(TEMPLATE) Contractor Request.xlsx
XLSX spreadsheet 16 KB Posted
- Solicitation number
- W912DS25BA020
About this file
This document is a 2015 Contractor Request Form template for accessing a military installation, specifically designed for non-DoD personnel and contractors without a Common Access Card. The template requires comprehensive personal and company information including name, date of birth, address, company details, point of contact, and identification numbers. Key instructions mandate that all non-DoD personnel visiting the installation for 5+ days must complete this form and submit it at least 72 hours prior to access, with completed forms to be sent to a specified Air Force email address.
The related federal contract opportunity is for an Air National Guard combat rescue helicopter simulator facility, solicited by the Department of the Army Corps of Engineers Engineering District New York under solicitation number W912DS25BA020. While the template itself does not provide specific details about the contract opportunity, it appears to be a standard administrative form for contractor access and registration associated with the facility project.
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Text version
| Contractor Request Form | |||||||||
| LAST | FIRST | DOB | ADDRESS | COMPANY | POC | POC NO. | START | LEAVE | DL/ID # |
| MOUSE | MICKEY | 1-Jan-1900 | 123 ST AVE | DISNEY CONTRACTING | Major Marshall | x7439 | DATE | DATE | 123456789 / NY |
&"Arial,Bold"&14&KFF0000FOR OFFICIAL USE ONLY (FOUO) POC: MSgt Cote, X7266
&"Arial,Bold"&14&KFF0000FOR OFFICIAL USE ONLY (FOUO) &"Arial,Bold"Page &P of &N pages
INSTRUCTIONS:
1) EVERYONE VISITING THE INSTALLATION WHO DOES NOT HAVE A COMMON ACCESS CARD MUST BE ON A CONTRACTOR REQUEST FORM. ANY NON-DOD PERSONNEL WHO NEED TO BE ON THE INSTALLATION FOR 5+ DAYS ALSO NEED TO COMPLETE A DBIDS REGISTRATION.
2) FILL IN ALL FIELDS AND SUBMIT COMPLETED FORM NO LATER THAN 72 HOURS PRIOR TO ACCESS.
3) SEND COMPLETED FORMS TO 106.RQW.106.SFS.BDOC.Org.Mail.Box.Org@us.af.mil AND COURTESY COPY andres.velasquez_avila@us.af.mil.
DELETE THIS BOX BEFORE SUBMITTING.
File details come from the government source that posted it. Updated .