MOTCO_190-3__JUN_2016-1_Final.xlsx
XLSX spreadsheet 19 KB Posted
- Attached to
- Replace/Upgrade Pier 2 Federal contract opportunity
- Solicitation number
- W9123817R0065
About this file
MOTCO 190-3 Security Form
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Text version
FORM
| MOTCO Access Request |
| Please Allow 7 Calendar Days for Processing |
| Company Name |
| Reason for Access |
| Sponsor |
| Frequency |
| Last | ||||||||||
| Name | First | |||||||||
| Name | Middle | |||||||||
| Name | DOB | DL # | DL State | Access from | Access thru | CAC | Tidal | Inland | Foreign Born | Escort Req |
| * Enter "NMN" when there is no middle name. |
| MOTCO FORM 190-3-R (PM) |
| Once the form is completed email the form to your MOTCO sponsor for processing. AUG 2016 |
ABBREVIATIONS & INSTRUCTIONS
| US State: | Abbreviation: | Commonwealth/Territory: | Abbreviation: |
| Alabama | AL | American Samoa | AS |
| Alaska | AK | District of Columbia | DC |
| Arizona | AZ | Federated States of Micronesia | FM |
| Arkansas | AR | Guam | GU |
| California | CA | Marshall Islands | MH |
| Colorado | CO | Northern Mariana Islands | MP |
| Connecticut | CT | Palau | PW |
| Delaware | DE | Puerto Rico | PR |
| Florida | FL | Virgin Islands | VI |
| Georgia | GA | ||
| Hawaii | HI | Please fill out all columns |
for any personnel you wish to gain access to the installation to include:
1. Full Last Name
2. Full First Name (do not shorten names or use nicknames, Mike or Mickey, if official name is Michael)
3. Full Middle Name (do not send just an initial, if no middle name, use NMN)
4. DOB (date of birth, please use format already on form, date should read DD
MMM YY)
5. Driver License Number
6. Driver License State of Issue (TX, MO, CA, second tab on form has all correct state/territory abbreviations)
7. Access From
8. Access Thru
When do your personnel require access? MOTCO will grant 1 year of access at a time, 1 year should read as such 5 Feb 13 through 4 Feb 14 (and again, please do not change date format, it should also read DD MMM YY as shown in example). Obviously for personnel that are assigned here to MOTCO or to the new Reserve Center, we do not need an end date, but still require 71 hours notice for vetting.
If you need more lines than are on the sheet, it's a Excel spreadsheet, simply insert more.
Access requests must be received no later than 72 hours prior to when access is needed to ensure proper vetting can be completed. Please let me know if you have any further questions or require any assistance in completing the form.
| Idaho | ID |
| Illinois | IL |
| Indiana | IN |
| Iowa | IA |
| Kansas | KS |
| Kentucky | KY |
| Louisiana | LA |
| Maine | ME |
| Maryland | MD |
| Massachusetts | MA |
| Michigan | MI |
| Minnesota | MN |
| Mississippi | MS |
| Missouri | MO |
| Montana | MT |
| Nebraska | NE |
| Nevada | NV |
| New Hampshire | NH |
| New Jersey | NJ |
| New Mexico | NM |
| New York | NY |
| North Carolina | NC |
| North Dakota | ND |
| Ohio | OH |
| Oklahoma | OK |
| Oregon | OR |
| Pennsylvania | PA |
| Rhode Island | RI |
| South Carolina | SC |
| South Dakota | SD |
| Tennessee | TN |
| Texas | TX |
| Utah | UT |
| Vermont | VT |
| Virginia | VA |
| Washington | WA |
| West Virginia | WV |
| Wisconsin | WI |
| Wyoming | WY |
http://www.50states.com/alabama.htmhttp://www.50states.com/georgia.htmhttp://www.50states.com/hawaii.htmhttp://www.50states.com/idaho.htmhttp://www.50states.com/illinois.htmhttp://www.50states.com/indiana.htmhttp://www.50states.com/iowa.htmhttp://www.50states.com/kansas.htmhttp://www.50states.com/kentucky.htmhttp://www.50states.com/louisian.htmhttp://www.50states.com/maine.htmhttp://www.50states.com/alaska.htmhttp://www.50states.com/maryland.htmhttp://www.50states.com/massachu.htmhttp://www.50states.com/michigan.htmhttp://www.50states.com/minnesot.htmhttp://www.50states.com/mississi.htmhttp://www.50states.com/missouri.htmhttp://www.50states.com/montana.htmhttp://www.50states.com/nebraska.htmhttp://www.50states.com/nevada.htmhttp://www.50states.com/newhamps.htmhttp://www.50states.com/arizona.htmhttp://www.50states.com/newjerse.htmhttp://www.50states.com/newmexic.htmhttp://www.50states.com/newyork.htmhttp://www.50states.com/ncarolin.htmhttp://www.50states.com/ndakota.htmhttp://www.50states.com/ohio.htmhttp://www.50states.com/oklahoma.htmhttp://www.50states.com/oregon.htmhttp://www.50states.com/pennsylv.htmhttp://www.50states.com/rdisland.htmhttp://www.50states.com/arkansas.htmhttp://www.50states.com/scarolin.htmhttp://www.50states.com/sdakota.htmhttp://www.50states.com/tennesse.htmhttp://www.50states.com/texas.htmhttp://www.50states.com/utah.htmhttp://www.50states.com/vermont.htmhttp://www.50states.com/virginia.htmhttp://www.50states.com/washingt.htmhttp://www.50states.com/wvirgini.htmhttp://www.50states.com/wisconsi.htmhttp://www.50states.com/californ.htmhttp://www.50states.com/wyoming.htmhttp://www.50states.com/samoa.htmhttp://www.50states.com/dc.htmhttp://www.50states.com/micro.htmhttp://www.50states.com/guam.htmhttp://www.50states.com/mariana.htmhttp://www.50states.com/puerto.htmhttp://www.50states.com/vi.htmhttp://www.50states.com/colorado.htmhttp://www.50states.com/connecti.htmhttp://www.50states.com/delaware.htmhttp://www.50states.com/florida.htm
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