REQUEST FOR UTILIZATION OF CAMP RIPLEY ATS # Original Request # Change # to ATS # Date: Unit: Unit Address: UIC:

Point of Contact (POC): POC Phone: DSN Phone: E-Mail Address:

Will media be coming to CRTC to support your training event? YES NO Media POC: Media POC Phone #: Troop Chargeable Transient Quarters (CTQ) BOTH BILLETING REQUIRED (circle type required) Issue Units/Organizations requesting Chargeable Transient Quarters will submit a standard name line roster (SNL) outlining requirements to Camp Ripley, ATTN: JFMN-CRC-L Housing Manager: 1SG Susan Ploof Assistant Housing Manager: SSG Heather Berens POC’s: (320) 616-3138 [email protected] (320) 616-3139 [email protected] Advance Party Main Body Preferred Area Other Buildings QTY Date of Arrival: Date of Arrival: Troop Issue: Headquarters: Time of Arrival: Time of Arrival: Dining Facility: Date of Departure: Date of Departure: Maintenance Shelter: # Officers (M) # Officers (M) Medical: # Officers (F) # Officers (F) Supply: # Enlisted (M) # Enlisted (M) Kitchen (list T-Bldg(s) below) # Enlisted (F) # Enlisted (F) Maid Service: Total # Personnel: Total # Personnel: Education Center Resources TACC Resources Date(s) SIZE QTY Date(s) Required Start/End Time ITEM QTY Start/End Time Required Large (41-96) Small (11-20) Medium (21-40) TACC Kitchen Small (11-20) TACC Theater (204) Conference RM (1-10) TACC Gym TACC Cafeteria (240) Miscellaneous Buildings ITEM QTY Date (s) Required Start/End Time Recreation Center Hangar Conference Center Bull Pen Ripley Town Hall AVIATION REQUIREMENTS Miller Army Airfield Manager: CPT Shaun Meling # Aircraft Type of Aircraft: (320) 616-2780 [email protected] Remarks (to include Aviation POC and Phone #)

Aviation Support Requirements (if any) Check all that apply TOWER CRASH RESCUE COLD FUEL ** COLD FUEL IS FOR AIRCRAFT THAT ARE SHUTDOWN / FOR TRAINING PURPOSES REQUEST FUEL QUANTITIES BELOW ** RANGES/TRAINING AREAS REQUIRED

ATS Form 23 (11JUL16) REQUEST FOR UTILIZATION OF CAMP RIPLEY NOTE: All Units must schedule a Range Safety Briefing with Range Control (required every 90 days). Units must also submit a Deliberate Risk Assessment Worksheet (DRAW) for any live fire training event; A-6; A-7; A-15; and for bridging operations on W-1 and/or W-2. RANGE AUTOMATION: For automated qualification ranges (A-2, A-3, A-4, CRG, NRG, and WRG) you need to report “ALL” weapons and ammunition that will be fired. Under the RANGE/TRAINING AREA column, also annotate “AUTO” if a tower operator is required, or annotate “BOB” if you want targets left in the up position. When a target is hit it will go down and return to up position. NOTE: NLT 90 days prior, Vehicle Gunnery Tables (on ERG and CRG) must be submitted to Range Control using RC Form 7. For Non-Standard LFXs (CLFX, IPBC, ISBC, etc.), a written Training Scenario, Graphic Overlays, and a DRAW explaining the Event, must be submitted NLT 90 days prior to Range Control. ** NO ADDITIONS/CHANGES (EXCEPT CANCELLATIONS) TO LIVE FIRE RANGES 24 HOURS PRIOR TO FIRING** BIVOUAC DATE TIME (START/END) RANGE/TRAINING AREA WEAPON/AMMO # PERSONNEL YES NO

RFMSS SCHEDULER: (320) 616-2709 RANGE CONTROL: (320) 616-3137 SIMULATIONS / MILES / EQUIPMENT CLEANING FACILITY(ECF) contact below: MILES Warehouse at (320) 632-7460 or [email protected] POL CLASS III POL Office: SFC Michael Fenske (320) 616-3001 [email protected] Dates Required: POL Pt #1(MATES) POL Pt#2(Area 9) POL Pt#3(Area 7) Bulk Fuel F24 MOGAS/F24 MOGARS/DIESEL F24 MOGAS Quantities in Gallons Materials Handler Supervisor: MSG Patricia Flahave (320) 616-3128 SUPPLY & SERVICES DIVISION [email protected] Listing of Equipment Available and Logistics Information: Camp Ripley - Logistics PICK-UP DATE/TIME: TURN-IN DATE/TIME QTY UI NOMENCLATURE QTY UI NOMENCLATURE

Individual Signing for Equipment: Name: Phone: **INDIVIDUAL SIGNING FOR THE EQUIPMENT MUST BE ON A DA FORM 1687** SSG Daniel Miner (320) 616-3168 AMMO/CLASS V ASP Supervisor: CW3 Derek Lindberg (320) 616-3167 [email protected] [email protected] Will ammunition items (Class V) be required while at Camp Ripley? Circle One YES NO If yes, have forecasts and DA 581’s been forwarded thru command channels? Circle One YES NO **MUST COORDINATE WITH ASP NLT THIRTY (30) DAYS PRIOR TO TRAINING DATES**

ATS Form 23 (11JUL16) REQUEST FOR UTILIZATION OF CAMP RIPLEY MORALE WELFARE RECREATION (MWR) DIVIDEND CHECK CRTC Budget Office: Michelle Van Lith at 320-616-2703 or [email protected] Units in Annual Training (AT) status are authorized MWR dividend. To request MWR you need to fill out an ATS Form 39 (Strength Report/Request for Morale Support Fund Dividends) and turn it into NGMN-CRB CONTRACT DINING FACILITY Contract Dining Facility Information: Contract Dining Facility Request Contracting Officers Rep: SFC Paula Christensen (320) 632-7431 [email protected] Defense Movement Coordinator: SFC Daniel Schilling (320) 616.2680 GSA / MILITARY BUS REQUEST [email protected] Transportation Officer: CW2 Jon Dahlstrom (320) 616.6011 COMMERCIAL BUS REQUEST [email protected] COMMUNICATION / INFORMATION TECHNOLOGY / RADIO-FREQUENCY / OTHER Communication Needs for Minnesota National Guard Organizations: 1) Use your BN-BDE-34th_ID IMO for requests. Communication Needs for Non-Minnesota National Guard Units and Organizations: 1) Verify your reserved building/room is internet capable. You may need to schedule a different building to accommodate your unit or agencies needs. 2) Contact the Camp Ripley IMO no less than 30 days prior to arrival date at Camp Ripley. Failure to contact the Camp Ripley IMO at least 30 days prior to arrival at Camp Ripley Training Center (CRTC) will result in denial of requests. Camp Ripley IMO: CW3 Scott Bjerke (320) 616-2702 [email protected] MUTF/TMC OLD ARMORY BLDG 15-1 EMTC Coordinate use at: 320-616-3152 Coordinate use at: 320-616-2666 Coordinate use at: 320-616-2708 (Medical Purposes/Training Only) (Use of Drill Floor will be entered on RFMSS) (Use of EMTC will be entered on RFMSS)

**Send ATS Form 23 to SSG William (Bill) Laine at [email protected], or call 320-616-2709.** Please Cc… ATS Form 23 to 1LT Joshua Goudge at [email protected]

ATS Form 23 (11JUL16)