MOTCO_FORM190-3-R1_.xlsx
XLSX spreadsheet 19 KB Posted
- Attached to
- MOTCO Compliance Service Contract
- Solicitation number
- W9123821R0038
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Other files
| File | Type | Posted |
|---|---|---|
| NCIC_CONSENT_FORM_.pdf | ||
| FY21_MOTCO_Compliance_Services_PWS_Draft_30Nov2020.pdf | ||
| Sources Sought MOTCO Compliance Svcs.pdf |
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Text version
FORM
MOTCO Access Request
| Company Name | COMPANY NAME AS APPROPRIATE |
| Reason for Access | CONTRACT#// PROJECT NAME// REASON FOR VISIT |
| Sponsor | MOTCO SPONSOR (CAC HOLDER NAME)// MOTCO DIRECTORATE// PRIME CONTRACTOR // SUB CONTRACTOR |
| Frequency | USE DROP-DOWN ARROW FOR COMMON FREQUENCY OR TYPE YOUR OWN IN THE TEXT BAR ABOVE |
| Last | |||||||||||
| Name | First | ||||||||||
| Name | Middle | ||||||||||
| Name | DOB (BLANK IF CAC ID) | ID Type | DL# / CAC ID # | DL State (BLANK IF CAC ID) | Access from | Access thru | JPAS REQUESTED (IF CAC ID) | Tidal | Inland | Escort Req | Foreign Born |
| * Enter "NMN" when there is no middle name. |
| MOTCO FORM 190-3-R1 |
| Once the form is completed email the form to your MOTCO sponsor for processing. May 2019 |
PII///// FOUO /////PII PII///// FOUO /////PII PII///// FOUO /////PII
Sheet1
| ID Type | Column1 |
| DL # | Answer |
| CAC ID NUMBER | Y |
| N | |
| Column1 | |
| Frequency | |
| Day passes as needed// M-F// 0700-1600 (Most Common) | |
| 30 Day ok// Day passes as needed// M-F// 0600-1800 | |
| Day passes as needed// M-F// 0730-1600// Escort required during Tidal ops | |
| DBIDS Card// M-F// 0600-1800 (Must provide contract documentation for consideration) |
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