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The DFW Airport Identification/Access Badge Application Form is a crucial document for individuals seeking access to secured areas within Dallas/Fort Worth International Airport. It serves multiple purposes, allowing applicants to apply for new badges, renew existing ones, or replace lost badges. Applicants must provide detailed personal information, including their full legal name, Social Security number, date of birth, and contact details. Employment details are also required, necessitating the disclosure of the name of the applicant's employer and any previous names used, excluding nicknames. Those seeking an access badge must disclose their citizenship status, and U.S. citizens need to present additional identification, such as a passport or driver’s license. The form requires applicants to acknowledge potential disqualifying criminal offenses that may prohibit access. Furthermore, specific training and compliance with airport security regulations are mandatory. This comprehensive application process helps ensure that individuals granted unescorted access meet federal security standards and maintain airport safety protocols.

Form Sample

DFW Airport Identification/Access Badge Application

Page 1 of 9

To be completed by Applicant

Last Name:

First Name:

Middle Name:

You must provide your full legal name (last, first and middle name) at the top of every page of the application.

Social Security No.:

-

-

Date of Birth:

/

/

 

 

 

 

 

Name of Employer:

 

 

Dept./Branch (if applicable):

 

 

 

 

 

 

 

New badge applicant

Renewal badge applicant

Applicant for 2nd badge with 2nd employer

Replacement badge applicant (replace lost or stolen badge)

Do you hold another DFW Airport Identification/Access Badge with another employer who is not listed above?

Yes

No

If Yes, you are required to provide the name of your other employer.

You are required to provide any other names you used previously (Alias). If you have used other names previously, you must provide the first name, last name and if applicable, the middle name for each Alias you used. Please note that a nickname is not considered an Alias and is not to be included on this form. If you have not used any other names, please leave the fields blank.

Alias 1 Last Name

,

First Name

Middle Name

Alias 2 Last Name

,

First Name

Middle Name

Alias 3 Last Name

,

First Name

Middle Name

 

 

 

 

Gender:

Race:

Eye Color:

Hair Color:

Height:

ft.

in.

Weight:

lbs.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Job Title:

 

 

Company Employee Number:

 

 

 

 

 

 

 

 

 

 

 

Driver’s License/State ID Number:

 

State:

Expiration Date:

/

/

 

 

 

 

 

 

 

You are required to provide a current mailing address.

 

 

 

 

 

Current Mailing Address:

 

 

Apartment/Suite Number:

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

 

State:

Zip Code:

 

-

 

 

You are required to provide a current street address and to bring a document containing your name and the address provided.

Current Street Address:

 

 

 

Apartment/Suite Number:

City:

 

 

State:

 

Zip Code:

 

-

 

 

 

 

You are required to provide a telephone number where you can be reached during the day.

 

Daytime Phone:

(

)

-

 

 

 

 

 

 

 

 

 

 

 

Business Phone: (

)

-

Home Phone:

(

)

-

 

 

 

 

 

 

 

 

Cell Phone:

(

)

-

 

 

 

 

 

 

 

 

 

Personal Email Address:

 

 

Business Email Address:

 

You are required to provide your country of birth. If you were born in the US or Mexico, you must also provide your State of Birth in addition to your Country of Birth.

Country of Birth:

State of Birth:

 

 

You are required to provide your country of citizenship.

Country of Citizenship:

DPS ACO-1 (05/12)

DFW Airport Identification/Access Badge Application

Page 2 of 9

To be completed by Applicant

Last Name:

 

 

First Name:

Middle Name:

 

 

 

 

 

 

Social Security No.:

-

-

Date of Birth:

/

/

 

 

 

 

 

Name of Employer:

 

 

Dept./Branch (if applicable):

 

 

 

 

 

 

 

Are you a Law Enforcement

Officer (LEO) or a Federal employee who is either a Naturalized US Citizen or a US Citizen who was

born abroad?

Yes

No

If yes, the ACO will submit an Alien Registration Number (ARN) of A”100000000” to the TSA. If No, you must provide the information below that is applicable to you.

If you are a US Citizen who was born in the United States and have a US Passport, please provide:

US Passport Number:

 

 

Expiration:

/

/

If you are not a US Citizen, you must provide at least one of the following:

 

 

 

Alien Registration Number:

A

(9 digits, no dashes)

Expiration:

/

/

I-94 Arrival/Departure Record Number:

(11 digits, no dashes) Expiration:

/

/

Do you hold a Non-Immigrant VISA from a foreign country?

Yes

No

If Yes, you are required to provide the VISA control number, which appears in the top right-hand corner of the VISA and is labeled “Control Number.”

Non-Immigrant Visa Control Number:

Expiration:

/

/

If you are a US Citizen who was born abroad or if you are a Naturalized US Citizen, you are required to provide at least one of the following:

US Passport Number:

Expiration:

/

/

 

 

 

 

 

Certificate of Naturalization Number (Form N-550 or N-570):

 

 

 

 

 

 

 

 

Certificate of US Citizenship Number (Form N-560 or N-561):

 

 

 

 

 

Certification of Report of Birth (Form DS-1350):

 

(A 10 digit number beginning with “159-” that appears in the

top right-hand corner of the document. If your DS-1350 was issued prior to 1990 and does not contain a document control number, you must enter “DS-1350” in the field above and you must bring the document with you to the ACO.)

Consular Report of Birth Abroad (Form FS-240):(A 10 digit number beginning with “159-“ that appears in

the top right-hand corner of the document. If your FS-240 was issued prior to 1990 and does not contain a document control number, you must enter “FS-240” in the field above and you must bring the document with you to the ACO.)

Certification of Birth Abroad (Form FS-545):(A document that was issued prior to 1990 and does not

contain a document control number. You must enter “FS-545” in the field above and you must bring the document with you to the ACO.)

DPS ACO-1 (05/12)

DFW Airport Identification/Access Badge Application

Page 3 of 9

To be completed by Applicant

Last Name:

 

 

First Name:

Middle Name:

 

 

 

 

 

 

Social Security No.:

-

-

Date of Birth:

/

/

 

 

 

 

 

Name of Employer:

 

 

Dept./Branch (if applicable):

 

 

 

 

 

 

 

Disqualifying Criminal Offenses

Individuals seeking unescorted access authority and/or performing security screening are required to undergo a fingerprint-based criminal history records check that does not disclose that he/she has a disqualifying criminal offense. There are twenty-eight (28) disqualifying crimes under Chapter 49 of the Code of Federal Regulations (Part 1542-209) that will disqualify you from receiving a DFW identification/access badge. Those crimes are:

1.Forgery of certifications, false marking of aircraft, and other aircraft registration violation;

2.Interference with air navigation;

3.Improper transportation of a hazardous material;

4.Aircraft piracy;

5.Interference with flight crew members or flight attendants;

6.Commission of certain crimes aboard aircraft;

7.Carrying a weapon or explosive aboard aircraft;

8.Conveying false information and threats;

9.Aircraft piracy outside the special aircraft jurisdiction of the United States;

10.Lighting violations involving transporting controlled substance;

11.Unlawful entry into an aircraft or airport area that serves air carriers;

12.Destruction of an aircraft facility;

13.Murder;

14.Assault with intent to murder;

15.Espionage;

16.Sedition;

17.Kidnapping or hostage taking;

18.Treason;

19.Rape or aggravated sexual abuse;

20.Unlawful possession, use, sale, distribution, or manufacture of an explosive or weapon;

21.Extortion;

22.Armed or felony unarmed robbery;

23.Distribution of, or intent to distribute, a controlled substance;

24.Felony arson;

25.Felony involving a threat;

26.Felony involving:

a.Willful destruction of property;

b.Importation or manufacture of a controlled substance;

c.Burglary;

d.Theft;

e.Dishonesty, fraud, or misrepresentation;

f.Possession or distribution of stolen property;

g.Aggravated assault;

h.Bribery; or

i.Illegal possession of a controlled substance punishable by a maximum term of imprisonment of more than one (1) year;

27.Violence at international airports; or

28.Conspiracy or attempt to commit any of the criminal acts listed in this paragraph.

A copy of the criminal record received from the FBI will be provided to the individual, if requested by the individual in writing. The request should be submitted to the Airport Security Coordinator, who is the point of contact for questions about the results of a criminal history records check (CHRC).

Privacy Act Notice

Authority: The authority for collecting this information is 49 U.S.C. 114, “Transportation Security Administration,” and 49 U.S.C. 44936, “Employment Investigations and Restrictions.”

Purpose: This information is needed to verify your identity and to retrieve your criminal history record to evaluate your suitability for access to airport sterile areas and security identification display areas (SIDA), and aircraft. Your Social Security Number (SSN) will be used as your identification number in this process and to verify your identity. Furnishing this information, including your SSN, is voluntary, however, failure to provide it will prevent the completion of your criminal history records check, without which you may not be granted aircraft, sterile area or SIDA access.

Routine Uses: Routine uses of this information include disclosure to the U.S. Office of Personnel Management for processing and data verification, to the FBI to retrieve your criminal history record, to TSA contractors or other agents who assist in the maintenance and operation of the fingerprint system, to airport operators or aircraft operators to evaluate suitability for aircraft, sterile area or SIDA access, to appropriate governmental agencies for law enforcement or security purposes, or in the interests of national security, and to foreign and international governmental authorities in accordance with law and international agreement.

I have read the preceding information and understand my rights as an applicant. By signing this application I acknowledge my understanding and agree to all the terms in this Privacy Act Notice.

DPS ACO-1 (05/12)

DFW Airport Identification/Access Badge Application

Page 4 of 9

To be completed by Applicant

Last Name:

 

 

First Name:

Middle Name:

 

 

 

 

 

 

Social Security No.:

-

-

Date of Birth:

/

/

 

 

 

 

 

Name of Employer:

 

 

Dept./Branch (if applicable):

 

 

 

 

 

 

 

Security Training Notice

Applicants for Security Identification Display Area (SIDA) badges are required to take the DFW SIDA Training and the Ramp Safety training after they have met the Criminal History Records Check (CHRC) and Security Threat Assessment (STA) requirements.

Applicants must pass the DFW SIDA Training and Ramp Safety training final assessments with a score of 100% on each training course before a SIDA badge will be issued.

Applicants will be given a DFW SIDA Training Pocket Guide and Ramp Safety Pocket Guide as study material when they are fingerprinted in the ACO.

The DFW SIDA Training Pocket Guide is available in English and Spanish for study purposes only.

Applicants may not use the DFW SIDA Training Pocket Guide or the Ramp Safety Pocket Guide while taking the training courses or during the final assessments.

Applicants may not receive assistance of any kind during the training courses or during the final assessments except for assistance in the use of the computer equipment.

Applicants may take the DFW SIDA Training and the Ramp Safety training on three (3) separate occasions within the thirty (30) days following the CHRC or STA approval date, whichever is the later date.

Applicants that do not pass the DFW SIDA Training and the Ramp Safety Training by the third (3rd) attempt will be required to start the badging process from the beginning, including fingerprinting.

Applicants’ employers are expected to train applicants prior to sending applicants back to the ACO to begin the badging process again.

Employee Portal Rules Notice

The Employee Portals are monitored by video camera at all times.

Employee Portals may only be used by SIDA badge holders who have been authorized to use the portals.

No public access through the Employee Portals.

Use of the Employee Portals for the purpose of boarding an aircraft for travel is prohibited, except for on-duty air carrier flight crew who are in uniform.

Escorting and/or piggy-backing is prohibited.

Employees are subject to random inspections of their person and property.

Items prohibited at TSA checkpoints are also prohibited at Employee Portals, except for liquids, gels, and/or aerosols. O Tools prohibited at the TSA checkpoints cannot be taken through an Employee Portal.

O Items to be sold to the traveling public may not be taken through an Employee Portal.

Failure to abide by the Employee Portal rules may subject the badge holder to suspension or revocation of their badge and/or access privileges, repeat SIDA security training, civil or criminal prosecution, and/or fines imposed by the TSA for violating TSA Federal regulations.

Privacy Act Notice

Authority: 49 U.S.C. §§114,44936 authorizes the collection of this information.

Purpose: The Department of Homeland Security (DHS) will use the biographical information to conduct a security threat assessment and will forward any fingerprint information to the Federal Bureau of Investigation to conduct a criminal history records check of individuals who are applying for, or who hold, an airport-issued identification media or who are applying to become a Trusted Agent of the airport operator. DHS will also transmit the fingerprints for enrollment into the US-VISIT’s Automated Biometrics Identification System (IDENT). If you provide your Social Security Number (SSN), DHS may provide your name and SSN to the Social Security Administration (SSA) to compare that information against SSA’s records to ensure the validity of your name and SSN.

Routine Uses: This information may be shared with third parties during the course of a security threat assessment, employment investigation, or adjudication of a waiver or appeal request to the extent necessary to obtain information pertinent to the assessment, investigation, or adjudication of your application or in accordance with the routine uses identified in the Transportation Security Threat Assessment System (T-STAS), DHS/TSA 002.

Disclosure: Furnishing this information (including your SSN) is voluntary; however, if you do not provide your SSN or any other information requested, DHS may be unable to complete your application for identification media.

DPS ACO-1 (05/12)

DFW Airport Identification/Access Badge Application

Page 5 of 9

To be completed by Applicant

Last Name:

 

 

First Name:

Middle Name:

 

 

 

 

 

 

Social Security No.:

-

-

Date of Birth:

/

/

 

 

 

 

 

Name of Employer:

 

 

Dept./Branch (if applicable):

 

 

 

 

 

 

 

The information I have provided is true, complete, and correct to the best of my knowledge and belief and is provided in good faith. I understand that a knowing and willful false statement can be punished by fine or imprisonment or both. (See Section 1001 of Title 18 of the United States Code at http://uscode.house.gov/search/criteria.shtml).

By my signature below, I certify that I do not have a disqualifying criminal offense and I do consent to an electronic fingerprint criminal history records check; in accordance with 49 CFR Part 1542.209. I understand my obligation to disclose to the airport operator within 24 hours if convicted of any disqualifying criminal offense that occurs while having unescorted access authority.

Pursuant to 49 CFR Parts 1542 and 1544, the Airport Board has implemented an electronic fingerprinting Criminal History Records Check (CHRC), which includes this application process and issuance of access badges for individuals whose work requires access to secured areas of DFW Airport. Information provided on this application, including individual social security numbers, will be used by the Airport Board and the Department of Homeland Security Transportation Security Administration (TSA) in accordance with applicable laws to enable the Airport Board and TSA to implement these Federal requirements and the fingerprint CHRC results may also be shared with CBP officials in order to authorize access to areas of DFW Airport controlled by CBP. Social Security Numbers may be used for identification of applicants, sorting and tracking of badges, verification of information and identity and, in the event of misuse of any badge or other privilege connected with this application, for law enforcement or security purposes. Disclosure of an applicant’s social security number is mandatory and failure to do so will result in denial of badging privileges.

By my signature below, I certify that I have read the Security Training Notice and the Employee Portal Rules Notice and acknowledge my understanding and agreement to abide by all the terms and conditions set forth in the Security Training Notice and the Employee Portal Rules Notice.

By my signature below, I certify that I understand it is the policy of DFW Airport’s Department of Public Safety, to Suspend or Revoke access privileges for violation of Federal, State, or Local Laws or the Airport’s Security Program. I also understand that a badge holder’s access may be suspended while they are a party of interest or a suspect in an active criminal investigation or are currently charged with a Felony, Class A or Class B Misdemeanor criminal charge.

Social Security Administration Certification

I authorize the Social Security Administration to release my Social Security Number (SSN) and full name to the Transportation Security Administration, Office of Transportation Threat Assessment and Credentialing (TTAC), Attention: Aviation Programs (TSA-19)/Aviation Worker Program, 601 South 12th Street, Arlington, Virginia 20598.

I am the individual to whom the information applies and want this information released to verify that my SSN is correct. I know that if I make any representation that I know is false to obtain information from Social Security records, I could be punished by a fine or imprisonment or both.

By my signature below, I certify that I have read the Social Security Administration Certification and acknowledge my understanding and consent to Social Security Administration releasing my information to verify that my SSN is correct.

Please print the full legal name of the applicant below.

First Name

 

Middle Name

Last Name

 

/

/

-

-

 

 

 

 

Applicant’s Date of Birth

Applicant’s Social Security Number

 

 

 

 

/

/

 

 

 

Applicant’s Signature

 

Date of Applicant’s Signature

DPS ACO-1 (05/12)

DFW Airport Identification/Access Badge Application

Page 6 of 9

To be completed by Employer

Applicant Last Name:

 

 

 

 

First Name:

 

 

Middle Name:

 

 

 

 

 

 

 

 

Applicant Social Security No.:

-

-

 

 

Date of Birth:

/

/

 

 

 

 

 

 

 

 

 

 

Name of Employer:

 

 

 

 

 

 

Dept./Branch (if applicable):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Employer:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer’s Current Mailing Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

 

State:

 

 

 

Zip Code:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer’s Current Street Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

 

State:

 

 

 

Zip Code:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Business Phone:

(

)

-

 

Fax:

(

)

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Web-Site Address:

 

 

 

 

 

 

 

 

 

 

By my signature below, I certify that I understand it is the policy of DFW Airport’s Department of Public Safety, to Suspend or Revoke access privileges for violation of Federal, State, or Local Laws or the Airport’s Security Program. I also understand that a badge holder’s access may be suspended while they are a party of interest or a suspect in an active criminal investigation or are currently charged with a Felony, Class A or Class B Misdemeanor criminal charge.

Pursuant to 49 CFR Parts 1542 and 1544, the Airport Board has implemented an electronic fingerprinting Criminal History Records Check (CHRC), which includes this application process and issuance of access badges for individuals whose work requires access to secured areas of DFW Airport. Information provided on this application, including individual social security numbers, will be used by the Airport Board and the Department of Homeland Security Transportation Security Administration (TSA) in accordance with applicable laws to enable the Airport Board and TSA to implement these Federal requirements and the fingerprint CHRC results may also be shared with CBP officials in order to authorize access to areas of DFW Airport controlled by CBP. Social Security numbers may be used for identification of applicants, sorting and tracking of badges, verification of information and identity and, in the event of misuse of any badge or other privilege connected with this application, for law enforcement or security purposes. Disclosure of an applicant’s social security number is mandatory and failure to do so will result in denial of badging privileges.

By my signature below, I certify: that I am a duly authorized representative of the above named employer and as such may execute (sign) this application; that the foregoing information is true, accurate and all information is verified; that the above named employer authorized an electronic fingerprint be obtained for the purpose of performing a criminal history record check; and is responsible for all applicable fees and charges; and that the employee’s Airport Access Badge will be returned upon request, termination, or when access is no longer required; that the above named employee is required to have access to secure areas of the Airport. The information I have provided is true, complete, and correct to the best of my knowledge and belief and is provided in good faith. I understand that a knowing and willful false statement can be punished by fine or imprisonment or both. (See Section 1001 of Title 18 of the United States Code at http://uscode.house.gov/search/criteria.shtml).

Please print the full legal name of the duly Authorized Employer Representative.

First Name

 

 

Middle Name or Initial

 

 

Last Name

 

 

 

 

 

 

 

 

 

 

/

/

 

 

 

 

 

 

 

 

Authorized Employer Representative’s Signature

 

 

 

Date of Authorized Employer Representative’s Signature

Please print the contact information of the duly Authorized Employer Representative below.

 

 

 

Email Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Business Phone:

(

)

-

Fax:

(

)

-

Cell:

(

)

-

 

 

 

 

 

 

 

 

 

 

 

 

DPS ACO-1 (05/12)

DFW Airport Identification/Access Badge Application

Page 7 of 9

To be completed by DFW Authorized Badge Sponsor

Applicant Last Name:

 

 

 

 

 

 

First Name:

 

 

 

 

 

 

 

Middle Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Applicant Social Security No.:

-

-

 

 

 

 

 

Date of Birth:

/

 

 

 

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Employer:

 

 

 

 

 

 

 

 

Dept./Branch (if applicable):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Badge Color

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yellow SIDA

 

 

Red SIDA

 

 

 

 

 

Blue SIDA

 

Green Non-SIDA

 

 

 

 

White ID

 

 

 

Airline Tenant

 

 

Government

 

 

 

Airport Board

Sterile Access Only

 

 

 

Board Employees/Contractors

 

Sponsored

 

 

Sponsored

 

 

 

Sponsored

 

 

 

 

 

 

 

 

 

Airport Board Sponsored

 

Badge Expiration

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2 Year

 

1 Year

 

 

6 Month

 

 

3 Month

 

Other Date Less than 1 Year

/

 

 

/

 

 

Expiration

Expiration

Expiration

 

Expiration

Expiration

 

 

 

 

 

MM/DD/YYYY

 

 

 

Please note that 2 year expiration can only be authorized for SIDA badges and Airport Board employee White ID badges.

Access Codes

Sponsoring Authority must place initials in the next field to the right after the last access code assigned on the

 

 

 

 

 

row. Application will be voided if initials are not present.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If you are a signatory airline who is a participating 49 CFR Part 1544 carrier, please provide the following:

Submitting Official Number (SON) (if applicable)

 

Unique Identifier - UID (if applicable)

By my signature below, I certify that I understand it is the policy of DFW Airport’s Department of Public Safety, to Suspend or Revoke access privileges for violation of Federal, State, or Local Laws or the Airport’s Security Program. I also understand that a badge holder’s access may be suspended while they are a party of interest or a suspect in an active criminal investigation or are currently charged with a Felony, Class A or Class B Misdemeanor criminal charge.

Pursuant to 49 CFR Parts 1542 and 1544, the Airport Board has implemented an electronic fingerprinting Criminal History Records Check (CHRC), which includes this application process and issuance of access badges for individuals whose work requires access to secured areas of DFW Airport. Information provided on this application, including individual social security numbers, will be used by the Airport Board and the Department of Homeland Security Transportation Security Administration (TSA) in accordance with applicable laws to enable the Airport Board and TSA to implement these Federal requirements and the fingerprint CHRC results may also be shared with CBP officials in order to authorize access to areas of DFW Airport controlled by CBP. Social Security numbers may be used for identification of applicants, sorting and tracking of badges, verification of information and identity and, in the event of misuse of any badge or other privilege connected with this application, for law enforcement or security purposes. Disclosure of an applicant’s social security number is mandatory and failure to do so will result in denial of badging privileges.

By my signature I certify: that I am authorized to approve this application; that the above named employer is required to have employees with unescorted access to secure and/or sterile areas of the Dallas/Fort Worth International Airport. I have personal knowledge of the employer and the employer’s need to have employees’ access secure and/or sterile areas of the Airport. I authorize the issuance of an Airport Access Badge as indicated: (check one badge color; check expiration date; and add Access Matrix Number(s) if applicable). This application expires within 30 days from the date of my signature. The information I have provided is true, complete, and correct to the best of my knowledge and belief and is provided in good faith. I understand that a knowing and willful false statement can be punished by fine or imprisonment or both. (See Section 1001 of Title 18 of the United States Code at http://uscode.house.gov/search/criteria.shtml).

Please print the full legal name of the Sponsoring Authority below.

First Name

 

Middle Name or Initial

 

 

Last Name

 

 

 

 

 

 

 

 

 

 

 

 

/

/

 

 

 

 

 

 

 

 

 

 

Sponsoring Authority’s Signature

 

 

 

 

 

Date of Sponsoring Authority’s Signature

Please print the contact information of the Sponsoring Authority below.

 

 

 

 

 

Business Phone:

(

)

-

Fax:

(

)

-

Cell:

(

)

-

 

 

 

 

 

 

Sponsoring Authority’s Sponsor Code:

 

 

Sponsoring Authority’s Company Code:

 

 

DPS ACO-1 (05/12)

DFW Airport Identification/Access Badge Application

Page 8 of 9

For Access Control Office Use Only

Applicant Last Name:

 

 

First Name:

 

Middle Name:

 

 

 

 

 

 

Applicant Social Security No.:

-

-

Date of Birth:

/

/

 

 

 

 

 

 

Name of Employer:

 

 

Dept./Branch (if applicable):

 

 

 

 

 

 

 

 

Trusted Agent who determined the applicant’s identity, employment authorization and who authorized the issuance of the badge:

Copied proof of identity and employment authorization documents and attached to application

IRMS Receipt Number:

Receipt Date:

/

/

 

1st Issuance

 

 

 

 

Renew within 30 days from expiration

Exp. Date of Badge:

/

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Badge Number:

Renew not within 30 days from expiration Exp. Date of Badge:

/

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Badge Number:

Replace Lost/Stolen 1st Occurrence

Replace Lost/Stolen 2nd Occurrence

Replace Lost/Stolen 3rd Occurrence

A copy of a Police Report listing the badge as stolen property is attached

 

 

 

 

Replace Damaged/Destroyed while working (no charge)

 

Replace Damaged/Destroyed by badge holder (fee collected)

Replace to change level of access (SIDA to Non-SIDA, Non-SIDA to SIDA, etc.), company name, personal name

Documents Presented from List A:

U.S. Passport or US Passport Card

Permanent Resident Card or Alien Registration Card (Form I-551)

Foreign passport that contains a temporary I-551 stamp

Employment Authorization Document (Form I-766)

Foreign passport with photograph and Form I-94 or Form I-94A

Passport from the Federated States of Micronesia or the Republic of the Marshall Islands with Form I-94 or Form I-94A

Documents Presented from List B (Must also have a document from List C):

Driver’s license or State ID card

ID card with photograph issued by federal, state or local government agencies or entities (ex. unexpired DFW badge)

School ID card with photograph

US Military or Military’s dependent card with photograph

Documents Presented from List C (Must also have a document from List B):

Social Security Card (other than a card stating it is not authorization for employment in the US)

Certification of Birth Abroad issued by the Department of State (Form FS-545)

Certification of Report of Birth issued by the Department of State (Form DS-1350)

Original or certified copy of a birth certificate issued by a US state, county, municipal authority or territory

Native American tribal document

U.S. Citizen ID Card (Form I-197)

ID Card for Use of Resident Citizen in the United States (Form i-179)

Employment authorization document issued by DHS (other than the EAD under List A)

Documents to Validate Current Street Address:

Driver’s license or State ID card

Credit card statement, bill, lease agreement

Other – Please specify

Trusted Agent who captured the applicant’s fingerprints:

SIDA Training Pocket Guide and Ramp Safety Pocket Guide given to applicant

DPS ACO-1 (05/12)

DFW Airport Identification/Access Badge Application

Page 9 of 9

For Access Control Office Use Only

 

Applicant Last Name:

 

 

First Name:

 

 

Middle Name:

 

 

 

 

 

 

 

 

 

 

 

Applicant Social Security No.:

-

-

 

Date of Birth:

/

/

 

 

 

 

 

 

 

 

 

 

 

Name of Employer:

 

 

 

Dept./Branch (if applicable):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Trusted Agent who verified applicant is ready for badge issuance:

 

 

 

 

 

Fingerprint Date :

/

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CHRC Case Number:

 

 

 

 

 

CHRC Cleared

 

Date of CHRC Clearance:

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/

 

 

 

 

STA Approved

 

Date of STA Approval:

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/

 

 

 

 

Email notification sent

 

Date Email Sent to Employer:

/

/

 

 

 

Trusted Agent who administered SIDA Training and Ramp Safety Training:

IRMS Receipt Number 1st Day:

Date of Receipt:

/

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IRMS Receipt Number 2nd Day:

Date of Receipt:

/

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IRMS Receipt Number 3rd Day:

Date of Receipt:

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Date SIDA Training successfully completed:

/

/

 

 

Date Ramp Safety Training completed:

 

/

/

 

 

Trusted Agent who issued the badge:

 

 

 

 

 

IRMS Receipt Number:

 

 

Receipt Date:

/

/

 

 

 

 

 

 

 

Badge Issue Date:

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/

 

 

 

 

 

 

 

 

 

 

 

Badge Expiration Date:

/

 

/

 

 

 

 

 

 

 

 

 

 

Badge Color:

 

 

 

 

 

 

 

 

 

 

 

 

 

Badge Number:

 

 

 

 

 

 

For ACO Supervisory Use Only

Application Voided

Date Voided:

/

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Reason Voided:

 

 

 

 

 

Supervisor’s Initials:

 

 

DPS ACO-1 (05/12)

Document Specifications

Fact Name Details
Form Title DFW Airport Identification/Access Badge Application
Page Count The application consists of 9 pages.
Applicant Information Applicants must provide full legal name, social security number, and date of birth.
Badge Types Options include new applicant, renewal, second badge with another employer, or replacement for a lost badge.
Employer Details Applicants must indicate their name of employer and department/branch if applicable.
Aliases Applicants must provide any previous names used. Nicknames are not considered aliases.
Criminal Background Check Fingerprint-based checks are required for individuals seeking unescorted access.
Disqualifying Offenses There are 28 specific criminal offenses that can disqualify individuals from receiving a badge.
Privacy Act Notice Authority for collecting information comes from 49 U.S.C. 114 and 49 U.S.C. 44936.
Training Requirements Applicants must complete training and pass assessments to receive a SIDA badge.

Steps to Filling Out Dfw Aco

Filling out the DFW Airport Identification/Access Badge Application form is an important step in obtaining access to secured areas of the airport. Accurately providing all required information will facilitate a smooth processing of your application, so attention to detail is crucial.

  1. Begin by writing your last name, first name, and middle name at the top of each page.
  2. Fill in your Social Security Number and Date of Birth.
  3. Complete your name of employer and, if necessary, department or branch.
  4. Select your application type: new, renewal, replacement, or 2nd badge with 2nd employer.
  5. If applicable, indicate whether you hold another DFW badge with a different employer and provide that employer's name.
  6. List any previous names used (aliases) along with first, last, and middle names, if applicable.
  7. Specify your gender, race, eye color, hair color, height, and weight.
  8. Provide your job title and employee number.
  9. Fill in your driver’s license or state ID number, state, and expiration date.
  10. List your current mailing address and current street address. Ensure both addresses are accurate and include any necessary apartment or suite numbers.
  11. Enter your daytime, business, home, and cell phone numbers, along with your personal and business email addresses.
  12. Provide your country of birth and, if born in the U.S. or Mexico, your state of birth.
  13. Fill in your country of citizenship.
  14. If applicable, indicate if you are a Law Enforcement Officer or Federal employee and provide necessary details.
  15. Complete sections related to your US Passport or other citizenship-related documentation.
  16. Answer the questions regarding disqualifying criminal offenses; ensure to read the list carefully.
  17. Sign the application confirming the truthfulness of the information provided and acknowledging criminal history checks.
  18. Print your name and include your date of birth and Social Security Number at the end of the form.
  19. Finally, sign and date the application form.

More About Dfw Aco

What is the DFW ACO form?

The DFW ACO form is an application used to apply for a DFW Airport Identification/Access Badge. This badge allows individuals access to secured areas within the airport, including sterile areas and Security Identification Display Areas (SIDA). The application gathers essential personal information, including employment details and citizenship status.

Who needs to complete the DFW ACO form?

This form must be completed by anyone seeking to obtain a DFW Airport Identification/Access Badge. This includes new applicants, those renewing their badges, individuals applying for a second badge, or those needing to replace a lost or stolen badge.

What personal information is required on the form?

Applicants must provide their full legal name, social security number, date of birth, and current mailing and street addresses. Additional details such as gender, race, eye and hair color, height, weight, job title, and employer information are also needed. Furthermore, applicants must share their country and state of birth, as well as their country of citizenship.

What happens if an applicant has a criminal record?

Individuals seeking unescorted access authority must pass a fingerprint-based criminal history records check. There are specific disqualifying offense criteria outlined by federal regulations. If an applicant has a disqualifying offense, they may be denied access to the ID badge.

Are there training requirements for badge holders?

Yes, badge applicants, particularly those requiring a SIDA badge, must successfully complete DFW SIDA Training and Ramp Safety Training. This includes passing assessments with a score of 100%. Applicants may have three attempts to pass the training within thirty days of approval. Failure to pass may require starting the application process from the beginning.

What should an applicant do if they have used other names?

If an applicant has used other legal names or aliases in the past, they must provide those names on the application. It is important to note that nicknames do not qualify as aliases and should not be included.

What privacy protections are in place for applicant information?

The DFW ACO form collects personal information under applicable laws to ensure the security of the airport. The information gathered will be used for identity verification and to conduct security threat assessments. Although disclosing certain information, including the Social Security Number, is mandatory, it is protected by privacy regulations.

What are the rules for using Employee Portals?

Employee Portals are exclusively for SIDA badge holders and are monitored for security. Unauthorized access is prohibited. Certain items that are not allowed through TSA checkpoints are also restricted at Employee Portals, including tools and prohibited goods. Failure to comply with these rules may result in penalties, including badge suspension or revocation.

How can individuals contact for more information about their application?

Individuals can contact the Airport Security Coordinator for any questions related to their application or the results of their criminal history records check. It is advisable to send written requests for specific information regarding criminal records, if needed.

Common mistakes

  1. Incorrectly Entering Personal Information: Many applicants fail to provide their full legal name on every page of the application. Omitting the middle name or using nicknames can lead to delays.

  2. Skimming Over the Alias Section: Some applicants don’t list previous names used. If other names exist, they must be included. Failing to do so can cause issues in processing.

  3. Missing Social Security Number: Not providing a Social Security Number or entering it incorrectly often results in application denial. This number is vital for identification.

  4. Improper Address Details: Applicants frequently forget to fill in the current mailing and street addresses completely. All address fields must be accurate for communication.

  5. Ignoring Citizenship Requirements: Some applicants overlook the need to provide their country and state of birth if born in the U.S. or Mexico. This can lead to misrepresentation.

  6. Not Understanding Alias Definitions: It’s important to note that nicknames don't count as aliases. Some applicants mistakenly include them, which complicates their application.

  7. Missing Signature and Date: A big error is neglecting to sign or date the application. Without a signature, the application cannot proceed.

  8. Ignoring Training Requirements: Applicants often forget to read and understand the security training notice and portal rules. This may lead to unnecessary reapplication and delays.

Documents used along the form

The DFW Airport Identification/Access Badge Application is often accompanied by other important documents that support the application process. Here are five commonly used forms and documents, each serving a specific purpose in verifying identity and eligibility for access to secured areas.

  • Background Check Consent Form: This document grants permission to conduct a background check on the applicant. It typically includes details about the scope of the check and may require the applicant’s signature confirming their consent.
  • Verification of Employment Form: Employers complete this form to confirm that the applicant is an employee and eligible for the requested access. It includes details such as the applicant's job title, duration of employment, and reason for accessing secure areas.
  • Social Security Administration (SSA) Certification: This certification allows the SSA to confirm the accuracy of the applicant’s Social Security Number and ensures compliance with security regulations related to identity verification.
  • Security Threat Assessment Form: This form assesses potential risks associated with granting access to secured areas. It may ask questions about the applicant’s criminal history or other security-related concerns that could affect their eligibility.
  • SIDA Training Completion Certificate: Applicants must successfully complete training related to the Security Identification Display Area (SIDA). This certificate proves that they have received all necessary training and understand safety protocols required for access.

These documents work together to facilitate a thorough review process for individuals seeking access to sensitive areas of DFW Airport. Proper completion and submission of each form ensure compliance with necessary regulations and security measures.

Similar forms

The DFW Airport Identification/Access Badge Application shares similarities with the Federal Aviation Administration (FAA) Security Identification Display Area (SIDA) Badge Application. Both forms are used by individuals seeking access to secure areas of an airport. They require personal information, including full legal names, date of birth, and Social Security numbers to verify the identity of applicants. Each form also includes a section regarding felony history to ensure that individuals with disqualifying offenses are not granted access, underscoring the need for security in sensitive areas.

The Transportation Security Administration (TSA) Transportation Worker Identification Credential (TWIC) application is another document akin to the DFW ACO form. Similar to the DFW application, the TWIC application aims to identify individuals seeking unescorted access to secure areas. Both applications collect detailed biographical data to assess an applicant’s trustworthiness. Furthermore, they require a criminal background check as part of the security threat assessment process.

The Customs and Border Protection (CBP) Trusted Traveler Program application functions similarly. This document also collects extensive personal information, including citizenship details and criminal history, to determine eligibility for expedited travel benefits. Applicants undergo background checks, making the process comparable to that of obtaining a DFW Airport badge. The focus on securing sensitive areas through thorough vetting aligns both applications to a common goal of enhancing airport and border security.

The U.S. Department of Homeland Security's (DHS) Employment Eligibility Verification Form I-9 bears some resemblance as well. While the I-9 form focuses on employment eligibility, it also collects personal data such as name, date of birth, and social security number. Both forms highlight the importance of verifying identity and background, thus acting as a first step in securing access to sensitive environments like airports.

The application for a Non-Revocable Security (NRS) badge is another relevant counterpart. Like the DFW Airport form, this application requires an in-depth background check and personal details from the applicant. Both documents serve to certify that individuals seeking access to secure areas do not have any disqualifying criminal offenses, reinforcing security measures at critical facilities.

The State Identification Card application parallels the DFW ACO form in its need for personal information and verification of identity. Both documents demand applicants to provide a photo ID and undergo a similar validation process to ensure that there is no false representation. By collecting similar data points, both processes establish the authenticity of the applicant.

The FBI Criminal Background Check Request form is another document with shared elements. Though it serves a different purpose, it operates similarly through the collection of personal data and the need for comprehensive background checks. Both processes are vital for accessing restricted areas and ensuring public safety by screening individuals for any criminal history.

Individuals applying for a U.S. Passport engage in a process akin to the DFW ACO form as well. Like the identification application, the passport application necessitates detailed personal information, including full legal names and Social Security numbers. Both processes fundamentally revolve around verifying the identity of the applicant, particularly concerning security-related access.

The Department of Veterans Affairs (VA) identification card application also exhibits similarities. This application includes sections for applicants to provide personal details and undergo background checks. The emphasis on security and proper identification aligns it closely with the DFW ACO form, as both processes are focused on controlling access to secure locations.

Finally, the application for a Concealed Carry Permit resembles the DFW ACO form in that it includes requirements for personal information and background checks. Both applications ensure that individuals granted rights to access certain areas or carry firearms do not have disqualifying criminal records. This shared objective illustrates their alignment in prioritizing safety and security.

Dos and Don'ts

When completing the DFW Airport Identification/Access Badge Application, it is important to follow guidelines to ensure accuracy and compliance. Below are some recommendations on what you should and should not do during this process.

  • Provide your full legal name at the top of every page, including last, first, and middle names.
  • Complete all required fields, such as social security number, date of birth, and address.
  • Use your legal names only; avoid nicknames and ensure all aliases are included if applicable.
  • Check for disqualifying offenses and be honest about your criminal history.
  • Submit accurate contact information, including day, business, home, and cell phone numbers.
  • Bring supporting documents to verify identity, including identification and proof of current address.
  • Read all instructions carefully regarding the training requirements and policies you must agree to.
  • Sign and date the application to confirm that all provided information is correct.
  • Do not leave any required fields blank. This might lead to processing delays.
  • Do not provide false or misleading information, as this can result in criminal penalties.
  • Do not forget to include your social security number. Omitting it can result in denied access.
  • Do not attempt to submit the application if you have a disqualifying criminal offense. This is mandatory for eligibility.
  • Do not provide copies of documents unless specifically required; original documents are usually necessary.
  • Do not disregard the privacy notice—understand how your information will be used.
  • Do not attempt to submit the application without being fully informed of all guidelines.
  • Do not engage in misinformation regarding your employment or identification status.

By adhering to these guidelines, applicants can ensure a smoother and more efficient process in obtaining their DFW Airport Identification/Access Badge.

Misconceptions

Misconceptions about the DFW ACO Form can lead to confusion and errors during the application process. Here are four common misconceptions along with clarifications:

  • Misconception 1: "I don’t have to provide other names I’ve used."
  • All applicants must disclose any previous names, including aliases. Nicknames are not considered aliases and should not be included. Failing to provide this information can delay the application process.

  • Misconception 2: "My Social Security Number is optional."
  • In reality, providing your Social Security Number (SSN) is mandatory. Without it, the application cannot be processed. It is used to verify your identity and perform the required background checks.

  • Misconception 3: "Criminal history checks only apply to certain applicants."
  • All applicants seeking unescorted access must undergo a fingerprint-based criminal history records check. Any disqualifying offenses will prevent badge issuance.

  • Misconception 4: "I can skip training if I am a returning applicant."
  • Returning applicants must still complete the DFW SIDA Training and Ramp Safety training. There is no exemption for prior badge holders; passing is required to receive a new badge.

Key takeaways

1. Provide your full legal name at the top of every page of the DFW ACO form.

2. Indicate whether you are a new applicant, renewing, or replacing a badge, ensuring accuracy in your selection.

3. If you hold another DFW badge, declare it and provide your other employer's name.

4. List any previous names used, excluding nicknames. This includes any alias names that may be needed for verification.

5. Include accurate personal details such as gender, race, eye color, hair color, height, and weight.

6. Enter the proper mailing and street addresses. You'll need to provide proof of your address by presenting a document containing your name and the specified address.

7. Make sure to provide multiple contact numbers, including daytime and cellular, and a personal business email address.

8. Understand that if you have disqualifying criminal offenses, your application may be denied. Familiarize yourself with the list of offenses included in the form.

9. Complete the required security training thoroughly and ensure to pass assessments with a perfect score before a SIDA badge will be issued.