Access_Request_Letter_PDF.pdf

PDF 106 KB Posted

Attached to
Comm Install Bldg 124 Federal contract opportunity
Solicitation number
W912LP-16-T-0017
Issued by
Department of the Army Iowa Army National Guard

About this file

From the source

Entry Authorization Request

View the file

Other files for this federal contract opportunity

Other files attached to Comm Install Bldg 124, newest first.
File Type Posted
W912LP-16-0017_-_Comm_Install_Bldg_124_with_drawing.pdf PDF

On GovTribe

Work with this file on GovTribe

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

Des Moines ANGB Access Request Letter (For Non-DoD ID Cardholders Only)

Sponsor Name:

Building(s) Requesting Access:

Dates Requested:

In preparation for you to escort individuals on Des Moines ANGB, you will need to provide the information below. This information is required to conduct a criminal history check which must be favorable for installation access.

Procedure:

1. Sponsor must list everyone who may need access to the installation, to include anyone under the age of 18. Visitors under the age of 18 may enter the installation when escorted by an adult who has been granted access.

2. In preparation for you to escort individuals on Des Moines ANGB, you will need to provide the information below.

This information is required to conduct a criminal history check which must be favorable for installation access.

3. Criminal History checks are considered favorable if they do not contain any of the following disqualifiers:

a. U.S. citizenship or immigration status cannot be confirmed.

b. Barred from entry/access to any military installation or facility.

c. Wanted by federal or civil law enforcement authorities, regardless of offense or violation.

d. Conviction of firearms or explosives violation within the past three years.

e. Incarcerated for 12 months or longer within the past three years, regardless of the offense or violation.

f. Conviction of espionage, sabotage, treason or terrorism, murder, sexual assault, armed assault/robbery, rape, child molestation, drug possession with the intent to sell, or drug distribution.

g. Name appears on any federal agency’s “watch list” or “hit list” for criminal behavior or terrorist activity.

Last Name, First Name, MI

Driver’s License # or State Issued ID #

State

Company

Date of Birth

Contractor or Delivery (C/D)

Last Name, First Name, MI

Driver’s License # or State Issued ID #

State

Company

Date of Birth

Contractor or Delivery (C/D)

4. I understand it is my responsibility to advise my visitors that anyone over the age of 18 must have a state issued ID.

5. I understand that anyone driving on the installation will be required to provide a valid, state issued driver’s license, valid vehicle registration, and valid proof of insurance.

Sponsor’s Signature Date

============================ FOR SECURITY FORCES PERSONNEL ONLY (BELOW) ============================

Blocks through Vetted By:

Date:

Blocks through Vetted By:

Date:

Blocks through Vetted By:

Date:

Blocks through Added to EAL By:

Date:

Blocks through Added to EAL By:

Date:

Blocks through Added to EAL By:

Date:

Sponsor Name:
Buildings Requesting Access:
Last Name First Name MI1:
Drivers License or State Issued ID 1:
State1:
Company1:
Date of Birth1:
Contractor or Delivery CD1:
Last Name First Name MI2:
Drivers License or State Issued ID 2:
State2:
Company2:
Date of Birth2:
Contractor or Delivery CD2:
Last Name First Name MI3:
Drivers License or State Issued ID 3:
State3:
Company3:
Date of Birth3:
Contractor or Delivery CD3:
Last Name First Name MI4:
Drivers License or State Issued ID 4:
State4:
Company4:
Date of Birth4:
Contractor or Delivery CD4:
Last Name First Name MI5:
Drivers License or State Issued ID 5:
State5:
Company5:
Date of Birth5:
Contractor or Delivery CD5:
Last Name First Name MI6:
Drivers License or State Issued ID 6:
State6:
Company6:
Date of Birth6:
Contractor or Delivery CD6:
Last Name First Name MI7:
Drivers License or State Issued ID 7:
State7:
Company7:
Date of Birth7:
Contractor or Delivery CD7:
Last Name First Name MI8:
Drivers License or State Issued ID 8:
State8:
Company8:
Date of Birth8:
Contractor or Delivery CD8:
Last Name First Name MI9:
Drivers License or State Issued ID 9:
State9:
Company9:
Date of Birth9:
Contractor or Delivery CD9:
Last Name First Name MI10:
Drivers License or State Issued ID 10:
State10:
Company10:
Date of Birth10:
Contractor or Delivery CD10:
Last Name First Name MI11:
Drivers License or State Issued ID 11:
State11:
Company11:
Date of Birth11:
Contractor or Delivery CD11:
Last Name First Name MI12:
Drivers License or State Issued ID 12:
State12:
Company12:
Date of Birth12:
Contractor or Delivery CD12:
Last Name First Name MI13:
Drivers License or State Issued ID 13:
State13:
Company13:
Date of Birth13:
Contractor or Delivery CD13:
Last Name First Name MI14:
Drivers License or State Issued ID 14:
State14:
Company14:
Date of Birth14:
Contractor or Delivery CD14:
Last Name First Name MI15:
Drivers License or State Issued ID 15:
State15:
Company15:
Date of Birth15:
Contractor or Delivery CD15:
Last Name First Name MI16:
Drivers License or State Issued ID 16:
State16:
Company16:
Date of Birth16:
Contractor or Delivery CD16:
Last Name First Name MI17:
Drivers License or State Issued ID 17:
State17:
Company17:
Date of Birth17:
Contractor or Delivery CD17:
Last Name First Name MI18:
Drivers License or State Issued ID 18:
State18:
Company18:
Date of Birth18:
Contractor or Delivery CD18:
Last Name First Name MI19:
Drivers License or State Issued ID 19:
State19:
Company19:
Date of Birth19:
Contractor or Delivery CD19:
Date:
Dates Requested Till:
Dates Requested From:

File details come from the government source that posted it. Updated .