EAL Form.docx
DOCX document 67 KB Posted
- Attached to
- Replace Base Ops Generator - B847
- Solicitation number
- FA302225R0006
About this file
The Entry Authorization Listing (EAL) Form is a document used by Security Forces personnel to authorize and track installation entry for visitors at Columbus Air Force Base. The form collects personal information including full name, driver's license number, state, full social security number, and date of birth. It includes a Privacy Act Statement explaining that the information will be used to monitor installation visits, validate entry authority, and notify visitor sponsors.
The form is specifically related to a federal contract opportunity (Solicitation Number: FA302225R0006) for replacing the Base Ops Generator at B847. The site visit for this project is scheduled for Monday, 12 May 2025 at 1:30 PM CST, with mandatory registration by 2:00 PM CST on 07 May 2025. Attendees must bring a valid photo ID and vehicle documentation. The procurement is valued between $100,000 and $250,000, and contractors must complete CUI Training Slides and submit a signed acknowledgment to access project documentation. All proposals will be submitted electronically through SAM.gov.
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Text version
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.
TO
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) | |
| X EAST | SOUTH VEHICLE INSPECTION AREA |
POC GRADE
POC LAST NAME
POC FIRST NAME
SIGNATURE (Mandatory)
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. 7133, or the Operations Superintendent, ext. 7123.
| LAST NAME |
| FIRST NAME |
| DRIVER’S |
LICENSE NUMBER
| STATE |
| FULL SSN |
| DATE OF BIRTH |
YYYYMMDD
Authenticated By: (Rank, Last, First, M., Office Symbol):
SFS use only Signature:
SFS use only
OF
COLUMBUS AFB FORM | PAGE
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File details come from the government source that posted it. Updated .