01c. Attachment C-EAL Template (Wing template).pdf
PDF 176 KB Posted
- Attached to
- B1043 Install Backup Generator
- Solicitation number
- FA9401-26-R-0020
About this file
This is a template memorandum for an Entry Authority List (EAL) issued by the 58th Special Operations Wing at Kirtland Air Force Base in New Mexico to authorize contractor and visitor access to restricted areas.
The document establishes procedures for granting unescorted entry to a Free Zone within Hangar 1043 for contractor personnel conducting construction activities during a specified visit period. All individuals listed on the EAL are prohibited from carrying cameras or taking pictures in controlled, restricted, limited, or exclusion areas. Access is authorized based on a valid Air Force Restricted Area Badge and specific protection level designations. The template provides a standardized coding system (A through gg) to designate authorized area access levels, ranging from unescorted entry to Protection Level 1 (nuclear) areas (codes A and B) through Protection Level 4 controlled areas (codes F and ff), with corresponding escorted entry codes available for each protection level. Additionally, codes G and gg authorize unescorted and escorted photography, respectively. The EAL attachment includes a team members table requiring full name, rank, Controlled Picture ID number, RAB number, security clearance level, and authorized area code for each visitor. The document includes a Privacy Act statement citing AFI 31-101 and DoD 5210.41-M_AFMAN 31-108 as authority, noting that SSN or CPID numbers are used for entry verification and disclosure is voluntary. The EAL requires authentication and approval by the 377 ABW/CC (Air Base Wing Commander) and includes contact information for the point of contact overseeing the authorization.
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Text version
DEPARTMENT OF THE AIR FORCE
58TH SPECIAL OPERATIONS WING (AETC)
4249 HERCULES WAY SE
KIRTLAND AFB, NEW MEXICO 87117-5861
Authenticated By:
Authenticator Signature:
Date/Time: _________@_________ Page 1 of 4
The information herein is For Official Use Only (FOUO) 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.
CUI
Update letter head to the User Org letter head.
DD MM YYYY
MEMORANDUM FOR 377 WSSS
FROM: User Org. (Example 58 SOW/CV)
SUBJECT: Entry Authority List (EAL) for Free Zone in H1043:
1. Contractor is visiting Kirtland AFB from DD MM YYYY through DD MM YYYY and requires access to a restricted area, as noted below. The purpose of this visit is to perform construction activities in Hangar 1043. This EAL consists of a list of number of visitors.
2. CAMERAS AND PICTURE TAKING: All individuals listed are NOT authorized to carry cameras and to take pictures in any controlled, restricted areas, limited areas and exclusion areas for which they have entry access.
3. RESTRICTED AREAS. All individuals are granted unescorted entry in the Free Zone Area within Hangar 1043 based upon this EAL (see attachment) and either a valid AF Restricted Area Badge.
4. RESTRICTED AREA IDENTIFIERS: The following codes will be used to designate the authorized areas for each inspector/individual/visitor listed on the EAL:
A Authorized unescorted entry to Protection Level 1 (nuclear) Limited aa Authorized escorted entry to Protection Level 1 (nuclear) Limited Areas
B Authorized unescorted entry to Protection Level I (nuclear) Exclusion Bb Authorized escorted entry to Protection Level I (nuclear) Exclusion C Authorized unescorted entry to Protection Level 1 (non-nuclear) cc Authorized escorted entry to Protection Level 1 (non-nuclear) D Authorized unescorted entry to Protection Level 2 dd Authorized escorted entry to Protection Level 2 E Authorized unescorted entry to Protection Level 3 ee Authorized escorted entry to Protection Level 3 F Authorized unescorted entry to Protection Level 4 (controlled) ff Authorized escorted entry to Protection Level 4 (controlled) G Authorized unescorted photography in area(s) gg Authorized escorted photography in area(s)
Date/Time: _________@_________ Page 2 of 4
The information herein is For Official Use Only (FOUO) 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.
6. The POC for this EAL is User Name, ORG. User name can be reached at DSN XXX-XXXX, Office XXX XXX-XXXX, or Cell XXX XXX-XXXX.
7. This EAL expires DD MM YYYY at 2359 hrs.
User Name
ORG
Attachment:
Entry Authority List
1st Ind, 377 ABW/CC MEMORANDUM FOR Visiting/Requesting Agency
APPROVED
Individuals listed on attached EAL are authorized unescorted entry into the Free Zone in H1043.
Name , Colonel, USAF Vice Commander
Date/Time: _________@_________ Page 3 of 4
The information herein is For Official Use Only (FOUO) 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.
FOR OFFICIAL USE ONLY
TEAM MEMBERS
Entry Authority List (EAL)
PRIVACY ACT
Authority: AFI 31-101, Integrated Defense, and DoD 5210.41-M_AFMAN 31-108 Purpose: Verification of Authority to enter a designated area
SSN: Is used for further identification of an individual Routine Use(s): Entry Controllers will use the SSN 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 #
RAB
Number
Clearance Authorized Area
LAST,
FIRST M.
CIV XXX XXX NON-
CLASSIFIED
E
NON-
CLASSIFIED
E
NON-
CLASSIFIED
E
NON-
CLASSIFIED
E
NON-
CLASSIFIED
E
NON-
CLASSIFIED
E
NON-
CLASSIFIED
E
NON-
CLASSIFIED
E
NON-
CLASSIFIED
E
NON-
CLASSIFIED
E
NON-
CLASSIFIED
E
NON-
CLASSIFIED
E
NON-
CLASSIFIED
E
Date/Time: _________@_________ Page 4 of 4
The information herein is For Official Use Only (FOUO) 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.
CUI
CUI
NON-
CLASSIFIED
E
NON-
CLASSIFIED
E
NON-
CLASSIFIED
E
NON-
CLASSIFIED
E
NON-
CLASSIFIED
E
NON-
CLASSIFIED
E
///LAST ITEM///
The information herein is For Official Use Only (FOUO), 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.
File details come from the government source that posted it. Updated .