EAL Template.pdf
PDF 555 KB Posted
- Attached to
- Cavalier Space Force Station Custodial Services
- Solicitation number
- FA465924Q0002
About this file
This document is an Entry Authority List (EAL) that provides a list of individuals authorized to access restricted areas at the Cavalier Space Force Station. The EAL includes the visitors' names, ranks, controlled picture ID numbers, clearance levels, and authorized restricted areas. It outlines procedures for photography and use of electronic devices, verification of security clearances, and instructions for submitting the completed EAL. The related federal contract opportunity is for Custodial Services at the Cavalier Space Force Station, solicitation number FA465924Q0002, issued by the Department of the Air Force Air Mobility Command.
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Text version
CONTROLLED UNCLASSIFIED INFORMATION
DEPARTMENT OF THE AIR FORCE UNITED
STATES SPACE FORCE
SPACE DELTA 4
“CONTROLLED UNCLASSIFIED INFORMATION”
MEMORANDUM FOR 10 SWS/CC
FROM:
SUBJECT: Entry Authority List (EAL)
1. is/are visiting your installation from through and require(s) access to controlled or restricted areas, as noted below.
The purpose of this visit is
This EAL consists of a list of names of visitors/inspectors in alphabetical sequence.
2. CAMERAS AND ELECTRONIC DEVICES: Photography and electronic devices inside the restricted area are limited to official business or special circumstances such as promotion ceremonies, reenlistments, etc. In these instances, a request letter must be accomplished prior to bringing the camera into the restricted area. The photography authorization letter is submitted to the 10 SWS/SF for authentication at least five (5) duty days prior.
3. RESTRICTED AREAS: All individuals are granted escorted/unescorted entry to all restricted areas based upon this EAL (see attachment) and either a valid AF Restricted Area Badge; DD Form 2/2 AF/Common Access Card; or a government issued photo ID.
4. UNESCORTED "T" BADGE: Each individual is verified to be current for Standard Form (SF) 312, Classified Information Nondisclosure Agreement. All listed individuals have a valid need-to-know and are authorized access to classified information and materials to the level of their identified clearance. All clearances have been verified through the Defense Information System for Security (DISS).
5. Email the completed forms to 10SWS.Security.Forces@us.af.mil. Hand carried EALs for installation or restricted area entry are not considered valid regardless of signature.
5. RESTRICTED AREA IDENTIFIERS: The following codes will be used to designate the authorized areas for each inspector/individual/visitor listed on the EAL:
T Authorized unescorted entry to Protection Level 1 (non-nuclear) Limited Areas V Authorized escorted entry to Protection Level 1
(non- nuclear) Limited Areas F Authorized unescorted entry to Protection Level 4
(controlled) Installation (Inst'n) Authorized unescorted entry to Cavalier SFS
6. The Cavalier SFS POC and DSN for this EAL is
7. This EAL expires at hrs.
Attachments:
1st Ind
MEMORANDUM FOR
APPROVED / DISAPPROVED
APPROVAL AUTHORITY
Date/Time:
CONTROLLED UNCLASSIFIED INFORMATION
VISITORS
ENTRY AUTHORITY LIST (EAL)
PRIVACY ACT
Authority: DAFI 31-101, Integrated Defense Purpose: Verification of Authority to enter a designated area SSN: Will be removed from form prior to validating EAL if used for Security Clearance validation Routine Use(s): Entry Controllers will use the DoD number or Controlled Picture ID (CPID) number as a means to verify a person is allowed to enter a designated area Disclosure: Disclosure is voluntary. Failure to disclose required information will result in that person not being allowed to enter a designated area
Full Name Rank Controlled Picture ID #
Date of Birth
YYYY/MM/DD
Clearance Authorized Area(s)
///LAST ITEM///
The information herein is Controlled Unclassified Information (CUI) which must be protected under the Freedom of Information Act of 1966 and Privacy Act of 1974, as amended. Unauthorized disclosure or misuse of this PERSONAL INFORMATION may result in criminal and/or civil penalties.
(SSN # for T Badges only) (Driver's Lic#/State) (see page 1)
“CONTROLLED UNCLASSIFIED INFORMATION”
1130516846A Typewritten Text (Last, First MI)
1130516846A Typewritten Text
1130516846A Typewritten Text
| new visit.pdf |
| MEMORANDUM FOR 10 SWS/CC |
| Time: |
| Check Box17: Yes |
| Check Box18: Off |
| APPROVING OFFICIAL'S DUTY TITLE: [10 SWS SF Plans & Programs, NCOIC] |
| DATE: |
| Attachment: |
| Start Date: |
| End Date: |
| (Rank First, M, Last/ Contact Number(s)): |
| Reason for Visit: |
| Visit Number: (For SF Use) |
| Name of Requester or Company: |
| Full Name Note 11Row1: |
| Rank: [CIV] |
| Controlled Picture ID Note 12Row1: |
| Badge Number Note 13Row1: |
| Clearance: [N/A] |
| Full Name Note 11Row2: |
| Rank 1: [ ] |
| Controlled Picture ID Note 12Row2: |
| Badge Number Note 13Row2: |
| Clearance 1: [ ] |
| Full Name Note 11Row3: |
| Rank 2: [ ] |
| Controlled Picture ID Note 12Row3: |
| Badge Number Note 13Row3: |
| Clearance 2: [ ] |
| Full Name Note 11Row4: |
| Rank 3: [ ] |
| Controlled Picture ID Note 12Row4: |
| Badge Number Note 13Row4: |
| Clearance 3: [ ] |
| Full Name Note 11Row5: |
| Rank 4: [ ] |
| Controlled Picture ID Note 12Row5: |
| Badge Number Note 13Row5: |
| Clearance 4: [ ] |
| Full Name Note 11Row6: |
| Rank 5: [ ] |
| Controlled Picture ID Note 12Row6: |
| Badge Number Note 13Row6: |
| Clearance 5: [ ] |
| Full Name Note 11Row7: |
| Rank 6: [ ] |
| Controlled Picture ID Note 12Row7: |
| Badge Number Note 13Row7: |
| Clearance 6: [ ] |
| Full Name Note 11Row8: |
| Rank 7: [ ] |
| Controlled Picture ID Note 12Row8: |
| Badge Number Note 13Row8: |
| Clearance 7: [ ] |
| Full Name Note 11Row9: |
| Rank 8: [ ] |
| Controlled Picture ID Note 12Row9: |
| Badge Number Note 13Row9: |
| Clearance 8: [ ] |
| Full Name Note 11Row10: |
| Rank 9: [ ] |
| Controlled Picture ID Note 12Row10: |
| Badge Number Note 13Row10: |
| Clearance 9: [ ] |
| Full Name Note 11Row11: |
| Rank 10: [ ] |
| Controlled Picture ID Note 12Row11: |
| Badge Number Note 13Row11: |
| Clearance 10: [ ] |
| Full Name Note 11Row12: |
| Rank 11: [ ] |
| Controlled Picture ID Note 12Row12: |
| Badge Number Note 13Row12: |
| Clearance 11: [ ] |
| Full Name Note 11Row13: |
| Rank 12: [ ] |
| Controlled Picture ID Note 12Row13: |
| Badge Number Note 13Row13: |
| Clearance 12: [ ] |
| Full Name Note 11Row14: |
| Rank 13: [ ] |
| Controlled Picture ID Note 12Row14: |
| Badge Number Note 13Row14: |
| Clearance 13: [ ] |
| Authorized Area 13: [ ] |
| Commander's Signature: |
| 0: |
| Authorized Areas: [ ] |
| Authorized Area 1: [ ] |
| Authorized Area 2: [ ] |
| Authorized Area 3: [ ] |
| Authorized Area 4: [ ] |
| Authorized Area 5: [ ] |
| Authorized Area 6: [ ] |
| Authorized Area 7: [ ] |
| Authorized Area 8: [ ] |
| Authorized Area 9: [ ] |
| Authorized Area 10: [ ] |
| Authorized Area 11: [ ] |
| Authorized Area 12: [ ] |
File details come from the government source that posted it. Updated .