195 SF Vetting Form 149 IS Furniture 1.pdf
PDF 139 KB Posted
- Attached to
- 149 IS Bldg. 4750 Furniture
- Solicitation number
- W50S6U26QA018
- Issued by
-
Department of the Army National Guard
About this file
This is a contractor vetting request form used by the 195th Security Forces to collect and verify information about contractors requiring installation access.
The form requires submission of complete employer and personal information for all contractor personnel, including company name and phone number, full legal name, date of birth, Social Security number, place of birth, state, and U.S. citizenship status. For non-U.S. citizens, naturalization numbers and additional government-issued identification data must be provided. All required fields must be completed accurately with supporting documentation attached. Incomplete forms will be returned without action or result in processing delays. Contractors must allow a minimum of three business days for the vetting process prior to the requested access date. The form emphasizes that knowingly providing false, misleading, or incomplete information may result in denial or revocation of installation access. The document is classified as For Official Use Only (FOUO) and Controlled Unclassified Information (CUI) containing personally identifiable information that must be handled, stored, transmitted, and destroyed in accordance with Department of the Air Force and Department of Defense privacy and records management requirements.
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Text version
Company Name: Company Phone: Last Name: First Name: Middle Name: DOB: SSN: POB – City: POB – State:
U.S. Citizen: Y/N
If "NO" enter naturalization #
All sections of this contractor vettin form must be completed in their entirety. Ensure all required fields are accurately filled out, and supporting documentation is attached as applicable.
Imcomplete forms may result in processing delays, denial of access, or return without action.
195th Security Forces Contractor Vetting Request Form
FOR OFFICIAL USE ONLY (FOUO) / CONTROLLED UNCLASSIFIED INFORMATION (CUI) - PRIVACY SENSITIVE This document contains Personnaly Identifiable Information (PII). Handle, store, transmit, and destroy in accordance with applicalble DoW, Department of the Air Force privacy and records management requirements.
Instructions for Completing the 195 Security Forces Contrator Vetting Form:
1. Employer Information: Provide the full name of the company or contracting organization, and phone number.
2. Complete All Required Fields: Fill out all sections of the form accurately and completely. Incomplete forms may be returned without action or result in delays in processing.
3. Provide Accurate Personal Information: Enter your full legal last name, first name, middle name, date of birth (DOB), social security number (SSN), place of birth city (POBc), place of birth state (POBs), Gender, and U.S Citenzenship. If not a U.S Citizen enter naturalization number and any other identifying data exactly as it appears on government-issued identification documents.
4. Supporting Documentation: Attach all required supporting documents or any additional information requested by Security Forces.
5. Certification: Review all information for accuracy before submitting.
6. Submission Timeline: Submit completed forms and supporting documentation to 195th Wing Security Forces. Allow at least the minimum 3 business days required for vetting prior to the requested access date.
7. False Statements: Knowingly providing false, misleading, or incomplete information may result in denial or revocation of installation access .
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