ATL Customs Seal Application - Under Construction

Personal Information
Legal Name
Other Names Used (Include ALL Previous Names including Maiden, Nicknames or Aliases)
Alias 1
Alias 2
Alias 3
Contact Information
Driver's License / Passport Information
Citizenship Information
Are you a U.S. Citizen?
U.S. Citizen Born Abroad
Not a U.S. Citizen
A
Disqualifying Criminal Offenses

Have you been convicted or found not guilty by reason of insanity of any of the disqualifying crimes listed below during the previous ten years?
You must check the “YES” box for each disqualifying offense. If you answer “YES” to any of the following, you may be ineligible to pass the Criminal History Records Check and will be required to provide additional information for further processing of your application. Additionally, you may be disqualified for any other crime classified as a felony that the TSA Administrator determines indicates a propensity for placing contraband aboard an aircraft in return for money.

1. Forgery of certificates, false marking of aircraft, and other aircraft registration violation (49 U.S.C. 46306)
2. Inteference with air navigation (49 U.S.C. 46308)
3. Improper transportation of a hazardous material (49 U.S.C. 46312)
4. Aircraft piracy (49 U.S.C. 46502)
5. Interference with flight crewmembers or flight attendants (49 U.S.C. 46504)
6. Commission of certain crimes aboard aircraft in flight (49 U.S.C. 46506)
7. Carrying a weapon or explosive aboard aircraft (49 U.S.C. 46505)
8. Conveying false information and threats (49 U.S.C. 46507)
9. Aircraft piracy outside the special aircraft jurisdiction of the United States (49 U.S.C. 46502(b))
10. Lighting violations involving transporting controlled substances (49 U.S.C. 46315)
11. Unlawful entry into an aircraft or airport area that serves air carriers or foreign air carriers contrary to established security requirements (49 U.S.C. 46314)
12. Destruction of an aircraft or aircraft facility (18 U.S.C. 32)
13. Murder
14. Assault with the 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. Misdemeanor and felony weapon convictions
22. Armed or felony unarmed robbery
23. Extortion
24. Distribution of, or intent to distribute, a controlled substance
25. Felony arson
26. Felony involving a threat
27. Felony involving willful destruction of property
28. Felony involving importation or manufacture of a controlled substance
29. Felony involving burglary
30. Felony involving theft
31. Felony involving dishonesty, fraud, or misrepresentation
32. Felony involving possession or distribution of stolen property;
33. Felony involving aggravated assault
34. Felony involving bribery
35. Felony involving illegal possession of a controlled substance punishable by a maximum term of imprisonment of more than 1 year.
36. Violence at international airports (18 U.S.C. 37)
37. Conspiracy or attempt to commit any of the criminal acts listed above