55 SFS Form 31-Base Entry Authorization List.docx

DOCX document 34 KB Posted

Attached to
B457 Hanger 2&4 120v Outlet
Solicitation number
FA460026Q0108
Issued by

About this file

This file is a Base Entry Authorization List (Form 55 SFS 31) template used by Offutt Air Force Base Security Forces to authorize installation access for visitors and contractors. The form collects personal information including legal name, sex, date of birth, driver's license number, passport or immigration ID, and citizenship for up to 56 individuals seeking base entry. The form is classified as Controlled Unclassified Information (CUI) protected under the Freedom of Information Act and Privacy Act, with distribution controlled by the 55 Security Forces Squadron/Military Access Programs office.

The form is directly tied to solicitation FA460026Q0108 for B457 Hanger 2&4 120v Outlet electrical work at Offutt Air Force Base. A mandatory site visit is scheduled for September 2, 2026, at 1:00 PM CDT, and any offeror personnel without valid base identification must submit a completed entry authorization list by August 26, 2026, at 4:30 PM CDT to gain base access. The underlying solicitation is a small business set-aside under NAICS 238210 for electrical installation work, with questions due by September 7, 2026, and offer submission deadline of September 14, 2026, at 4:30 PM CDT. Submissions should be directed to the Air Force contracting office via the listed contract specialist and contracting officer contacts.

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Other files

File Type Posted
GPS.jpg JPG image
Outlet.png PNG image
LCC Reel.jpg JPG image
B457 Electrical Outlets Questions and Answers.pdf PDF
B457 Electrical Outlet Installation Site Visit Sign-in.xlsx XLSX spreadsheet
WD - NE20260059.pdf PDF
Solicitation - FA460026Q0108.pdf PDF
SOW B457 Hanger 24 120 v Outlet Mark up UPDATED.pdf PDF

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Text version

CUI

OFFUTT AIR FORCE BASE ENTRY AUTHORITY LISTING (EAL)

**DO NOT MODIFY EAL FORMAT **

Event Name

B457 Hanger's 2 and 4 120v Outlets

Start and End Time for Each Day of Event

Monday Time Period Tuesday Time Period Wednesday Time Period Thursday Time Period Friday Time Period Saturday Time Period Sunday Time Period

1300-1400

Date(s) of Event (Expires Immediately After Event)
Location of Event
2 September 2026
B457
Sponsor’s Name and Rank
Sponsor’s Phone Number(s)

CUI

This document contains CONTROLLED UNCLASSIFED INFORMATION (CUI) which must be protected under the Freedom of Information Act (5 U.S.C. 552) and/or the Privacy Act of 1974 (5 U.S.C. 552a). Unauthorized disclosure or misuse of this PERSONAL INFORMATION may result in disciplinary action, criminal and/or civil penalties. Further distribution is prohibited without the approval of the author of this message unless the recipient has a need to know in the performance of official duties. If you have received this message in error, please notify the sender and delete all copies of this message.

Purpose: Information collected by Security Forces personnel will be used to authorize installation entry to persons shown on the entry authority listing for the specific purpose provided by the sponsor. Information will also be used to notify person(s) designated as the visitor sponsor of arrival and other pertinent information relating to entry on the installation.

Routine Uses: Records may be disclosed to applicable Federal, State, or local agency charged with the responsibility of investigating or prosecuting a violation or enforcing/implementing a statute, rule, regulation, order issued pursuant thereto.

Disclosure: Disclosure of requested information is voluntary. Failure to provide all or parts of information requested can result in denial of installation entry.

Controlled By: USAF

CONTROLED BY: 55 SFS/MAP

CUI CATEGORY: PRVCY

DISTRIBUTION/DESSEMINATION CONTROL: FEDCON

POC: Chief, Pass and Registration (402) 232-7339 Approval Stamp (55 SFS Use Only)

Signature of Authenticator (55 SFS Use Only)

Legal Name of Guest:

(Last, First, MI)

Sex:

Male (M) Female (F)

DOB:

(YYYYMMDD)

Driver’s License# / State FNV Passport# or Immigration ID#
Citizenship

(Country)

Page of CUI 55 SFS Form 31 (8 Jan 2026)

File details come from the government source that posted it. Updated .