Base Access-144 SFS DVES FORM- 20230127 (Site Visit).pdf

BASE ACCESS REQUEST FORM

INSTRUCTIONS FOR COMPLETING BASE ACCESS REQUEST FORM

FOR CONTRACTORS/VISITORS

• Sponsor will complete the top and middle portions of this form along with submitting a scanned copy of each contractor/visitors state issued drivers license. Documents must be emailed to the Pass & Registration office 144SFS.Pass.Registration@us.af.mil. The sponsor must digitally sign the form with a Common Access Card and submit the form through a .mil account. Processing is a minimum of 5-10 business days for US Citizens. Turn it into Pass & Registration office with enough time to process prior to the contractor/visitors arrival.

• All contractor/visitors MUST pre-enroll into DBIDS at https://dbids-global.dmdc.mil/enroll#!/ no more than 30 days before the visit. DBIDS PRE-ENROLLMENT ONLY VALID FOR 30 DAYS.

• All guests 17 years old and under are not required to enroll into DBIDS unless driving a vehicle on the base.

• All contractors/visitors MUST bring the two forms of ID selected on STEP 1 of the pre-enrollment process (i.e.

Social Security card AND Driver’s License, IF those were the identifiers selected). Driver license that state "FEDERAL LIMITS APPLY" must provide birth certificate and Social Security Card. Documents must be ORIGINALS. No copies or photos will be accepted.

• Once the guest(s) are pre-enrolled, they will be given a QR code along with an alpha numeric number. It is recommended to either print or take a screen shot of the QR code. The sponsor will need the code for the Base Access Request Form.

• The PASS & REGISTRATION office will conduct a criminal history inquiry of all guests 18 years of age and older. Sponsors will be notified of all guests that do not meet base access requirements as set forth in Integrated Defense Plan. PASS & REGISTRATION office will complete the bottom portion of this form.

• Sponsors will be contacted when the criminal history inquiry has been completed. Sponsors will receive notification of contractors/visitor approval via email.

• Following the guest(s) arrival, the sponsor and guest(s) can proceed to the main gate Pass and Registration Office (122),The sponsor must present the Base Access Request Form endorsed by PMO and the Notification of Guests form (if applicable) signed by their RSO. GUEST MUST PRESENT THEIR (2) PRIMARY FORMS OF

IDENTIFICATION USED WHEN PRE-ENROLLING INTO DBIDS, QR CODE/ALPHA NUMERIC

NUMBER.

Note: Having a Social Security Card does not constitute US Citizenship. All guest’s need to enroll with their correct citizenship or could be denied access. A Permanent Resident is not a US Citizen and must be declared to PMO.

SPECIAL INSTRUCTIONS FOR FOREIGN NATIONAL GUESTS:

• In addition to the above requirements, the sponsor must submit a copy of the guest(s) passport and Visa (if applicable) with the Base Access Request Form regardless of age. Foreign National guest(s) who are not family members of the sponsor or spouse will not receive a DBIDS Credential and MUST BE ESCORTED AT ALL TIMES BY THE SPONSOR. These requests NEED to be submitted no less than 14 DAYS PRIOR TO ARRIVAL. Foreign Nationals without a VISA or Permanent Resident Card MUST go to Pass & Registration office to complete biometrics and complete the DBIDS process.

POINTS OF CONTACT:

If you have questions that you sponsor cannot answer, please contact the Pass and Registration Office:

Pass & Registration:

559-454-5243

DSN: 839-5243

Email: 144SFS.Pass.Registration@us.af.mil

144 FIGHTER WING / SFS

BASE ACCESS REQUEST FORM

Controlled Unclassified Information (CUI) : Protected under the Privacy Act of

SPONSOR'S LAST NAME, FIRST, MIDDLE / DOD ID NUMBER RANK OR GRADE / UNIT SPONSOR'S PHONE NUMBER DATE OF REQUEST

AFFILIATION TO SPONSOR REQUESTING OFFICE (I.E.CE, AMXS, MXS, LRS) OR PERSONAL VISITOR

SPONSOR EMAIL SPONSOR SIGNATURE

CONTRACT COMPANY START DATE OF VISIT END DATE OF VISIT ACCESS DAYS(REQUIRED)

MON-FRI SAT SUN

START-END TIME

PURPOSE OF VISIT:

LOCATION

BASE WIDE MSA

REASON FOR ACCESS

CONTRACTOR VENDOR GUEST

*All Visitors/Guests/Contractors must have their two (2) primary forms of identification used when pre-enrolling into DBIDS. U.S. Citizens must bring their original social security card to complete enrollment process. No copies or photos will be accepted. Processing is a minimum of 5-10 business days for all U.S. Citizens.

** Foreign Nationals must submit the information page of their passport with this form and visa (if applicable).

Permanent Residents must submit a front and back copy of their resident card with this form. Permanent Residents are not considered U.S. Citizens. Foreign National Requests must be turned in at least 14 business days prior to arrival to ensure proper processing.

By Checking this box I understand the terms of sponsoring a guest/visitor/contractor to 144th Fighter Wing, CANG

CONTRACTOR/VENDOR/VISITOR INFORMATION

NAME (Last, First, Middle) DATE OF BIRTH

COMPANY

(IF CONTRACTOR)

(U.S. Citizen)

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

PASS AND REGISTRATION OFFICE USE ONLY

RECEIVED BY DATE RECEIVED

NLETS: YES NO COMPLETED BY

NCIC: YES NO COMPLETED BY

AUTHORITY: DoDM5200.08v3_AFMAN31-101v3_AFGM2020-01 Installation Perimeter Access Control, Title 18 U.S. Code Section 1382, “Entering military, naval, or Coast Guard property” and 144 FW Integrated Defense Plan PURPOSE(S): To control physical access to Department of Defense (DoD), Department of the Air Force (DOAF) or California Air National Guard Installations/Units controlled information, installations, facilities, or areas over which DoD, DOAF, or California Air National Guard has security responsibilities. DISCLOSURE: Providing registration information is voluntary.

Failure to provide requested information may result in denial of access to benefits, privileges, and DoD installations, facilities and buildings.

Pre-Enroll in the Defense Biometric Identification System (DBIDS) at https://dbids-global.dmdc.mil/enroll#!/, at least five

(5) business days and no more than (30) days prior to the day base access is needed. Use continuation sheet if necessary.

Pass and Registration phone number 559-454-5243

OTHER:_______________

DBIDS Pre-enrollment

DBIDS Alpha/Numeric Number

OTHER:___________________________

DATE: _________________ ACCESS VERIFIED/APPROVED BY:

DATE: _________________

1171617878N Highlight

1171617878N Highlight

144 FIGHTER WING / SFS BASE ACCESS

REQUEST FORM FORM CONTINUATION SHEET

Controlled Unclassified Information (CUI) : Protected under the Privacy Act of 1974

SPONSOR'S LAST NAME, FIRST, MIDDLE/DOD ID NUMBER RANK/UNIT SPONSOR'S PHONE NUMBER DATE OF REQUEST

CONTRACTOR/VENDOR/SERVICE PROVIDER/VISITOR INFORMATION

NAME (Last, First, Middle) COMPANY

(IF CONTRACTOR)

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

DATE OF BIRTH (U.S. CITIZEN)

DBIDS Alpha/Numeric Number

1171617878N Highlight

1171617878N Highlight

TEST

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