Special Event EAL Form SFFL 5.docx

DEPARTMENT OF THE AIR FORCE

HEADQUARTERS AIR MOBILITY COMMAND

JOINT BASE MCGUIRE-DIX-LAKEHURST

Special Event EAL page 4

Date:

MEMORANDUM FOR 87 SFS/ Police Services

FROM:

SUBJECT: Special Event Entry Authority List (EAL)

1. I am requesting the following individuals be allowed access onto Joint Base McGuire-Dix-Lakehurst (JB MDL) for the purpose of attending (function) at (location). The function will begin at (time) on (date) and end at (time) on (date).

I understand that I am responsible for my guest while they are on this installation.

3. All personnel, 18 years of age or older, must complete the information below. Failure to provide this complete data or providing inaccurate data will result in being denied access to JB MDL.

4. All information must be provided as a typed or computer generated product. Pen or ink changes to an individual’s information are not authorized and will make the entire form invalid.

Signature

FIRST MI LAST, RANK, SERV

Title, Organization

SPONSOR WILL INITIAL EACH OF THE STATEMENTS BELOW ACKNOWLEDGING THEIR RESPONSIBILITIES:

1. Passes will not be issued to visitors. However, personnel not listed on the EAL will not be allowed entry until the sponsor or designated individual reports in person and physically sponsors the individual onto the installation – a pass will then be issued to the individual who was not on the EAL.

2. Entrance for all special events will be processed through the appropriate gate.

3. Sponsor will advise all guests of base entry procedures and limitations while on base to include speed limits, cell phone use and use of base facilities.

4. Sponsor understands they are responsible for the conduct of all guests and will be held accountable for all actions of their guests.

5. Sponsor is the point of contact for any police actions concerning their guests.

6. Sponsor acknowledges that anyone named on the attached guest list that comes up with a positive wants & warrants through the NCIC check or has been barred from a military installation will be denied entry even if this letter is approved. The sponsor will be notified of the results of these checks.

PLEASE NOTE THE FOLLOWING:

1. Special Event EALs must be delivered to Bldg 3021 (McGuire Gate Welcome Center) NLT 72 hours in advance of the event by one of the following methods:

2. EALs must be typed on unit letterhead or bond paper. Pen and ink changes other than deletions are not authorized. Handwritten EALs are not authorized.

3. Joint Base Special Event Coordinator P/O Kaminski, Kim will authenticate and provide a copy of the EAL to the appropriate gates.

SFFL 5

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.

SFFL 5

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.

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