Pre-TSA Assist

Service Type

Select Service

Applicant's Basic Information

Gender

Male

Female

First Name

Middle Name (Optional)

Last Name

Suffix (Optional)

Have you used a maiden or different name before?

No

Yes

Previous First Name

Previous Middle Name (Optional)

Previous Last Name

Previous Suffix (Optional)

Have you ever used an alias for your name before?

No

Yes

Alias First Name

Alias Middle Name (Optional)

Alias Last Name

Alias Suffix (Optional)

Eye Color

Hair Color

Height

Weight (lbs.)

Applicant's Birth Information

Country of Birth

City of Birth

Date of Birth

Applicant's Citizenship Information

Are you a US citizen, US National or Lawful Permanent Resident?

Yes

No

Country of Citizenship

Address

Country

Address Line 1

Address Line 2 (Apartment, Unit, Suite, Etc.)

City

Zip Code

Is your mailing address the same as your residential address?

Yes

No

Residential Country

Residential Address Line 1

Residential Address Line 2 (Apartment, Unit, Suite, Etc.)

Residential City

Residential Zip Code

Have you lived at your current address for more than 5 years?

Yes

No

Previous Country

Previous Address Line 1

Previous Address Line 2 (Apartment, Unit, Suite, Etc.)

Previous City

Previous Zip Code

Criminal History

Excluding juvenile cases unless convicted as an adult, have you been convicted, pled guilty including "no contest", or found not guilty by reason of insanity, of any disqualifying felony listed in TSA Eligibility Requirements, Part A, in any jurisdiction, military or civilian?

No

Yes

Excluding juvenile cases unless convicted as an adult, have you been convicted, pled guilty including "no contest", or found not guilty by reason of insanity, of any disqualifying felony listed in TSA Eligibility Requirements, Part B, in any jurisdiction, military or civilian, during the 7 years before the date of this application?

No

Yes

Have you been released from incarceration in any jurisdiction, military or civilian, for committing any disqualifying felony listed in TSA Eligibility Requirements, Part B, during the 5 years before the date of this application?

No

Yes

Are you wanted or under indictment for any disqualifying crime listed in TSA Eligibility Requirements, Parts A or B?

No

Yes

Have you ever been found by a court or other lawful authority as lacking mental capacity or involuntarily committed to a mental institution?

No

Yes

Documents

Select documents that you will bring to your interview

Photo ID Document (Must match your current legal name)

Do the names (first, middle, last) on your identity documents match (For example driver's license and birth certificate)?

Yes

No

Interview Preferences

Enter Zip Code for Interview Location
(We will use this zip code to locate the nearest location for your interview)

On what date would you like to have your interview scheduled?
(We will try our best to accommodate your needs, but in case of unavailability, we will select the date closest to your preference. You can re-schedule your interview later if needed.)

During what time would you prefer to have your interview scheduled?
(We will try our best to accommodate your needs, but in case of unavailability, we will select the time closest to your preference. You can re-schedule your interview later if needed.)

Agreement

By checking this box, I am electronically signing to authorize pre-traveler-application.com to use the information I provided on this form to apply for TSA Pre-Check for me. I agree to receive sms, email and calls about my order and to the privacy policy and terms and conditions listed on this website. I also affirm the information listed above is accurate and truthful. I understand that the TSA provides forms and instructions for filings related to TSA Pre-Check on their website for a fee. However, I request to use the pre-traveler-application.com service to prepare and submit my application based on the information I have provided. I understand and agree that I will be charged $149.95 for this service in addition to the fee charged by TSA ($85 for New Applications and $70 for Renewals). I also understand that the government fee ($85 for new applications and $70 for renewals) is non-refundable and cannot be reimbursed by pre-traveler-application.com. I also agree to notify the TSA within 24 hours if I am ever convicted or found not guilty by reason of insanity of any disqualifying crime while I am enrolled in TSA Pre-Check program. pre-traveler-application.com is a third party company and is not associated with any government agency.

Phone Number

Country Calling Code

Email

Re-enter Email

Preferred Contact Method

Preferred Language