PM EST, and all contractors are responsible for thoroughly reviewing project documentation prior to the visit.
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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 camera installation project at the 74th FGS. (RFQ #FA483025Q0051)
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: 74th FGS Bldg. 772
| Text1: JOHN SMITH |
| Text2: 12-3456 / 1JAN1990 |
| Text3: ABCD LLC. |
| Text4: 7 APR - 7 APR 2025 |
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