ATT 4 - EAL Form.pdf

PDF 1 MB Posted Jun 26, 2025

Attached to: Replace Cooling Tower Condenser Pump Federal contract opportunity
Solicitation number: FA302225Q0314
Issued by: Department of the Air Force Air Education and Training Command

About this file

Written by GovTribe AI · Jun 26, 2025

The document is an Entry Authorization Listing (EAL) form for Columbus Air Force Base used to authorize entry for visitors to the installation. The form includes a detailed Privacy Act Statement explaining the purpose and authority for collecting visitor information, which is to monitor and validate authorized entry. The form requires comprehensive visitor details including last name, first name, driver's license number, state, Social Security Number, and date of birth. Visitors must submit the form to the 14th Security Forces Squadron at least 3 duty days prior to their event, with a maximum authorization period of 6 months. The form allows for entry through specified gates (East, South, Vehicle Inspection Area) and is part of the base's security documentation process for managing visitor access.

View the file

Other files for this federal contract opportunity

Other files attached to Replace Cooling Tower Condenser Pump, newest first.
File	Type	Posted
RFI Answers 7152025R.docx	DOCX document	Aug 11, 2025
ATT 9- Contractors CUI Training Slides.pptx	PPTX presentation	Jul 21, 2025
ATT 10- MFR Contractor CUI Training Acknowledgment for Solicitations.pdf	PDF	Jul 21, 2025
ATT 8- Image Document.pdf	PDF	Jul 21, 2025
Amd 1 Replace Cooling Tower Condenser Pump Combo.pdf	PDF	Jul 21, 2025
ATT 7- SOW Rev. 2, 17 July 2025.pdf	PDF	Jul 21, 2025
ATT 6- RFI Answers.docx	DOCX document	Jul 21, 2025
ATT 1 - Statement of Work.pdf	PDF	Jun 26, 2025
ATT 3 - SCA Wage Determination.pdf	PDF	Jun 26, 2025
Replace Cooling Tower Condenser Pump Combo.pdf	PDF	Jun 26, 2025
ATT 2 - Provisions Clauses CLS.pdf	PDF	Jun 26, 2025

Show all 11

On GovTribe

Work with this file on GovTribe

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

COLUMBUS AFB FORM | PAGE OF

ENTRY AUTHORIZATION LISTING (EAL) DATE (SFS use only)

PRIVACY ACT STATEMENT

AUTHORITY: AFI 31-101, Integrated Defense and 5210.4]-M_AFMAN_31-108

PURPOSE: Information collected by Security Forces personnel will be used to authorize entry to persons shown on the entry request for the specific purpose provided by the sponsor. Information will also be used to notify persons designated as the visitor sponsor of arrival and other pertinent information relating to entry on the installation. Information will be used to monitor installation visits and proved entry authority with a source document to validate authorized entry.

Information can be stored manually or digitally and will be removed as a current information resource when its purpose has been served.

ROUTINE USES: In addition to those disclosure generally permitted under 5 U.S.C. 552a(b) of the Privacy Act, these records or information contained therein may specifically be disclosed outside the DoD as a routine use pursuant to 5 U.S.C 522a(b)(3) as follows:

The ‘Blanket Routine Uses’ published at the beginning of the Air Force’s compilation of systems of records notices apply to this system.

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

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

14 SFS/S5B

TODAYS DATE

LOCATION OF EVENT LOCATION PHONE NUMBER

START DATE START TIME OF EVENT

NAME OF EVENT (Ex: Class 22-10 Graduation, LTCOL Doe’s Retirement, etc.) EXPIRATION DATE (Max of 6 months)

AUTHORIZED GATE FOR ENTRY (Check all that apply)

EAST SOUTH VEHICLE INSPECTION AREA

POC GRADE POC LAST NAME POC FIRST NAME SIGNATURE

DUTY PHONE NUMBER HOME PHONE NUMBER CELL PHONE (Optional)

INSTRUCTIONS: Please list personnel (neatly printed or typed). EALs will be turned in to the 14th Security Forces Squadron, Operations Superintendent or the Security Forces Visitors Center (SFVC), building 99, at least 3 DUTY days prior to the event. Any questions can be directed to the Visitors Center, ext. 2111, or the Operations Superintendent, ext. 7123.

LAST NAME FIRST NAME DRIVER’S

LICENSE NUMBER STATE SSN DATE OF BIRTH

YYYYMMDD

COLUMBUS AFB FORM | PAGE OF

Authenticated By: (Rank, Last, First, M., Office Symbol): Signature:

SFS use only SFS use only

ENTRY AUTHORIZATION LISTING EAL:

DATE SFS use only:

TO 14 SFSS5B:

TODAYS DATE:

LOCATION OF EVENT:

LOCATION PHONE NUMBER:

START TIME OF EVENT:

NAME OF EVENT Ex Class 2210 Graduation LTCOL Does Retirement etc:

EXPIRATION DATE Max of 6 months:

AUTHORIZED GATE FOR ENTRY Check all that apply EAST SOUTH VEHICLE INSPECTION AREA:

undefined:

undefined_2:

undefined_3:

POC GRADE:

POC LAST NAME:

POC FIRST NAME:

SIGNATURE:

HOME PHONE NUMBER:

LAST NAMERow1:

DRIVERS LICENSE NUMBERRow1:

STATERow1:

DATE OF BIRTH YYYYMMDDRow1:

LAST NAMERow2:

DRIVERS LICENSE NUMBERRow2:

STATERow2:

DATE OF BIRTH YYYYMMDDRow2:

LAST NAMERow3:

DRIVERS LICENSE NUMBERRow3:

STATERow3:

DATE OF BIRTH YYYYMMDDRow3:

LAST NAMERow4:

DRIVERS LICENSE NUMBERRow4:

STATERow4:

DATE OF BIRTH YYYYMMDDRow4:

LAST NAMERow5:

DRIVERS LICENSE NUMBERRow5:

STATERow5:

DATE OF BIRTH YYYYMMDDRow5:

LAST NAMERow6:

DRIVERS LICENSE NUMBERRow6:

STATERow6:

DATE OF BIRTH YYYYMMDDRow6:

LAST NAMERow7:

DRIVERS LICENSE NUMBERRow7:

STATERow7:

DATE OF BIRTH YYYYMMDDRow7:

LAST NAMERow8:

DRIVERS LICENSE NUMBERRow8:

STATERow8:

DATE OF BIRTH YYYYMMDDRow8:

LAST NAMERow9:

DRIVERS LICENSE NUMBERRow9:

STATERow9:

DATE OF BIRTH YYYYMMDDRow9:

LAST NAMERow10:

DRIVERS LICENSE NUMBERRow10:

STATERow10:

DATE OF BIRTH YYYYMMDDRow10:

LAST NAMERow11:

DRIVERS LICENSE NUMBERRow11:

DATE OF BIRTH YYYYMMDDRow11:

LAST NAMERow12:

DRIVERS LICENSE NUMBERRow12:

DATE OF BIRTH YYYYMMDDRow12:

LAST NAMERow13:

DRIVERS LICENSE NUMBERRow13:

DATE OF BIRTH YYYYMMDDRow13:

DRIVERS LICENSE NUMBERRow14:

DATE OF BIRTH YYYYMMDDRow14:

DRIVERS LICENSE NUMBERRow15:

DATE OF BIRTH YYYYMMDDRow15:

DRIVERS LICENSE NUMBERRow16:

DATE OF BIRTH YYYYMMDDRow16:

DRIVERS LICENSE NUMBERRow17:

DATE OF BIRTH YYYYMMDDRow17:

DRIVERS LICENSE NUMBERRow18:

DATE OF BIRTH YYYYMMDDRow18:

Authenticated By Rank Last First M Office Symbol:

Signature:

Cell Phone:

Duty Phone:

DATE OF BIRTH YYYYMMDDRow19:

DRIVERS LICENSE NUMBERRow19:

SSNRow19:

SSNRow18:

SSNRow17:

SSNRow16:

SSNRow15:

SSNRow14:

SSNRow13:

SSNRow12:

SSNRow11:

SSNRow10:

SSNRow9:

SSNRow8:

SSNRow7:

SSNRow6:

SSNRow5:

SSNRow4:

SSNRow3:

SSNRow2:

SSNRow1:

FIRST NAMERow1:

FIRST NAMERow2:

FIRST NAMERow3:

FIRST NAMERow4:

FIRST NAMERow5:

FIRST NAMERow6:

FIRST NAMERow7:

FIRST NAMERow8:

FIRST NAMERow9:

FIRST NAMERow10:

FIRST NAMERow11:

FIRST NAMERow12:

FIRST NAMERow13:

FIRST NAMERow14:

FIRST NAMERow15:

FIRST NAMERow16:

FIRST NAMERow17:

FIRST NAMERow18:

FIRST NAMERow19:

LAST NAMERow19:

LAST NAMERow18:

LAST NAMERow17:

LAST NAMERow16:

LAST NAMERow15:

LAST NAMERow14:

START DATE:

STATERow19:

STATERow18:

STATERow17:

STATERow16:

STATERow15:

STATERow14:

STATERow13:

STATERow12:

STATERow11:

File details come from the government source that posted it. Updated Jun 26, 2025.