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MSP AIRPORT SECURITY BADGE APPLICATION

REVISED July 2019 Two (2) IDs from the MSP AIRPORT BADGE Identification Requirements list must be presented with this form - One must be a photo ID The requested information and your fingerprints are being collected to determine your ability to obtain and have a MAC-Issued Identification BADGE (MSP SECURITY BADGE or BADGE ) for work at the MSP AIRPORT . The information will be used to determine if you have any convictions or pending charges for a crime which will disqualify you under 49 CFR or MAC Ordinance No. 117; or, if you pose a SECURITY risk to aviation transportation .

I authorize the Social Security Administration to release my ocial Number and full name to the Transportation Security dministration, Intelligence and Analysis (IA), Attention: Aviation Programs (TSA-10 )/Aviation Worker Program, 601 South 12th Street, Arlington, VA 20598. I am the individual to whom the information applies and

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