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If, as a requirement of the U.S. Army contract under which you are working,  you will require access to Redstone Arsenal and the Aviation and Missile Command (AMCOM) facilities on a recurring and continuing basis, you may be eligible to obtain a Personnel Identification Badge.  The Personnel Identification Badge Request Form (SAM Form 1116) may be obtained from our office.  We provide a copy of this form online merely so that you know what the form looks like.  The online version may not be used to complete this badge application process.  Take proof of ownership and proof of insurance for the vehicle with you when you go to the AMCOM Badging Office (Bldg. 3423, Redstone Arsenal) to have your badge made.  A reprint of a Redstone Rocket article by Beth Skarupa explains this requirement.

 
Get Adobe Acrobat Reader You will need Acrobat Reader 5.0 to view the SAM 1116.  Download Acrobat Reader 5.0 here.

Using the navigation tool provided below, click on the number corresponding to the numbered block on the SAM Form 1116 for instructions pertaining to that block, or simply follow the complete instructions below:

1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 
19 | 20 | 21 - 23 | 24 | 25 - 30 | Our Office | COTR 
Amcom Badging Office

Type or Print in Black Ink All Information On This Form

  • In Block 1 on the front of the form indicate your Social Security Number.
  • In Block 2 indicate your LAST name in ALL CAPITALS followed by your first and middle names.
  • In Block 3 indicate your electronic mail address.
  • In Block 4 indicate the acronym "UAH" followed by the name of the department or center with which you are associated.

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  • In Block 5 indicate your office/work telephone number.
  • In Block 6 indicate the acronym "UAH" followed by the Army Contract Number under which you are working.
  • In Block 7 indicate the following:  301 Sparkman Drive, Huntsville, AL  35899.
  • In Block 8 indicate your current, local home address.  Please note this is your LOCAL address and may or may not be your permanent address.

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  • In Block 9 indicate your current, local home telephone number.
  • In Block 10 check the block indicating "Contractor."
  • In Block 11 indicate your job title as applies to the U.S. Army contract under which you are requesting access.
  • In Block 12 either check the block indicating U.S. citizenship if you are a U.S. citizen, or check the block indicating "Other" if you are a foreign national and indicate your country of citizenship if other than U.S.  If you are NOT a U.S. citizen, there is an approval process that must be completed prior to submission of this badge form.  Contact us at the Research Security Administration office for assistance with this approval process as needed.

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  • In Block 13 indicate your race.  The categories from which you are to choose include "White," "Asian," "Indian," and "Black."  Spell out the word completely.  Do not use abbreviations.
  • In Block 14 indicate your hair color.  Spell out the color completely.  Do not use abbreviations.
  • In Block 15 indicate your eye color.  Spell out the color completely.  Do not use abbreviations.
  • In Block 16 indicate your gender.  Spell out "male" or "female" completely.  Do not use the abbreviations "M" or "F."

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  • In Block 17 indicate your height in INCHES.
  • In Block 18 indicate your weight in POUNDS.
  • In Block 19 indicate your date of birth.  Use a MM/DD/YY format.
  • In Block 20 indicate your place of birth.  Indicate the city and state if born in the U.S. or the city and country if born outside the U.S.

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  • Do not complete Blocks 21 through 23.  These will be completed by the AMCOM badging office personnel.
  • In Block 24 if you have served in the U.S. Armed Forces or Civil Service, check the block indicating "VCM Required."  If you have no prior service in the U.S. Armed Forces or Civil Service, check the block indicating "VCM Not Required."
  • Do not complete Blocks 25 through 30.  These will be completed by the AMCOM badging office personnel.
  • After completing the form as indicated above, bring the form to our office for further processing.  We will ensure that a Visit Authorization Request (VAR) is sent to the appropriate office on Redstone Arsenal.  We will also review the form and initial Block 6.

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  • The form will then be returned to you so that you may obtain a signature from the individual designated by your Contracting Officer/Technical Representative (COTR) indicating their approval of your access.  
  • After obtaining the appropriate signature from the individual designated by your COTR, you will take the form to the AMCOM Badging Office (Bldg, 3423) to have your badge made.
  • Upon receiving your badge, contact us to provide to us your Badge Number and expiration date so that we may assist you with renewal of your badge when necessary.  After you have obtained this badge, if you are also applying for RSIC privileges, you will need to come by our office in person to bring us your RSIC Patron Registration Form with the Army Badge No. and expiration date completed as indicated on that form.  We cannot process your RSIC Patron Form without this information.  If you know you will need RSIC privileges based on this Army badge, you may complete the badge request form and the RSIC Patron Registration Form simultaneously.

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