Fillable CAMP NAVAJO HOUSING REQUEST FORM HOUSING OFFICE BLDG. (Arizona)

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CAMP NAVAJO HOUSING REQUEST FORM HOUSING OFFICE BLDG. (Arizona)

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Country of origin: US
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1. Organization Data
Unit or Organization Name: Training Status: IDT AT **NA
Date:
AFFILIATION: ***NA USA USN USAF USMC
OTHER
RESERVE: YES NO GUARD: YES NO
Organization Address: Phone: FAX:
2.
(Open Bays) Enlisted E1-
E6
(2 Man Rooms) Senior
NCO (E7-E8)/Officer W1-
CW3/O1-O3
(Single Rooms)
E9/O4/CW4 to O5
ADVON:
Key Issue & Arrival Date/Time:
Number of Males
Number of Females
MAIN BODY:
CLEARING DATE/TIME:
Number of Males
Number of Females
3.
Name:
Rank:
Email:
Address:
City:
Phone:
Mobile: FAX:
4.
DATES: Check-in Date/Time:
Check-out:
Quantity:
5.
A.
B.
C.
D.
E.
F.
Date Received: By:
Form Complete?
Y N
NOTES:
Check-In will be after 1400 on the Day of Arrival. Check-Out will be prior to 1100 on the Day of Departure.
All organization representatives will report to the Housing Office to clear rooms NLT 0830 on the day of departure for final walk-thru.
All One and Two bed rooms share a bathroom with the room next to it (Jack and Jill).
Linen is only provided as needed for a fee. (No Linen will be provided for units)
All "organizations" will maintain their own accomodations (cleanliness/linen) and bring their own toiletries and cleaning supplies.
Housing Office Hours (Mon.-Fri., 0700 - 1730). Payments will be made before keys will be issued. (Money Order or Cashiers Check Only) Make payable
to "The State of Arizona". There are no after hours hours key pick-ups.
Transient users who leave rooms dirty will owe an additional $10.00 cleaning fee.
Transient users will not be allowed future stays with an outstanding balance.
Failure to turn in room key's to the Housing Office prior to departure may result in replacement fees for key and core replacement.
Requestor Information
Individual Lodging Information
State:
Zip:
Status: AC RC GUARD AGR PRIOR SERVICE
Total Number of Linen Sets Requested:
(Excludes Training Units who
do not pay for billeting.)
Unit Billeting Detail
(VIP Quarters) O6 and
Above
ARIZONA TRAINING CENTERS
CAMP NAVAJO HOUSING REQUEST FORM
HOUSING
OFFICE BLDG. #68
BELLEMONT, AZ 86015-6123
PHONE: (928) 773-3152 FAX: (928) 773-3376
(SUBMIT REQUESTS HERE) EMAIL: ng.az.azarng.mbx.aztc-housing-requests@mail.mil
IN ORDER TO ENSURE ACCOMMODATIONS CAN BE PROVIDED, PRIOR TO ARRIVAL ALL AGENCIES WILL: MAKE A RESERVATION IN RFMSS (180 DAYS PRIOR),
COMPLETE AND SUBMIT THIS FORM (90 DAYS PRIOR) AND MUST SUBMIT A COMPLETE PERSONNEL ROSTER INCLUDING NAME, RANK AND GENDER (30 DAYS
PRIOR) FOR EVERYONE WHO WILL NEED LODGING. ONLY A CONFIRMATION EMAIL FROM THE HOUSING MANAGER REGARDING YOUR WILL CONSTITUTE A
RESERVATION.
(IF YOU ARE NOT HERE FOR WORK/ORDERS/TRAINING/ETC. INDICATE YOUR AFFILIATION AND GO TO SECTON 3)
** IF NOT AZ ARNG IN AN IDT OR AT STATUS PAYMENT WILL BE REQUIRED BEFORE KEYS WILL BE ISSUED.**
Total Linen Sets:
AZTC HOUSING REQUEST FORM
12/01/2017
G.
H.
I.
Check-in hours between 1300 & 1500 M-F. Anytime after 1500 will be at the security office.
Please arrive with DOD ID, or proof of Service and a cashiers check or money order made out to "the State of Arizona".
CLEARING DATE/TIME:
(VIP Quarters)
Two Queen Beds
Individual Room
(Single Twin Bed)
Two Person Room
(Two Twin Beds)
Open Bay (26 Twin Bunks &
2 Leader Rooms with a Twin Bunk)
Key Issue & Arrival Date/Time:
Special Instructions:
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CAMP NAVAJO HOUSING REQUEST FORM HOUSING OFFICE BLDG. (Arizona)

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Completed 12 August 2020

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