EAL Form.pdf

275 KB Posted

Attached to
B995 Convert T1 Hangar to T7 UMT Facility
Solicitation number
FA302226R0001
Issued by

About this file

Written by GovTribe AI ·

This is a Columbus Air Force Base Entry Authorization Listing (EAL) form used to authorize visitor access to the installation. The form is classified as Controlled Unclassified Information (CUI) and is submitted to the 14th Security Forces Squadron, Visitors Control Center (Building 99), at least 3 duty days prior to an event. The form requires submission in digital format only as of January 8, 2026, with questions directed to the Visitors Center at 434-3161/434-7133 or via email at 14SFSS5B@us.af.mil.

The form collects event details including the address, building number, event start date and time in specified formats (DD MMM YYYY for dates, HHMM for time), event name/company, and expiration date (maximum 6 months). The sponsor's point of contact information must include grade/rank, last name, first name, signature (mandatory), duty phone, and on-call phone number. Authorized gate options include East, South, or Vehicle Inspection Area. For each visitor, the form requires last name, first name, middle initial, driver's license number and state, home of record address, full Social Security Number, and date of birth (DD MMM YYYY format). Sponsors assume full responsibility for all actions taken by guests and must notify the Emergency Communications Center at (662) 434-7128 upon event conclusion to certify all guests have departed. The form includes multiple rows for visitor entries and requires annotation of "///LAST ITEM///" below the final name listed.

View the file

Other files

File Type Posted
B995_FA302226R0001_2nd RFI-15Jan26.pdf PDF
Site Visit Sign-in sheet.pdf PDF
B995 RFI Compiled Answers.docx DOCX document
PCR.pdf PDF
Solicitation Amendment FA302226R00010001 SF 30 CO Signed.pdf PDF
Contractors CUI Training Slides.pptx PPTX presentation
Cost Breakdown Excel.xlsx XLSX spreadsheet
Solicitation - FA302226R0001.pdf PDF
PCR_SOW.pdf PDF
B995 Conversion SOW.pdf PDF
Wage Determination DBA MS20250045.pdf PDF
MFR CUI Contractor Training Acknowledgment July 2024.pdf PDF
Show all 12

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

COLUMBUS AFB FORM PAGE OF

CONTROLLED UNCLASSIFIED INFORMATION (CUI)

CUI

ENTRY AUTHORIZATION LISTING (EAL) AUTHENTICATED DATE (SFS use only)

PRIVACY ACT STATEMENT

AUTHORITY: AFI 31-101, Base Defense Operations

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 provide 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 statute, rule, regulation, order issued pursuant thereto.

TO

14 SFS/S5B

TODAYS DATE

ADDRESS OF EVENT BUILDING NUMBER OF EVENT

START DATE (DD MMM YYYY) START TIME (HHMM)

NAME OF EVENT AND/OR COMPANY EXPIRATION DATE (Max of 6 months)

AUTHORIZED GATE FOR ENTRY (Check all that apply)

EAST SOUTH VEHICLE INSPECTION AREA

POC GRADE/RANK POC LAST NAME POC FIRST NAME POC SIGNATURE (Mandatory)

DUTY PHONE NUMBER ON CALL PHONE NUMBER SFS AUTHENTICATION SIGNATURE

INSTRUCTIONS: Please list personnel (WE WILL ONLY ACCEPT DIGITAL EALS AS OF 8 JAN 2026). EALs will be turned in to the 14th Security Forces Squadron, Visitors Control Center (Bldg. 99), at least 3 DUTY days prior to the event. Any questions can be directed to the Visitors Center at 434-3161 / 434-7133 or by email at 14SFSS5B@us.af.mil.

BY SPONSORING ALL INDIVIDUALS BELOW ON COLUMBUS AFB, YOU WILL BE HELD RESPONSIBLE FOR ALL ACTIONS TAKEN BY EAL GUESTS/VISITORS. THIS CAN INCLUDE TERMINATION OF SPONSOR PRIVILEGES AND ADMINISTRATIVE DISCIPLINARY ACTIONS.

BE SURE TO ANNOTATE “ ///LAST ITEM/// ” BELOW FINAL NAME ON EAL

Sponsors must notify the ECC (662) 434-7128 at the conclusion of the event and certify that all guests have departed the installation.

LAST, FIRST, MI

DRIVER’S

LICENSE NUMBER /

STATE

HOME OF

RECORD

ADDRESS

FULL SSN DATE OF BIRTH

DD MMM YYYY

COLUMBUS AFB FORM PAGE OF

CONTROLLED UNCLASSIFIED INFORMATION (CUI)

CUI

Authenticated By: (Rank, LAST, FIRST / Office Symbol):

SFS use only

Signature:

SFS use only

LOCATION OF EVENT:
LOCATION PHONE NUMBER:
START TIME HHMM:
NAME OF EVENT ANDOR COMPANY:
POC GRADERANK:
POC LAST NAME:
POC FIRST NAME:
DUTY PHONE NUMBER:
ON CALL PHONE NUMBER:
LAST FIRST MIRow1:
DRIVERS LICENSE NUMBER STATERow1:
HOME OF RECORDD ADDRESSRow1:
FULL SSNRow1:
DATE OF BIRTH DD MM YYYYRow1:
LAST FIRST MIRow2:
DRIVERS LICENSE NUMBER STATERow2:
HOME OF RECORDD ADDRESSRow2:
FULL SSNRow2:
DATE OF BIRTH DD MM YYYYRow2:
LAST FIRST MIRow3:
DRIVERS LICENSE NUMBER STATERow3:
HOME OF RECORDD ADDRESSRow3:
FULL SSNRow3:
DATE OF BIRTH DD MM YYYYRow3:
LAST FIRST MIRow4:
DRIVERS LICENSE NUMBER STATERow4:
HOME OF RECORDD ADDRESSRow4:
FULL SSNRow4:
DATE OF BIRTH DD MM YYYYRow4:
LAST FIRST MIRow5:
DRIVERS LICENSE NUMBER STATERow5:
HOME OF RECORDD ADDRESSRow5:
FULL SSNRow5:
DATE OF BIRTH DD MM YYYYRow5:
LAST FIRST MIRow6:
DRIVERS LICENSE NUMBER STATERow6:
HOME OF RECORDD ADDRESSRow6:
FULL SSNRow6:
DATE OF BIRTH DD MM YYYYRow6:
LAST FIRST MIRow7:
DRIVERS LICENSE NUMBER STATERow7:
HOME OF RECORDD ADDRESSRow7:
FULL SSNRow7:
DATE OF BIRTH DD MM YYYYRow7:
LAST FIRST MIRow8:
DRIVERS LICENSE NUMBER STATERow8:
HOME OF RECORDD ADDRESSRow8:
FULL SSNRow8:
DATE OF BIRTH DD MM YYYYRow8:
Check Box1: Off
Check Box2: Yes
Check Box3: Off
LAST FIRST MIRow14:
LAST FIRST MIRow9:
0:
0:
0:
1:
2:
3:
4:
5:
6:
7:
8:
9:
10:
11:
12:
13:
14:
15:
16:
17:
0:
1:
2:
3:
4:
5:
6:
7:
8:
9:
10:
11:
DRIVERS LICENSE NUMBER STATERow10:
0:
1:
2:
3:
4:
5:
6:
7:
8:
9:
10:
11:
12:
13:
14:
15:
16:
17:
0:
1:
2:
3:
4:
5:
6:
7:
8:
9:
10:
11:
HOME OF RECORDD ADDRESSRow11:
0:
1:
2:
3:
4:
5:
6:
7:
8:
9:
10:
11:
12:
13:
14:
15:
16:
17:
0:
1:
2:
3:
4:
5:
6:
7:
8:
9:
10:
11:
FULL SSNRow12:
0:
1:
2:
3:
4:
5:
6:
7:
8:
9:
10:
11:
12:
13:
14:
15:
16:
17:
0:
1:
2:
3:
4:
5:
6:
7:
8:
9:
10:
11:
DATE OF BIRTH DD MM YYYYRow13:
0:
1:
2:
3:
4:
5:
6:
7:
8:
9:
10:
11:
12:
13:
14:
15:
16:
17:
0:
1:
2:
3:
4:
5:
6:
7:
8:
9:
10:
11:
Date2_af_date:
Date5_af_date:
Date6_af_date:
Date7_af_date:
Text12:
Text13:
Text114:
Text145545:

File details come from the government source that posted it. Updated .