J-11_ EAL.pdf

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Attached to
FY 25 Mechanical Indefinite Delivery Indefinite Quantity (IDIQ) Federal contract opportunity
Solicitation number
FA448425R0010
Issued by
Department of the Air Force Air Mobility Command

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The document is an Entry Authority List (EAL) form for obtaining short-term base access to Joint Base McGuire-Dix-Lakehurst (JB MDL). The form includes a Privacy Act Statement citing legal authorities (5 U.S.C. 301, 10 U.S.C. 8012 and 8034, and EO 9397) for verifying individual status and conducting background checks for base entry. The form requires detailed visitor information including name, company, full Social Security Number, date of birth, and specific days/hours of access needed. The form must be submitted to the 87th Security Forces Squadron Police Services, with the requestor providing their contact information, building location, and purpose for the visitor's base access. Failure to complete the form may result in denial of base access and privileges.

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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

Building:
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