EAL Form.docx

DOCX document 67 KB Posted

Attached to
B375 INSTALL VEHICLE STORAGE SHED
Solicitation number
FA302225R0007
Issued by

About this file

The Entry Authorization Listing (EAL) Form is a Department of Defense security document used to authorize and track personnel entry onto a military installation. The form requires comprehensive personal information including full name, driver's license number, state, full Social Security Number, and date of birth. It is specifically designed for the 14th Security Forces Squadron at Columbus AFB and is intended to document and validate visitor access, with a maximum authorization period of six months. The form includes privacy act statements, routing instructions, and mandatory signatures, with submission required at least three duty days prior to an event to the Security Forces Visitors Center. The document must be completed neatly and includes provisions for vehicle entry and inspection, with authentication to be performed by Security Forces personnel.

The form is directly related to the FA302225R0007 solicitation for a B375 Vehicle Storage Shed installation project, which requires contractors to submit this EAL form as part of site visit registration process. Contractors must email a point of contact to receive a secure drop-off link for uploading the EAL, with a registration deadline of 2:00 PM CST on 15 May 2025. The site visit is scheduled for 20 May 2025 at 9:00 AM CST, and all attendees must bring valid photo identification and vehicle documentation. The procurement is valued between $100,000 and $250,000, and contractors must complete Controlled Unclassified Information (CUI) training and obtain document access through SAM.gov to submit electronic proposals.

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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 EASTSOUTH 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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