ATCH_9_Site_Visit-Entry_Authority_List_(EAL)_Request.docx

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Attached to
Repair HVAC Systems Various, Bldg. 981 and 891, Patrick AFB, FL
Solicitation number
FA2521-14-R-0023
Issued by

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Entry Authority LIst

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Entry Authority List Request TO: 45th Security Forces

FROM: ____ ____________________________________________

DATE(S) REQUESTING ENTRY: ______

TIMES REQUESTING ENTRY: _____

TYPE OF EVENT: ___ _________________________

The following are the individuals I am requesting access for:

NAME
D.O.B.
Driver’s License Number
Issuing State
SSN

(if not Florida)

If you have any questions concerning this matter, call #_______________ Sincerely, **45th Security Forces Use Only**

APPROVAL DATE:

AUTHENTICATED BY:

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