Base Ketchikan SITKA USCG Access Pass Vetting RequestMASTER INFO2.pdf

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Attached to
USCG SITKA ALASKA Cutter Support Building Repair Heating System
Solicitation number
UCGPR51291PR260000073
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About this file

This is a Base Ketchikan Access Pass Vetting Request form designed to collect personal and identification information from individuals applying for base access passes.

The form requires the following information from passholders: full name (Last, First, Middle Initial), date of birth in M/d/yyyy format, identification type (Federal Issued ID, State Issued ID, or Other), identification number, and the state that issued the identification. Additionally, applicants must provide a contact phone number. The form includes a required field asking whether a vehicle needs to be registered to the pass, with a note that vehicle registration is not typically needed for vendors or contractors and should not be selected if a parking pass already exists for the vehicle or if multiple vehicles will be used. All fields marked with an asterisk are mandatory. The form is created using Microsoft Forms and will transmit submitted data to the form owner.

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Base Ketchikan Access Pass Vetting Request

* Required

Passholder's Information

(Last, First, M.)

Passholder's Name: * 5.

Enter your answer

Passholder's Date of Birth * 6.

Please input date (M/d/yyyy)

Federal Issued ID

State Issued ID

Passholder's Identification Type: * 7.

Other

Passholder's Identification Number: * 8.

Enter your answer

State that Issued the ID: * 9.

Select your answer

Passholder's Contact Number:10.

Enter your answer

No

Yes

(Do not select if there is already a parking pass with the vehicle or there will be multiple vehicles used) Note: Not typically needed for Vendors or Contractors

Do you need a vehicle registered to the pass? * 11.

This content is created by the owner of the form. The data you submit will be sent to the form owner. Microsoft is not responsible for the privacy or security practices of its customers, including those of this form owner. Never give out your password.

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File details come from the government source that posted it. Updated .