Public Entry Pre-Authorization Request Form.xlsx

This is a Public Entry Pre-Authorization Request Form used for controlling access to a federal facility or project location. The form is classified as Controlled Unclassified Information (CUI) with a Privacy (PRVCY) designation and is managed by the 195th Wing/Mission Support Center and 115th Security Forces Squadron. The document serves as a template for collecting and validating personnel information prior to granting facility access, requiring submission of identification details including name, date of birth, driver's license information, and passport or visa numbers. Completed forms must be validated and authenticated by designated personnel, with the form controlled by the LDC FEDCON Point of Contact.

The form is designed to be completed with company information, project location details, company and project points of contact with phone numbers and email addresses, start and end dates, and prime contractor information. All personnel names must match government-issued driver's license documentation, and the form includes fields for previous state identification and validation dates. This template is part of the infrastructure supporting the Department of the Army National Guard's solicitation W50S6U26QA018 for furniture modernization at Mather, California, where contractor personnel would require pre-authorization to access the facility.