J-11_EAL.pdf

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Attached to
FY25 Concrete and Paving Recompete
Solicitation number
FA448425R0002
Issued by

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This document is a Short Term Entry Authority List (EAL) form used for obtaining base access to Joint Base McGuire-Dix-Lakehurst (JB MDL). The form requires detailed information for visitor entry, including full name, company name, Social Security Number, date of birth, and specific access dates and times. The form includes a Privacy Act Statement noting that the information will be used to verify individual status and conduct background checks for base access, with the data maintained in a central Security Forces database. Individuals must complete the form voluntarily, understanding that failure to provide requested information may result in denial of base access and privileges.

The form is specifically associated with the FY25 Concrete and Paving Recompete solicitation (FA448425R0002) for the Department of the Air Force Air Mobility Command. The solicitation requires contractors to submit this Entry Authority List (EAL) form at least three days before needed access, with completed forms to be sent to specified Air Force contacts Erin Schoenenberger and Dana Wright. The base access is part of a broader contract for concrete and paving work that includes labor, materials, equipment, and utility work at JB MDL.

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SFFL 4

PRIVACY ACT STATEMENT

AUTHORITY: 5 U.S.C. 301.10 U.S.C. 8012 and 8034, and EO 9397.

PRINCIPAL PURPOSE: To verify individual status and conduct any background checks to determine if access to Joint Base McGuire-Dix-Lakehurst(JB

MDL) is warranted. ROUTINE USE: All information will be maintained in a central Security Forces database and may be disclosed to public affairs and security representatives to carry out official duties. Information will not be considered “Public Domain” and will be safeguarded by the end users.

DISCLOSURE: Information collected on this form and your signature are voluntary. If you have no objection to these procedures fill out the form and sign your name. Failure to provide the requested information or a signature may lead to denial of access and privileges at JB MDL.

MEMORANDUM FOR 87 SFS/ Police Services

FROM:

SUBJECT: Short Term Entry Authority List (EAL)

1. Request entry for the following individual be allowed acces onto Joint Base MDL for the purpose of XXXXX at the .

2. I work in building and can be reached at

3. The visitor will be going to ___________

4. Dates Access required: Start Date End Date: .

NAME

(Last, First Middle Intial)

COMPANY

NAME

FULL SSAN Date of Birth Days of week access required

Hours of day access required

3. Please direct any questions regarding this matter to me.

Signature

FIRST MI LAST, RANK, SERV

Title, Organization

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