EAL Form.pdf

PDF 1 MB Posted Jun 5, 2025

Attached to: EEPZ248314-15 - Install Mx Hanger Fans
Solicitation number: EEPZ248314-15
Issued by: Department of the Air Force Air Education and Training Command

About this file

Written by GovTribe AI · Jun 5, 2025

The Entry Authorization Listing (EAL) form is a security document used by Columbus Air Force Base to authorize and track visitor entry to the installation. The form requires detailed personal information including last name, first name, driver's license number, state, social security number, and date of birth for each potential visitor. The form includes a Privacy Act Statement citing authorities from Air Force Instructions AFI31-101 and AFMAN 31-108, which outline the purpose of collecting visitor information for monitoring installation access and entry authorization.

The form must be submitted to the 14th Security Forces Squadron at least 3 duty days prior to an event, with entries valid for a maximum of 6 months. Visitors must specify the event name, start date and time, and authorized entry gates (East, South, or Vehicle Inspection Area). The document is part of a solicitation (EEPZ248314-15) for installing two high-volume, low-speed ceiling fans, which includes a mandatory site visit on 17 June 2025 requiring pre-registration and submission of this EAL form. Attendees must bring valid photo identification and meet vehicle documentation requirements.

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COLUMBUS AFB FORM | PAGE OF

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.

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)

EAST SOUTH VEHICLE INSPECTION AREA

POC GRADE POC LAST NAME POC FIRST NAME SIGNATURE

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. 2111, or the Operations Superintendent, ext. 7123.

LAST NAME FIRST NAME DRIVER’S

LICENSE NUMBER STATE SSN DATE OF BIRTH

YYYYMMDD

COLUMBUS AFB FORM | PAGE OF

Authenticated By: (Rank, Last, First, M., Office Symbol): Signature:

SFS use only SFS use only

ENTRY AUTHORIZATION LISTING EAL:

DATE SFS use only:

TO 14 SFSS5B:

TODAYS DATE:

LOCATION OF EVENT:

LOCATION PHONE NUMBER:

START TIME OF EVENT:

NAME OF EVENT Ex Class 2210 Graduation LTCOL Does Retirement etc:

EXPIRATION DATE Max of 6 months:

AUTHORIZED GATE FOR ENTRY Check all that apply EAST SOUTH VEHICLE INSPECTION AREA:

undefined:

undefined_2:

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POC GRADE:

POC LAST NAME:

POC FIRST NAME:

SIGNATURE:

HOME PHONE NUMBER:

LAST NAMERow1:

DRIVERS LICENSE NUMBERRow1:

STATERow1:

DATE OF BIRTH YYYYMMDDRow1:

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Authenticated By Rank Last First M Office Symbol:

Signature:

Cell Phone:

Duty Phone:

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File details come from the government source that posted it. Updated Jun 5, 2025.