Homepage Fill Out Your Dfw Aco Form
Article Structure

The DFW Airport Identification/Access Badge Application, commonly referred to as the DFW ACO form, is an essential document for individuals seeking access to secured areas of the Dallas/Fort Worth International Airport. This multi-page application requires applicants to submit a wide array of personal information that includes their full legal name, social security number, date of birth, and relevant employment details. It also addresses critical questions regarding previous aliases and potential other employment that might grant holders access to the airport’s restricted areas. Additionally, the form incorporates a privacy notice underscoring the importance of data protection and the lawful use of the information gathered. Notably, the application includes sections dedicated to verifying citizenship status, the provision of identification documents, and details surrounding any criminal history that may disqualify an individual from obtaining airport access. By carefully guiding applicants through these requirements, the DFW ACO form plays a crucial role in ensuring both security and compliance within the airport's operational framework.

Dfw Aco Example

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:

/

/

Badge Number:

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

/

/

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 :

/

/

CHRC Case Number:

 

 

 

 

 

CHRC Cleared

 

Date of CHRC Clearance:

/

/

 

 

 

 

STA Approved

 

Date of STA Approval:

/

/

 

 

 

 

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:

/

/

IRMS Receipt Number 2nd Day:

Date of Receipt:

/

/

IRMS Receipt Number 3rd Day:

Date of Receipt:

/

/

Date SIDA Training successfully completed:

/

/

 

 

Date Ramp Safety Training completed:

 

/

/

 

 

Trusted Agent who issued the badge:

 

 

 

 

 

IRMS Receipt Number:

 

 

Receipt Date:

/

/

 

 

 

 

 

 

 

Badge Issue Date:

/

/

 

 

 

 

 

 

 

 

 

 

 

Badge Expiration Date:

/

 

/

 

 

 

 

 

 

 

 

 

 

Badge Color:

 

 

 

 

 

 

 

 

 

 

 

 

 

Badge Number:

 

 

 

 

 

 

For ACO Supervisory Use Only

Application Voided

Date Voided:

/

/

Reason Voided:

 

 

 

 

 

Supervisor’s Initials:

 

 

DPS ACO-1 (05/12)

Form Characteristics

Fact Name Description
Purpose The DFW Airport Identification/Access Badge application is primarily used to verify identity and assess eligibility for access to secure areas of the airport.
Applicant Information Applicants must provide their full legal name, Social Security number, date of birth, and current mailing and street addresses.
Criminal History Check Applicants are subject to a fingerprint-based criminal history check, which must not reveal disqualifying criminal offenses as outlined in federal regulations.
Privacy Act Authority The authority for collecting applicant information is governed by 49 U.S.C. 114 and 49 U.S.C. 44936.
Training Requirement Applicants for SIDA badges must complete and pass both DFW SIDA Training and Ramp Safety training to obtain their badge.
Disqualifying Offenses There are 28 disqualifying offenses that may prevent badge issuance, including severe crimes like murder, espionage, or terrorist activities.
Regulatory Compliance Applicants are required to comply with both federal and local laws, and violations may lead to suspension or revocation of access privileges.

Guidelines on Utilizing Dfw Aco

When preparing to fill out the DFW Airport Identification/Access Badge Application, it's essential to gather all necessary documents and information beforehand. This will help streamline the process and ensure accuracy in your submission. The following steps provide a clear and straightforward approach to successfully completing the form.

  1. Begin by writing your full legal name (last, first, middle) at the top of each page of the application.
  2. Enter your Social Security Number in the designated field, ensuring that it is accurate.
  3. Fill in your Date of Birth, making sure to use the format MM/DD/YYYY.
  4. Provide the name of your employer and any relevant department or branch.
  5. Select one of the following options: New badge applicant, Renewal badge applicant, Applicant for 2nd badge with 2nd employer, or Replacement badge applicant. Check Yes or No if you hold another DFW badge with a different employer.
  6. List any aliases you have used previously. If applicable, provide last name, first name, and middle name for each.
  7. Complete the sections for personal information, including gender, race, eye color, hair color, height, and weight.
  8. Provide your job title and employee number assigned by your company.
  9. Fill out your driver’s license or state ID number, the issuing state, and the expiration date.
  10. Include your current mailing address, ensuring to fill out the apartment/suite number, city, state, and zip code.
  11. Provide your current street address in a similar format, including all necessary details.
  12. Enter the daytime phone number where you can be reached, along with your business, home, and cell phone numbers.
  13. Input your personal email address and business email address if applicable.
  14. State your country of birth and, if born in the US or Mexico, include your state of birth.
  15. Indicate your country of citizenship.
  16. If applicable, answer whether you are a Law Enforcement Officer or Federal employee and provide the necessary documentation as outlined.
  17. Detail any criminal history that may impact your application according to the guidelines provided in the form.
  18. Sign and date the application, certifying that all information is true and complete, and understanding the privacy laws associated with this application.

What You Should Know About This Form

What is the DFW ACO form and why do I need to fill it out?

The DFW ACO form is the DFW Airport Identification/Access Badge Application. It is a crucial document for anyone seeking to gain access to secured areas of DFW Airport. Completing this form is required for new badge applications, renewals, or replacements for lost or stolen badges. Providing accurate information ensures that the appropriate security checks can be conducted, which include background checks crucial for maintaining safety and security at the airport.

What information is required on the DFW ACO form?

The DFW ACO form requires a variety of personal information, including your full legal name, social security number, date of birth, mailing address, and contact numbers. Additionally, you must provide details about your employer, job title, and any other names you may have used previously. If you were born outside the United States, you will need to disclose your country of citizenship and residency information. Ensure that all sections are filled out completely and accurately to avoid delays in processing your application.

What happens if I do not disclose a disqualifying criminal offense?

It's essential to disclose any disqualifying criminal offenses as specified in the application. Failing to do so can lead to serious consequences, including denial of badging privileges, and may also result in legal repercussions. If it is discovered that a false statement was made or a disqualifying offense was not reported, you risk suspension or revocation of your access privileges to DFW Airport. This underscores the importance of being honest and forthcoming in your application.

What is the process after I submit the DFW ACO form?

Upon submission of the DFW ACO form, your application will undergo a thorough review. This includes a fingerprint-based criminal history record check and a security threat assessment. You will be required to complete additional training related to airport security before receiving your badge. Only after successfully passing these screenings and training will you be granted access to secure areas of the airport. It's crucial to adhere to the guidelines and deadlines provided after submission to ensure a smooth process.

How do I update my information if it changes after submitting the DFW ACO form?

If your information changes after you have submitted the DFW ACO form, such as a change in employment, address, or legal name, you must notify the Airport Security Coordinator as soon as possible. This is important for maintaining accurate records and ensuring that you remain compliant with security regulations. Failing to update your information could impact your access privileges at DFW Airport.

Common mistakes

Completing the DFW Airport Identification/Access Badge Application is essential for accessing secure areas of the airport. However, mistakes can happen that may delay the application process. Here are six common errors to avoid.

Firstly, applicants often neglect to provide their full legal names consistently throughout the form. It is crucial to include your last name, first name, and middle name at the top of every page. Incomplete or inconsistent naming can lead to processing issues, causing unnecessary delays.

Another frequent mistake involves the misuse of the Alias section. If you have previously used other names, it is vital to list them correctly. However, many individuals confuse nicknames with aliases. Remember, only legal names used in the past should be included.

Providing an incorrect or outdated mailing address is a common error that can prevent important communication from being received. Ensure that you enter your current mailing address, including the apartment or suite number if applicable. Double-check it for accuracy before submission.

Furthermore, applicants sometimes overlook the need to fill out the telephone contact information. A valid daytime phone number is required so the processing team can reach you if necessary. Providing multiple contact numbers may also be beneficial, allowing for better communication.

Another area where mistakes often occur is in the identification numbers section. Whether it’s your Social Security Number, driver’s license, or passport number, these must be accurate and up-to-date. A small error here can result in significant complications down the line.

Finally, failing to read and understand the privacy and security requirements can lead to unintentional mistakes. Applicants must be aware of the disqualifying criminal offenses and ensure they certify their conditions accurately. Misrepresenting oneself or neglecting to disclose relevant information may result in denial of the application.

By taking the time to carefully review each section and ensuring that all required information is accurate and complete, applicants can greatly reduce the risk of errors. This will facilitate a smoother and more efficient application process for anyone seeking a DFW Airport Identification/Access badge.

Documents used along the form

The DFW Airport Identification/Access Badge Application serves as a crucial step for anyone seeking access to secure areas within the airport. Alongside this form, several other documents are often required to ensure safety and compliance with federal regulations. Here's a closer look at these specific documents:

  • Social Security Card: This confirms the applicant's Social Security Number (SSN), which is essential for identity verification and background checks.
  • Proof of Citizenship: Documents such as a birth certificate, passport, or naturalization certificate may be required to establish citizenship status.
  • Government-Issued ID: A driver’s license or state identification card is typically needed to confirm the applicant's identity and residency.
  • Employer Verification Letter: This letter from an employer confirms the applicant's employment and is necessary for processing the badge application.
  • Criminal History Record Check (CHRC): This document verifies whether the applicant has any disqualifying criminal offenses as indicated by federal regulations.
  • Security Threat Assessment (STA): A record of the applicant's security threat assessment, used to evaluate their eligibility for unescorted access to secure areas.
  • Training Completion Certificate: A certificate confirming that the applicant has completed necessary training, such as DFW SIDA Training or Ramp Safety training.
  • Employee Handbook Acknowledgment: This form indicates that the applicant has read and understood security protocols and policies provided by their employer.
  • Medical Clearance Documentation: Sometimes required for positions that involve physical demands or if there's a potential for exposure to hazardous materials.
  • Non-immigrant Visa documentation: For non-U.S. citizens, a valid visa may be required to prove their authorized presence in the country and eligibility for access.

Collecting these documents can help streamline the badge application process and ensure compliance with airport regulations. Each document serves a unique purpose, reinforcing security measures at DFW Airport while facilitating safe access for eligible personnel.

Similar forms

The DFW Airport Identification/Access Badge Application shares similarities with various legal forms used in employment and identification contexts. Here are nine documents that are related and how they are alike:

  • I-9 Employment Eligibility Verification: Like the DFW ACO form, this document is designed to verify an individual's identity and eligibility to work in the United States, requiring personal information and identification documents.
  • Driver's License Application: Similar in function, this application collects personal details and verifies identity through documentation, serving as an official identification for driving purposes.
  • Passport Application: This application form also requests detailed personal information to authenticate an applicant's identity, along with proof of citizenship, much like the DFW ACO form for airport access.
  • Background Check Authorization Form: This form is used to authorize a background check, similar to the DFW ACO form’s requirement for a criminal history records check to ensure safety and security.
  • Security Clearance Application: Similar to the DFW ACO form, this application also requires meticulous personal information and undergoes a thorough vetting process to assess suitability for access to secure areas.
  • Employment Application: This often requires personal identification data and background information, comparable to the DFW ACO form in terms of gathering necessary applicant details for evaluation.
  • Non-Immigrant Visa Application: This document necessitates comprehensive information about the applicant’s identity, similar to the DFW ACO form, especially regarding their citizenship and residency status.
  • Form DS-1350 Certification of Report of Birth Abroad: This form, like the DFW ACO, verifies identity and nationality; it is often required for those born outside the U.S. but claiming U.S. citizenship.
  • Alien Registration Application (Form I-485): This document is similar as it collects detailed biographical information and undergoes a review process by U.S. immigration authorities, similar to the access application reviewed by the airport authority.

Dos and Don'ts

When filling out the DFW Airport Identification/Access Badge Application form, it's crucial to follow certain guidelines to ensure your application is processed smoothly. Below is a list of things you should and shouldn't do.

  • Provide your full legal name: Include your last name, first name, and middle name at the top of each page.
  • Fill in all required fields: Ensure you accurately complete all mandatory sections, including your Social Security Number and date of birth.
  • Use current information: Make sure that the mailing address, phone numbers, and email addresses you provide are current.
  • Complete any additional name requirements: List any other names you have used, excluding nicknames. Failure to do so could delay your application.
  • Do not provide false information: Ensure that all information is truthful and accurate, as false statements may lead to penalties.
  • Avoid leaving required sections blank: Omitting information, especially in required fields, can result in application denial.
  • Do not skip the background check disclosure: Be honest about any disqualifying criminal offenses.
  • Refrain from procrastinating: Submit your form as soon as possible to avoid delays in processing your application.

By adhering to these guidelines, you can help ensure that your application for access to DFW Airport is processed efficiently.

Misconceptions

  • Misconception 1: The DFW ACO form is only for new badge applicants.
  • This is incorrect. The form accommodates multiple scenarios including renewals and replacements for lost or stolen badges.

  • Misconception 2: Providing a nickname suffices instead of legal names.
  • This is false. The form requires the full legal name, and nicknames are not accepted.

  • Misconception 3: No need to disclose previous names if not frequently used.
  • While it may seem trivial, any previously used names must be disclosed, even if infrequently used.

  • Misconception 4: Only criminal records from within the last year matter.
  • This is misleading. The application looks at any disqualifying offenses in the individual's history, irrespective of when they occurred.

  • Misconception 5: All types of identification are acceptable for the application.
  • This is incorrect. Specific documents with the applicant’s name and address must accompany the application process.

  • Misconception 6: Passing the training courses on the first try guarantees badge issuance.
  • Submitting a successful application does not guarantee badge issuance, as other qualifications must be met.

  • Misconception 7: Sharing personal information, including the Social Security Number (SSN), is optional.
  • This is false. Providing an SSN is mandatory to complete the application process.

  • Misconception 8: Applicants can receive help during training assessments.
  • This is misleading. Applicants must complete training assessments independently with no outside assistance allowed.

Key takeaways

When filling out the DFW Airport Identification/Access Badge Application form, keep these key points in mind:

  • Full Name Requirement: Always provide your complete legal name, including last, first, and middle names, at the top of every page.
  • Social Security Number: Your Social Security number is crucial for identification and processing.
  • Previous Aliases: If you have used other names, list them. However, nicknames do not count as aliases.
  • Correct Addresses: Provide both your current mailing address and street address, along with supporting documents for verification.
  • Dates and Expiration: Pay attention to dates, especially those related to identification documents like licenses and passports.
  • Criminal History: Be mindful that certain disqualifying offenses can prevent badge approval. There are 28 specific crimes listed.
  • Training Requirements: Applicants for SIDA badges must complete necessary training and pass assessments before receiving their badges.
  • Privacy Notice: Understand how your information will be used and shared during the application process.
  • Submission Confirmation: Review your application thoroughly to ensure all details are correct before submitting.