B.08 Attachment 7 - Entry Authorization Form.pdf

CONTRACTORS ENTRY AUTHORITY LIST

PROJECT NAME:

PROJECT MANAGER: (LAST, FIRST, MI)

START DATE: END DATE:

COMPANY/ORGANIZATION NAME:

REVIEWED BY CE: (LAST, FIRST, MI) REVIEWED BY CE: (SIGNATURE)

AUTHENTICATED BY SFS: (LAST, FIRST, MI) AUTHENTICATED BY SFS: (SIGNATURE) DATE:

NAME: (LAST, FIRST, MI) DOB (DDMMMYY) DRIVERS LICENSE NUMBERSTATE OF ISSUE** MUST BE ALPHABETIZED

PRIVACY ACT STATEMENT: 1. AUTHORITY: USC Title 10, 8013 2. PURPOSE: Used to collect information needed for entry control to the 153d Airlift Wing. 3.

ROUTINE USES: This information will not be disclosed outside the Department of Defense. 4. DISCLOSURE: Voluntary. However, failure to provide information results in the denial of entry to the 153d Airlift Wing.

153AW FORM 10, 20220622 PREVIOUS EDITIONS OBSOLETE

NOTES:

Mail to:153.AW.Entry.Authority.List@us.af.mil

(1) The individual is known to be or reasonably suspected of being a terrorist or belongs to an organization with known terrorism links/support.

(2) The installation is unable to verify the individual's claimed identity.

(3) The individual has previously been barred from access to a federal installation or stand-alone facility.

(4) The individual is wanted by Federal, State, Local, or other civil law enforcement authorities, regardless of offense or violation.

(5) The individual has any conviction for espionage, sabotage, treason, terrorism, or murder.

(6) The individual’s name appears on any Federal or State agency’s watch list or hit list for criminal behavior or terrorist activity.

(7) The individual has been convicted of a firearms or explosive violation.

(8) The individual has been convicted of sexual assault, armed robbery, rape, child molestation, child pornography, trafficking in humans, drug possession with intent to sell, or drug distribution.

(9) The individual has knowingly and willfully engaged in acts or activities designed to overthrow the U.S.

Government by force.

REDRESS & APPEAL POLICY:

Visitors who have been denied access to the 153 AW may request redress and/or appeal by requesting the on-duty Security Forces Supervisor or Operations Superintendent.

Redress can be accomplished by providing additional biographic information to distinguish between the identities (such as a date of birth or social security number) or biometric information (such as fingerprints).

Redress allows the proper identity to be evaluated for fitness.

Appeals can be conducted for an individual with accurately identified derogatory information that prevents individuals from establishing either historic or current fitness to seek an exception due to their specific circumstances, allowing them to be granted unescorted access. Appeals must be submitted in writing through the sponsor to the 153 SFS. The appeal should capture the applicants personal information, their specific need to access the installation, and any other pertinent information. The 153 AW/CC has final authority on appeals.

153D AIRLIFT WING INSTALLATION ACCESS REQUIREMENTS

Installation commanders may deny access and issuance of access credentials based upon information obtained during the vetting process that indicates the individual may present a threat to the good order, discipline, and morale of the installation. Behavior or criminal records that pose unacceptable risk are listed below:

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