Online Enrollments with no Pre-Enrollment - Renewal

TSA Pre-Check Application Program

TSA PreCheck renewal

Online Enrollments with no Pre-Enrollment - Renewal

OMB: 1652-0059

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TSA Pre✓® Application Program Enrollment Renewal
* Required Fields

Please enter the information below to determine if you may renew
your enrollment online (letters, spaces, hyphens, and apostrophes
are allowed in name fields) .

* Known Traveler Number (KTN): Will start with TT followed by seven letters and/or numbers

* Last Name

* Date of Birth (MM/DD/YYYY)

TSA located a record of your previous enrollment with the
information you provided. Please begin the online re-enrollment
process on the next screen.

TSA requires you to enroll in person because of a change in your
information since your previous enrollment or because your
fingerprints were of insufficient quality during your previous
enrollment. Please visit universalenroll.dhs.gov to find a list of
enrollment centers nationwide to begin your re-enrollment.

* Required Fields

Please enter your information below.
Note: At this time, only U.S. citizens, U.S. Nationals and Lawful Permanent Residents (LPR)
are eligible for the application.

* Country of Birth
-- Choose One -* City of Birth

* Country of Citizenship
-- Choose One -* Is your mailing address the same as your residential address?
* Have you lived at your current residential address for more than five (5) years?

* Required Fields

US

Metric

* Height
feet

ft

inches

* Weight
pounds
* Hair Color
-- Choose One --

lbs
* Eye Color
-- Choose One --

in

If you need to upload any additional documentation about
yourself, such as updated identity, citizenship, or lawful
permanent resident information, please do so below.

If you need to update information about your photo
identification, such as a passport, driver's license, or
permanent resident card, please do so below.
* Document Type
-- Choose One -* Document Number

* Document Expiration Date

Please answer the questions below. Then click ‘Next’ to continue or ‘Cancel’ to exit.

* Required Fields

Note: If you answer 'Yes' to question 2, 3, 4 or 6 you may want to reconsider applying. If you answer 'Yes' to question 5,
because you are currently under indictment or have open criminal charges, you should consider waiting to apply until
these matters are resolved. Application enrollment fees are not refunded once submitted.

1. * Are you a U.S. citizen, U.S. National or Lawful Permanent Resident (LPR)?
2. * Excluding juvenile cases unless convicted as an adult, have you been convicted, pled
guilty including “no contest” (nolo contendere), 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?
3. * Excluding juvenile cases unless convicted as an adult, have you been convicted, pled
guilty including “no contest” (nolo contendere), 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?
4. * 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?
5. * Are you wanted or under indictment for any disqualifying crime listed in TSA Eligibility
Requirements, Parts A or B?
6. * Have you ever been found by a court or other lawful authority as lacking mental
capacity or involuntarily committed to a mental institution?

I understand my continuing obligation to notify TSA within 24 hours if I am convicted or found not guilty by reason of insanity of any
disqualifying crime, or adjudicated as a mental defective or committed to a mental institution, while I am enrolled in the TSA Pre✓®
Application Program.
The information I provided on this application 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, or an omission of a material fact can be punished by fine or
imprisonment or both (see section 1001 of Title 18, United States Code), and may be grounds for denial of my application for the TSA
Pre✓® Application Program by TSA.

TSA Pre3®

Universal
Enrollment
Services
Collect Payment
y
Choose Payment Method

Credit Card

Check

Swipe Card
We Accept

* Name on Card

John Smith
* Credit Card Number

4444657591231475
* Expiration Date

08

/

14

* CSC

152

Money Order

Amount Due $85.00

TSA PRE

®

○ You have successfully completed the online application.


File Typeapplication/pdf
File Modified2017-11-14
File Created2017-07-07

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