1. UNESCORTED ENTRY AUTHORIZATION CERTIFICATE
PRIVACY ACT STATEMENT
UTH1RTY: 10 U.S.C. 8013,44 U.S.C 3101 and EQ 9397.
pRINCI1ALpURpOSE(S): Torecordpersonal infarmationonanindivual whosedutyperformancerequiresentryintoAirForcerestrictedandcontrolledareasin
order ta coarclinate with the appropriate officiat and determine when and what type of entry credential fo Issue
SSN is used far further identification of an individual.
RoUTINE USEfs, j iYone.
D ts cLos u R E: Disctosure is voluntan/ however, faiture fo disclose information and SSN would resutt in nat being allawed entry into these areas-
I. IDENTIFrcATION
NAME (Last First, Middle lnitial)
FOGARTY, ERIC W I
GRADE
CIVILIAN
SSN
57 5-82-7936
ORGANIZATION OR FIRM
COMPUTER SCIENCES RAYTHEON
HEIGHT
67"
WEIGHT
150
COLOR EYES
BLUE
COLOR HAIR
BROWN
crlzENsHtp (check ane) M us cllzEN I nltrru IMMIGRANT I uoru-us NATIONAL
TIFICATION OF RFCJI IE.STING OFFICI,AL
I certify thatthe individuat whose name appears above has been the subjectaf a vavorable investigatian which meetsthe requirements ofAFl's 31'101,31-209 and
31 -s01, vthen appticabte, far unescoded entr into restricted or contralled areas. I further certify that, in the even the above named individual is a non-US national, no
us nationatis, ar can be made available to fitt this position during the periad indicated abave, and that the granting of unescorted entry represents and exceptional
requirement essenf/a/ fo the proper execution of this Command's mlssior. Such unescorted entry will not infringe upon the prohibited duties outlined in AFPD 31
-series directives, and is clearly consitent with the interest af national security
NAME, GRADE AND TITLE (Iyped)
AMELIA COOK, CSR FSO, DSN 854.4376
SIGNATURE
COOK,AMELIA.NMN. 1 1 346S1 8 1 7,
DATE
201201i0
III, DUTY
"
indicated)
Duty / Job Description: Mr. Fogarty's Computer Sciences Raytheon duties include inventory responsibilities for FSP, Legacy and
Spaie and Bench itock; picl<-up and deliveries of company mail, equipment, and materials in the various work centers; and tagging
of gr:vernment procured property in accordance with the FAR.
Investigirtion Info/Date: NACLC
Eligibility Irrfo/Date: 1012412007
Ese ort Training Date: 1 1108/2011
IV. RESTRICTED/CONTROLLED AREA COORDINATION
AREA
NUMBER
ESCORT
OFFICIAL
TYPE AREA
CONCUR COORDI NATI NG/APPROVING
OFFICIAL'S SIGNATUREYES NO
25 Y Restricted 20120111 KU-Z. ARArc41i,n 4.s : l g : zoz,
/t) Y Restricted 201,201l1 KUZARA. GARY.R; 1 I 539 63297,
. -. : - '..
27 Y Restricted x n 0?% il/ f .-*4+-
lo Y Restricted X LY
34 Y Controlled x 20120221 uoiuggqsr,soNl4:M. 1
r s 8os 121 o,
AF IMT 2586, 19981001, V2 PREVIOUS EDITIONS ARE OBSOLETE.