Attachment 4 EAL Template 5 Mar 2021.docx

FOR OFFICIAL USE ONLY

Version 2.1 image1.emf

Microsoft_Word_Document.docx

FOR OFFICIAL USE ONLY

Entry Authority List (EAL)

PRIVACY ACT

Authority: AFI 31-101, Integrated Defense

Purpose: Verification of authority to enter a designated area.

SSN: Is used for further identification of an individual.

Routine Use(s): Entry Controllers will use the SSN or Controlled Picture ID (CPID) number as a means to verify a person is allowed to enter a designated area.

Disclosure: Disclosure is voluntary. Failure to disclose required information will result in that person not being allowed to enter a designated area.

BLOCK I. Personal Data

Last Name

First Name

MI.

Rank

(OFF/ENL/CIV/CON)

Date of Birth yyyymmdd

Last 6 SSN or

Passport/Service Number

Badge # (AF1199/AFECC) /Place of Issue

Clearance

Access

Codes

Doe

John

E

CIV

Full SS#

N/A

N/A

CM1

Hut

Pizza

L

CIV

Full SS#

N/A

N/A

CM1

Last

Entry

****IMPORTANT- In the row immediately following the last name, type “LAST ENTRY” in the “Last Name” field****

The information herein is For Official Use Only (FOUO) which must be protected under the Freedom of Information Act of 1966 and Privacy Act of 1974, as amended. Unauthorized disclosure or misuse of this PERSONAL INFORMATION may result in criminal and/or civil penalties