Attachment 04 - Site Visit Entry Form - 8.13.26.docx
DOCX document 34 KB Posted
- Attached to
- SATCOM Milstar Building Maintenance and Repair
- Solicitation number
- FA460026Q0101
About this file
This is a Site Visit Entry Form template for Offutt Air Force Base, specifically designed for the SATCOM Milstar Building Maintenance and Repair solicitation (FA4600-26-Q-0101). The form serves as an Entry Authority Listing (EAL) that Security Forces personnel use to authorize installation access for site visit attendees. The document collects personal information including legal name, sex, date of birth, driver's license number, passport or immigration ID, and citizenship to verify visitor eligibility and notify the sponsoring officer of arrival and pertinent entry information.
The form is associated with a Request for Quotation (RFQ) issued by the Department of the Air Force Air Combat Command for facilities support services at the SATCOM Campus on Offutt Air Force Base. The mandatory site visit is scheduled for August 31, 2026, from 8:00 AM to 12:00 PM CDT. Prospective offerors must complete and submit this entry form to the contracting office no later than August 28, 2026, at 9:00 AM CDT to secure base access. The form accommodates up to 51 visitors and includes fields for event details, sponsor information, and security force approval stamps. This document is marked as Controlled Unclassified Information (CUI) and is controlled by Offutt Air Force Base's 55th Security Forces Squadron.
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Text version
CUI
OFFUTT AIR FORCE BASE ENTRY AUTHORITY LISTING (EAL)
DO NOT MODIFY EAL FORMAT **
Event Name
SATCOM Milstar Building Maintenance and repair
Start and End Time for Each Day of Event
Monday Time Period Tuesday Time Period Wednesday Time Period Thursday Time Period Friday Time Period Saturday Time Period Sunday Time Period
0700 - 1700
| Date(s) of Event (Expires Immediately After Event) |
| Location of Event |
| 31 August 2026 |
| SATCOM B1500 |
| Sponsor’s Name and Rank |
| Sponsor’s Phone Number(s) |
CUI
This document contains CONTROLLED UNCLASSIFED INFORMATION (CUI) which must be protected under the Freedom of Information Act (5 U.S.C. 552) and/or the Privacy Act of 1974 (5 U.S.C. 552a). Unauthorized disclosure or misuse of this PERSONAL INFORMATION may result in disciplinary action, criminal and/or civil penalties. Further distribution is prohibited without the approval of the author of this message unless the recipient has a need to know in the performance of official duties. If you have received this message in error, please notify the sender and delete all copies of this message.
Purpose: Information collected by Security Forces personnel will be used to authorize installation entry to persons shown on the entry authority listing for the specific purpose provided by the sponsor. Information will also be used to notify person(s) designated as the visitor sponsor of arrival and other pertinent information relating to entry on the installation.
Routine Uses: Records may be disclosed to applicable Federal, State, or local agency charged with the responsibility of investigating or prosecuting a violation or enforcing/implementing a statute, rule, regulation, order issued pursuant thereto.
Disclosure: Disclosure of requested information is voluntary. Failure to provide all or parts of information requested can result in denial of installation entry.
Controlled By: USAF
CONTROLED BY: 55 SFS/MAP
CUI CATEGORY: PRVCY
DISTRIBUTION/DESSEMINATION CONTROL: FEDCON
POC: Chief, Pass and Registration (402) 232-7339 Approval Stamp (55 SFS Use Only)
Signature of Authenticator (55 SFS Use Only)
Legal Name of Guest:
(Last, First, MI)
Sex:
Male (M) Female (F)
DOB:
(YYYYMMDD)
| Driver’s License# / State FNV Passport# or Immigration ID# |
| Citizenship |
(Country)
Page of CUI 55 SFS Form 31 (8 Jan 2026)
File details come from the government source that posted it. Updated .