Exchange Form 3900 Background Check for Vendors/Contractors

OMB NO. 0702OMB approval expires
MMM DD, YYYY

Background Check for Vendors/Contractors
Trusted Associate Spons or ship System (formerly CVS Contract Verification System)
This form must be submitted to Exchange CS-FP by the Exchange Contracting Officer only.

AGENCY DISCLOSURE NOTICE

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The public reporting burden for this collection of information is estimated to average 40 minutes per
response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information. Send comments
regarding this burden estimate or any other aspect of this collection of information, including suggestions for
reducing the burden, to the Department of Defense, Washington Headquarters Services, Executive Services
Directorate, Directives Division, 4800 Mark Center Drive, East Tower, Suite 02G09, Alexandria, VA 223503100 (0702-XXXX). Respondents should be aware that notwithstanding any other provision of law, no
person shall be subject to any penalty for failing to comply with a collection of information if it does not
display a currently valid OMB control number.
PLEASE DO NOT RETURN YOUR RESPONSE TO THE ABOVE ADDRESS.

Responses should be sent to the Exchange CS-FP at 3911 South Walton Walker Blvd., Dallas, TX
75236-1598.
PRIVACY ACT STATEMENT

AUTHORITY: Title 10, U.S.C. 3013, Secretary of the Army; Title 10 U.S.C. 8013, Secretary of the Air
Force; Army Regulation 215-8/Air Force Instruction 34-211(I) Army and Air Force Exchange Service
Operations; Army Regulation 380.37, Personnel Security Program; Air Force Instruction 31-501, Personnel
Security Program Management; Department of Defense 5200.2-R, “Personnel Security Program; Air Force
Instruction 31-401, Information Security Program Manager; E.O. 12065 and E.O. 9397 (SSN), as amended.
PRINCIPAL PURPOSES: To assist in the processing of personnel security clearance actions; to record
security clearances issued or denied, and to verify for access to classified information or assignment to a
sensitive position.

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ROUTINE USES: Records may be disclosed outside of DoD pursuant to Title 5 U.S.C. §552a(b)(3)
regarding DoD “Blanket Routine Uses” published at
http://dpcld.defense.gov/Privacy/SORNsIndex/BlanketRoutineUses.aspx. Information may be
released to Federal agencies based on formal accreditation as specified in official directives;
regulations; to Federal, State, Local, and Foreign Law Enforcement, Intelligence, or Security
agencies in connection with a lawful investigation under their jurisdiction.

DISCLOSURE: Voluntary, however, failure to provide information may result in denial of a Common
Access Card; non-enrollment in the Defense Enrollment Eligibility Reporting System
(DEERS); refusal to grant access to DoD installations, buildings, facilities, computer systems and networks;
and denial of DoD benefits if otherwise authorized.

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Request for Facility Access Instructions
(Background Check for Vendors/Contractors)
Form 3900-006
Before continuing, please read the Consent to Criminal History Disclosure Notice and the Privacy
Act Statement at the top of page one.

2.

Sections I – V must be completed when unescorted facility access is being requested for a
contracted associate. Any questions relative to what to provide in each section of this form or
what attachments should be included when submitting the completed form should be directed
to your Exchange Person of Contact (POC) or Resource Manager (RM).

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1.

Information you provide will be used by an approved Exchange associate for screening purposes
for you to gain unescorted facility access at Exchange facilities.

4.

Your Resource Manager (RM) must complete Section 1 by selecting the appropriate request
type for system and badge access.

5.

You must provide your personal information in Section II.

6.

You must provide your citizenship information in Section III. All non-U.S. citizens must provide
an Alien registration number or Employment of Authorization Document (EAD). The original
document must be presented at time of fingerprints appointment, (if onsite at Exchange HQ) or
prior to actual onboarding scheduled date. This information will be verified by an approved
Exchange associate.

7.

You must provide your vehicle information if you will be parking on the Exchanged leased
property or assigned parking lots in Section IV.

8.

Your Exchange POC or Resource Manager must provide your reason for access to the Exchange
facility in Section V.

9.

You must read the agreement statement; then sign and date in the space provided in Section V.

10.

Using the delivery methods provided to you, submit this form to your Exchange POC or Resource
Manager (RM).

11.

Your Exchange POC or Resource Manager (RM) will provide all other information and submit to
the appropriate personnel for facility access approval/denial.

12.

Your Resource Manager (RM) or Exchange POC will notify you of the final decision.

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3.

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