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If, as a requirement of the NASA Contract under which you are working,  you will require access to the Marshall Space Flight Center (MSFC) facilities on a recurring and continuing basis (at least three times per week), you may be eligible to obtain a MSFC Contractor Badge.  The Marshall Space Flight Center Contractor Badge/Decal Application form (MSFC Form 1739) may be obtained from our office.  There are two versions of this form.  The prime contractor version of MSFC Form 1739 is for use when UAH is the prime contractor on the NASA contract.  The subcontractor version of MSFC Form 1739 is for use when UAH is a subcontractor on the NASA contract.  We provide these versions online merely so that you know what the form looks like.  The online versions may not be used to complete this badge application process.  
 
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You will be able to obtain the correct NASA Contract Number under which you will be working and determine whether UAH is the prime contractor or a subcontractor by contacting the UAH Office of Research Administration.  

If you are a foreign national, you must complete an approval process for access to MSFC prior to submitting the request for a Contractor Badge.  

Follow the instructions below for completing the MSFC Form 1739 as either a prime contractor or a subcontractor.  You may use the navigation tool provided to access information regarding a particular portion of the form.

General Instructions | Front Side 1st Section
Front Side 2nd Section
Back Side | Front Side 3rd Section 

This form is to be typed or printed using black ink only except in the "Residence Address" block which is to be completed in pencil only.

On the front of the form, leave blank the block marked "Badge Number."

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  • On the first full line of the front of the form, indicate your LAST name in ALL CAPITAL letters in the block marked "Last."  Indicate your first name in the block marked "First" using initial capital letters only.  Indicate your middle initial in the block marked "Middle Initial."  Indicate your Social Security Number in the block marked "Social Security Number."
  • On the next full line, indicate your name (as you would like it to appear on your badge) on the line in that block.
  • Indicate your date of birth in the block marked "Date of Birth."  Use a MM/DD/YY format.
  • Indicate your place of birth in the block marked "Place of Birth."  If born in the U.S., indicate city and state of birth as well as USA.  If born outside the U.S., indicate city and country of birth.
  • Indicate your citizenship in the block marked "Citizenship."
  • Mark the correct square indicating Male or Female for your gender in the square marked "Sex."
  • In the block marked "Height," indicate your height in INCHES.
  • In the block marked "Weight," indicate your weight in POUNDS.
  • Indicate your current hair color and eye color in the blocks marked "Color Hair" and "Color Eyes", respectively.  Spell out the word completely.  Do NOT use abbreviations.
  • Using PENCIL ONLY, print your current, local home address in the block marked "Residence Address."
  • Indicate your job title, work telephone number, and home telephone number in the blocks marked "Job Title or Position," "Work Phone Number," and "Home Phone Number," respectively.

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  • If you are working on a prime contract, in the portion of the form marked "TO BE COMPLETED BY CONTRACTOR SECURITY OFFICE," the company name and address should already be entered as follows:

The University of Alabama in Huntsville
Research Security Office
VBRH Box 208
Huntsville, AL  35899

  • If you are working on a subcontract, in the portion of the form marked "TO BE COMPLETED BY CONTRACTOR SECURITY OFFICE,"  the company name and address of the prime contractor should be entered in the same format as above.

  • In the block marked "Contract Number," supply the Contract Number under which you will be working.

  • Do NOT complete the block marked "Expiration Date."  This expiration date will be supplied by the UAH Office of Research Administration personnel.  

  • Leave Blank the signature blocks for the Prime Contract Security Officer and the Subcontract Security Officer.

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  • You will only complete the back side of the form if you require a NASA parking decal.  Provide the information requested on the back of the MSFC Form 1739 regarding the Year, Make, Model, Color, and License Plate of each vehicle you will be using to access the facility.  You must provide ALL information requested for ALL vehicles listed.

  • Sign your name in the block marked "Signature of Contractor" and indicate the current date in the block marked "Date."  Note:  If you are not applying for a NASA decal, do not sign this side of the card.

  • When you have completed the MSFC Form 1739 form to this point, present it to the UAH Office of Research Administration for verification of Contract Number and completion of the expiration date.  The staff member in the Office of Research Administration that completes the expiration date will initial that block to indicate his or her review/verification.

  • After the UAH Office of Research Administration has reviewed the form and completed the expiration date, bring the MSFC Form 1739 to our office for further processing.

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  • After we have approved, signed, and returned the MSFC Form 1739 to you, you will then obtain the approval of the NASA representative authorized to sign for the contract under which you are working.  Be certain the NASA employee is authorized to sign badge cards on this particular contract.  The UAH Office of Research Administration will assist you in determining which NASA employees are authorized to sign for your contract.  This NASA representative will complete the bottom third of the form and will complete the block marked "Date Badge Should Expire."  This may or may not be the same date as the expiration date of the contract.  This block is completed at the discretion of the NASA representative.

  • After obtaining the NASA representative's signature, you will take the form to the NASA Badging Office in Bldg. 4312, where your badge will be made.  Take with you proof of ownership and proof of insurance for all vehicles for which you intend to obtain a NASA parking decal.  A reprint of a Redstone Rocket article by Beth Skarupa explains this requirement.

  • Upon receiving your badge, contact us to provide 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 NASA Badge No. and expiration date completed as indicated on that card.  We cannot process your RSIC Patron Form without this information.  If you know you will need RSIC privileges based on this NASA badge, you may complete the MSFC Contractor Badge/Decal Application Form and the RSIC Patron Registration Form simultaneously, but the NASA Badge must be obtained before the RSIC Patron Registration Form is turned in to RSIC because that form must contain your Badge No. and expiration date.

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