Attachment 5 EAL.pdf

Laughlin AFB Pass and Registration Center Page ___ of ___

PASS & REGISTRATION CENTER (PRC)

SPECIAL EVENT FORM

Privacy Act Statement All information provided on this form is protected under the Privacy Act of 1974

Section I. Filled Out By PRC Clerk Upon Turn-In for Processing

CONTROL

NUMBER

PRC REP

SIGNATURE

Section II. Requirements Each event must have a list containing last name, first name, DOB (date of birth), Social Security Number for the individuals, in alphabetical order. Given names need to be identical, as it appears on person(s) driver license. Sponsors must send EAL via encrypted email to 47sfs.passregistrationvcc@us.af.mil. If the EAL cannot be sent by encrypted email, the sponsor must hand carry the EAL to the PRC. EAL's must be received no later than 7 business days prior to a scheduled event. All EAL's must be signed before being submitted. This is the only format in which EAL's will be accepted. When EAL's are properly submitted, and visitors have been vetted, their identity will be proofed at the Gate at the time of arrival for the event. (Due to the significantly increased workload on the PRC, last minute changes cannot be added to the EAL. In this event the sponsor must vouch for the additional personnel at the Main Gate.

Section III. Event Information

FUNCTION

LOCATION OF

FUNCTION

DATE(S) OF

FUNCTION

TIME FUNCTION

STARTS & ENDS

Section IV. SPONSOR/Point of Contact (POC) Information NOTE: Phone Numbers are needed so we can reach you in case there is an issue with the special event list. It is not required to list all three phone numbers; just the number you can be contacted at anytime.

SPONSOR FULL NAME

(must be affiliated to LAFB or retired military) SPONSOR (Military Only)

ORGANIZATION

HOME PHONE NUMBER

WORK PHONE NUMBER

CELL PHONE NUMBER

SPONSOR SIGNATURE

Section V. Special Event Guest List

Controlled Unclassified Information 47th Security Forces Squadron Entry Authority List

Controlled Unclassified Information mailto:47sfs.passregistrationvcc@us.af.mil

NOTE: Last name, first name, DOB and Social Security Number of the individuals in alphabetical order for all guests 18 and over. Provide last name, first name, and DOB for individuals under 18.

Do not add DoD ID card holders to this list.

Last Name First Name Date of Birth Social Security

Number

Controlled Unclassified Information 47th Security Forces Squadron Entry Authority List