SFS Form 12 (Tour-Contractor EAL).xlsx
XLSX spreadsheet 22 KB Posted
- Attached to
- LTS Conversion to SIP Trunking
- Solicitation number
- W50S9F26QA010
- Issued by
-
Department of the Army National Guard
About this file
This file is a Security Forces Squadron Form 12 (Tour-Contractor Entry Authorization List), which serves as a pre-authorization request form for contractor access to Truax Field military installation in Madison, Wisconsin. The form is designed to collect detailed personal information from up to 50 individuals requiring base access, including full names (must match driver's license), date of birth, gender, driver's license numbers and states, nationality, and visa/passport information for foreign nationals.
The form is related to the LTS Conversion to SIP Trunking project (Solicitation W50S9F26QA010) for the 115th Fighter Wing, with project location at 3110 Mitchell St, Madison WI 53704 and Scott Homner listed as the Project POC (608-245-4757). The solicitation includes a mandatory site visit scheduled for August 20, 2025 at 10:00 AM CDT, requiring attendees to submit this completed form at least 48 hours prior to the visit for base entry approval. All visitors must possess a REAL ID for base access. The form requires validation and authentication signatures with dates, and is the current version effective June 10, 2025.
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Text version
Sheet1
| Required Public Tour Entry Authorization List (EAL) Information/Truax Field Pre-Authorization Request Form | |||
| PA Sponsored Tour: | No | Tour Date: | NA |
| 115 FW Org Sponsored: | NA | Tour Start Time: | NA |
| Group Name: | NA | Tour Lead POC: | NA |
| Group POC: | NA | Tour POC Email: | NA |
| Group POC Phone: | NA | ||
| Group POC Email: | NA |
| Company Name: | Project Location: | 3110 Mitchell St, Madison WI 53704 |
| Company POC: | Project Prime: | N/A |
| Company Address: | Start Date: | |
| Copmany POC Phone #: | End Date: | |
| Company POC Email: | Project POC: | Scott Homner |
| Project POC Phone #: | 608-245-4757 |
| NAME MUST MATCH DRIVER'S LICENSE | ||||||||
| NAME: LAST | FIRST | MI | DOB | M/F | DRIVER'S LICENSE #/STATE | PREVIOUS STATE | Nationalitiy Visa/Passport # | |
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| NAME MUST MATCH DRIVER'S LICENSE | ||||||||
| Validated by: | Authenticated by: | |||||||
| Date: | Date: | |||||||
| 115 SFS Form 12 (10 Jun 2025) |
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