Copy_of_Clear_AFS_Visit_Request_Worksheet.xlsx
XLSX spreadsheet 24 KB Posted
- Attached to
- CP#3 CONSTRUCTION OF LONG RANGE DISCRIMINATION RADAR (LRDR) POWER PLANT, CLEAR AFS, ALASKA (CLR039c)
- Solicitation number
- W911KB19R0002
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Please ensure all blocks are filled. Failure to completely fill in the entire document will lead to delays in processing or possible return to sender for corrections.
| BE SURE TO ENCRYPT THE WORKSHEET IN YOUR EMAIL IF YOU HAVE THE CAPABILITY. |
| IF YOU CANNOT ENCRYPT, THEN PASSWORD PROTECT THE WORKSHEET AND SEND BACK. IN A SEPARATE EMAIL, SEND ME THE PASSWORD. |
Or you can use AMRDEC at https://safe.amrdec.army.mil/safe/Welcome.aspx (Available to all)
| YOU MAY ADD ROWS ONLY TO ACCOMMODATE NAMES. OTHERWISE - DO NOT ALTER THE SPREADSHEET IN ANY WAY!!!! |
| SHEET PROTECT PASSWORD: CAFS |
Visit Request Spreadsheet
| Clear AFS POC: | Mr. Charles King | ||||||
| Clear AFS POC Phone Number: | (907) 585-6174 | ||||||
| Project Name: | |||||||
| Visit Purpose: | |||||||
| Visit Request Worksheet | |||||||
| First Name | Middle Name(s) | Last Name(s) | Rank/Grade/Title or CTR (contractor) | Aliases | Date of Birth | Social Security Number | |
| : Protected IAW the Privacy Act of 1974 | Driver's License Number | Driver's License State of Issue | Company |
or Organization : The name of the individual or team who created the Issue Report
| First Day of Required Access | ||
| : A statement describing the issue, its cause and impact | Last Day of Required Access | Require Lodging |
| Y/N | Require Restricted Area Access | |
| Y/N | Current Security Clearance | |
| Y/N | DOD ID Card | |
| Y/N | DBIDS Card | |
| Y/N | Equipment Required in Restricted Area (Type, Make, Model, Serial Number) |
| ***Insert additional lines as needed*** |
| All information is protected IAW the Privacy Act of 1974, DoD Directive 5400.11, "Department of Defense Privacy Act Program", and is considered sensitive For Official Use Only (FOUO). |
The unlawful use of this information may result in CIVIL and CRIMINAL penalties.
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