Attachment 3_EAL_27Aug26.docx
DOCX document 37 KB Posted
- Attached to
- B515 Carpet and Vinyl Installation
- Solicitation number
- FA460026Q0117
About this file
This is an Entry Authority Listing (EAL) form used by Offutt Air Force Base Security Forces to authorize personnel access to the installation for a specific event or purpose. The form is a template designed to document visitor information and control base entry, with fields for up to 50 guests including legal name, sex, date of birth, driver's license information, passport or immigration ID, and citizenship. The document is classified as Controlled Unclassified Information (CUI) under Privacy Act protections and is controlled by the 55th Security Forces Squadron, Pass and Registration office, with a point of contact at (402) 232-7339.
This specific EAL is for the B515 Carpet Installation event at Offutt Air Force Base. Attendees planning to participate in the site visit scheduled for September 9, 2026, from 9:00 AM to 10:30 AM CDT must complete the guest information section of this form and submit it to the contracting office no later than September 3, 2026, at 3:00 PM CDT to obtain base access. The form serves as the official authorization mechanism for entry and requires sponsor information including the sponsor's name, rank, and phone number. The document emphasizes that disclosure of information is voluntary but failure to provide requested details may result in denial of installation entry.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
CUI
OFFUTT AIR FORCE BASE ENTRY AUTHORITY LISTING (EAL)
DO NOT MODIFY EAL FORMAT **
Event Name
B515 Carpet Installation
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
| Date(s) of Event (Expires Immediately After Event) |
| Location of Event |
| 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 .