Base_Access_Request.docx
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- W9123819B0018
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Base Access Request
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MEMORANDUM for: Kevin Goetz, MOTCO Installation Security Assistant
SUBJECT: MOTCO Base Access Request, Construction Contract #(enter # here), Enter contractor name
Sir/Ma'am, (enter Contractor name here) respectfully request MOTCO Visitor Control Center to process the attached base access request.
Base access passes are requested for the (contractor/subcontractor) personnel listed in the table below.
Last Name First Name Middle Name
| New request? (yes/no) |
| Current NCIC? |
(yes/no) Badge number (if existing access holder)
This request is for (M-F 06:00 to 18:00/24-hour/weekends/holidays) CHOOSE ONE OR LIST SPECIFIC ACCESS REQUESTED, ALSO LIST PURPOSE i.e. regularly scheduled construction work/emergency access/OTHER JUSTIFICATION.
If you have any questions please contact me at (enter phone), email: (email address).
Signed, NAME
TITLE
COMPANY NAME
ENDORSEMENT Date:_______
From: MOTCO Resident Office, USACE To: MOTCO Installation Security
1. Recommending Approval____
2. Comment_________________
Chelan J. Schreifels Deputy Resident Engineer
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