EAL TEMPLATE_Fitness Room Site Survey.pdf

DEPARTMENT OF THE AIR FORCE

HEADQUARTERS 123D AIRLIFT WING

LOUISVILLE KENTUCKY

Company or Event Name:

Sponsor’s Name/Duty Phone/Cell Phone:

EAL Submission Date Contract/Visit START Date Contract/Visit END Date

Visitor information must be completed in full. All visitors over the age of 18 are required to provide either Driver’s License Number (DLN) or Social Security Number (SSN). Visitors are encouraged to pre-register at the following website for expedited DBIDS access: https://dbids-global-enroll.dmdc.mil/preenrollui/#!/

Last Name First Name DLN STATE DOB SSN

The KYANG sponsor will complete this form in digital format and provide an electronic signature or wet signature on the bottom of this form. Upon signing the document, the sponsor acknowledges all security protocols and responsibilities associated with escort duties of non-military members on the installation. If at any time guests are identified without proper escorts they may be subject to removal from the installation at Security Forces discretion in addition to the sponsor’s Chain of Command being notified of the Security Incident.

By signing below, the above named sponsor understands and agrees to all items mentioned on this document.

Please forward completed and signed document to the following e-mail distribution:

123.AW.SFS.S3.Base.Defense.Operations.Center@us.af.mil

Sponsor’s Signature of Understanding https://dbids-global-enroll.dmdc.mil/preenrollui/#!/