Correction of Record

U.S. Department of Homeland Security
Arlington, VA 20598-6110

November 8, 2013
FIRSTNAME LASTNAME
123 MAIN ST
CITY, STATE 00000

Re:
Preliminary Determination of Ineligibility, TSA Pre✓™ Application Program, Case
Number XXXXXXX
Dear FIRSTNAME LASTNAME:
The Transportation Security Administration (TSA) has received your application to participate in
TSA Pre✓™ through the TSA Pre✓™ application program. After review of the information
received as a result of your application, TSA has made a preliminary determination that you may
not be eligible for TSA Pre✓™ through the TSA Pre✓™ application program because of your
criminal history and/or citizenship/immigration eligibility, unless the issue(s) raised in this
letter are resolved.
Disqualifying Criminal Convictions, Open Criminal Dispositions, and/or Outstanding
Criminal Warrants
Convictions/Findings of Not Guilty by Reason of Insanity:
[Cite Offense], in [City, State], on or about [Date], and sentenced to serve [days, months, or
years] incarceration.
Arrests/Complaints/Indictments/Open Criminal Dispositions:
[Cite Offense], in [City, State], on or about [Date].
Outstanding Criminal Wants or Warrants:
Held by the [insert Law Enforcement Agency], on [Date], in [City, State], for [Cite
Offense].
If the information above is correct, you will not be eligible for participation in TSA
Pre✓™ through the TSA Pre✓™ application program.
If you were not convicted of a disqualifying criminal offense within the prescribed time
periods, you may submit a corrected copy of your criminal history record to TSA for
review. See the enclosed General Instructions for Criminal Disqualifications, Section 1,
regarding correction of criminal records.
If you do not reply within 60 days, TSA’s preliminary determination of ineligibility will
become final and you will not be eligible for TSA Pre✓™ through the TSA Pre✓™
application program.

Please note that TSA is unable to correct any other state or federal criminal history records
information system. Applicants seeking to challenge the accuracy or completeness of any
information on a criminal record should contact the applicable state or federal agency originating
the record. For FBI criminal history records, pursuant to Title 28, Code of Federal Regulations
(C.F.R.), section 16.34, please direct your inquiry to:
FBI
Criminal Justice Information Services (CJIS) Division
ATTN: xxxx
xxxx
Clarksburg, WV xxxx
Citizenship/Immigration Eligibility:
In addition, an individual applying for participation in TSA Pre✓™ through the TSA Pre✓™
application program must be a United States citizen (by birth or naturalization), a United States
National (a native of American Samoa or Swains Island), or a Lawful Permanent Resident (LPR)
of the United States.
TSA is requesting that you submit additional documentation to address the below
citizenship/immigration eligibility matter:
On your application, you indicated that you were born in [Country]; however, TSA has
been unable to verify your U.S. citizenship or immigration eligibility for participation in
TSA Pre✓™.
If you meet the citizenship/immigration eligibility requirements, you may submit a copy of
your citizenship/immigration documentation (front and back) to TSA for review. See the
enclosed General Instructions for Citizenship/Immigration Eligibility, Section 1, regarding
submission of citizenship/immigration documentation.
If you do not reply within 60 days, TSA’s preliminary determination of ineligibility will
become final and you will not be eligible for participation in TSA Pre✓™ through the TSA
Pre✓™ application program.
A copy of the enclosed TSA Pre✓™ Application Program Response Cover Sheet must be
included with all documents you send to TSA. Please review the enclosure, which provides
detailed instructions on how to submit information to TSA. If you have questions, please write
to us at the address provided.
For more information, you can also visit the TSA Pre✓™ web page at
www.tsa.gov/tsa-precheck.
Sincerely,

Security Threat Assessment Operations

Office of Law Enforcement / Federal Air
Marshal Service

Enclosures

DISQUALIFYING CRIMINAL OFFENSES
If you have pleaded guilty or nolo contendere to a Disqualifying Criminal Offense, TSA
treats the case in the same way as if you had been convicted of the offense, even if the court
withheld or deferred adjudication of guilt.
TSA does not consider you to have been convicted if the finding of guilt was overturned on
appeal, pardoned (with full restoration of all rights), or expunged so that it has been removed
from your criminal record and carries no disabilities or restrictions (except for future sentencing
purposes).
If you are under want, warrant, complaint or indictment for a Disqualifying Criminal
Offense, you will be disqualified until the want or warrant is released or the complaint or
indictment is dismissed.
If you were found not guilty by reason of insanity or incompetent to stand trial, you will be
disqualified until you provide proof that you no longer lack mental capacity.

If you have been convicted of
one of these felonies, you may
be eligible for participation in
TSA Pre✓™ through the TSA
Pre✓™ application program if
you submit documentation
and/or a corrected copy of your
criminal history record to show
that:
• You were convicted more
than 7 years before you
applied for participation in
TSA Pre✓™ through the
TSA Pre application
program ; and
• You were released from
confinement more than 5 years
before you applied for
participation in TSA Pre✓™
through the TSA Pre✓™
application program (if
applicable).

•

•
•

•
•
•
•
•
•
•
•
•
•
•

•

Unlawful possession, use, sale, manufacture, purchase,
distribution, receipt, transfer, shipping, transporting, delivery,
import, export of, or dealing in a firearm or other weapon. A
firearm or other weapon includes, but is not limited to,
firearms as defined in Title 18, United States Code (U.S.C.),
section 921(a)(3) or 26 U.S.C. section 5845(a), or items
contained on the U.S. Munitions Import List in Title 27, Code
of Federal Regulations (C.F.R.), section 447.21;
Extortion;
Dishonesty, fraud, or misrepresentation, including identity
fraud and money laundering where the money laundering is
related to a crime described in this list. Welfare fraud and
passing bad checks do not constitute dishonesty, fraud, or
misrepresentation for purposes of this paragraph;
Bribery;
Smuggling;
Immigration violations;
Distribution of, possession with intent to distribute, or
importation of a controlled substance;
Arson;
Kidnapping or hostage taking;
Rape or aggravated sexual abuse;
Assault with intent to kill;
Robbery;
Fraudulent entry into a seaport as described in 18 U.S.C.
section 1036, or a comparable State law;
Violations of the Racketeer Influenced and Corrupt
Organizations Act, 18 U.S.C. section 1961, et seq., or a
comparable State law, other than the violations listed in
paragraph 1961(a)(10); and/or
Conspiracy or attempt to commit any of the above crimes.

•

A crime involving a transportation security incident. A
transportation security incident is a security incident resulting
in a significant loss of life, environmental damage,
transportation system disruption, or economic disruption in a
particular area, as defined in 46 U.S.C. section 70101. The
term ‘‘economic disruption’’ does not include a work
stoppage or other employee-related action not related to
terrorism and resulting from an employer-employee dispute;

•

Improper transportation of a hazardous material under 49
U.S.C. section 5124, or a State law that is comparable;

•

Unlawful possession, use, sale, distribution, manufacture,
purchase, receipt, transfer, shipping, transporting, import,
export, storage of, or dealing in an explosive or explosive
device. An explosive or explosive device includes, but is not
limited to, an explosive or explosive material as defined in 18
U.S.C. sections 232(5), 841(c) through 841(f), and 844(j); and
a destructive device, as defined in 18 U.S.C. section 921(a)(4)
and 26 U.S.C. section 5845(f);

•

Murder;

•

Making any threat, or maliciously conveying false
information knowing the same to be false, concerning the
deliverance, placement, or detonation of an explosive or other
lethal device in or against a place of public use, a state or
government facility, a public transportations system, or an
infrastructure facility;

•

Violations of the Racketeer Influenced and Corrupt
Organizations Act, 18 U.S.C. section 1961, et seq., or a
comparable State law, where one of the predicate acts found
by a jury or admitted by the defendant, consists of one of the
crimes listed in subsection 1961(a);

•

Conspiracy or attempt to commit the above crimes;

•

Espionage, or conspiracy to commit espionage;

•

Sedition, or conspiracy to commit sedition;

•

Treason, or conspiracy to commit treason;

•

A federal crime of terrorism as defined in 18 U.S.C. section
2332b(g), or comparable State law, or conspiracy to commit
such crime;

•

Attempt to commit the above crimes; and/or

•

Extensive foreign or domestic criminal convictions, a
conviction for a serious crime not listed above, or a period of
foreign or domestic imprisonment that exceeds 365
consecutive days.

If you have been convicted of
one of these felonies, you are
not eligible for participation in
TSA Pre✓™ through the TSA
Pre✓™ application program.

CITIZENSHIP/IMMIGRATION ELIGIBILITY REQUIREMENTS
Please send a copy of your citizenship/immigration documentation (front and back) to TSA to
show that you are a United States citizen (by birth or naturalization), a United States National (a
native of American Samoa or Swains Island), or a Lawful Permanent Resident (LPR) of the
United States.

GENERAL INSTRUCTION FOR CRIMINAL DISQUALIFICATIONS
•

THE FACTS IN THE PRELIMINARY DETERMINATION OF INELIGIBILITY
ARE INCORRECT.
(I have corrected my criminal history record and/or have
documentation to support that I was not convicted of a disqualifying
criminal offense).

If you believe you were not convicted of a disqualifying criminal offense, you may submit
documentation to support that you were not convicted of a disqualifying criminal offense and/or
a corrected copy of your criminal history record information to TSA for review.
If you have been convicted of a disqualifying criminal offense, you may be eligible for
participation in TSA Pre✓™ through the TSA Pre✓™ application program if you submit
documentation and/or a corrected copy of your criminal history record to show that you were
convicted more than 7 years before you applied for participation in TSA Pre✓™ through the
TSA Pre✓™ application program; and you were released from confinement more than 5 years
before you applied for participation in TSA Pre✓™ through the TSA Pre✓™ application
program (if applicable).
You must use the enclosed TSA Pre✓™ Application Program Response Cover Sheet when
submitting documentation and/or a corrected copy of your criminal history record to TSA.
You must submit your documentation and/or a corrected copy of your criminal history
record to TSA within 60 days from the date you receive this letter. Along with the cover
sheet, you should send official documents to show:
•

•
•
•

•
•

•

The open warrant issued for a disqualifying criminal offense was issued in
error, has been resolved, or did not result in a disqualifying felony criminal
conviction;
You are no longer under indictment for a disqualifying felony criminal offense;
You were convicted of a misdemeanor or lesser offense, were found not guilty,
or the charges were dismissed with no remaining legal restrictions;
The conviction was overturned on appeal, or expunged so that it has been
removed from your criminal record and carries no disabilities or legal
restrictions (except for future sentencing purposes);
You were allowed to withdraw a plea of guilty or nolo contendere and enter a
plea of not guilty, and the case was later dismissed;
For some, but not all felony convictions (see list of disqualifying offenses), you
were released from incarceration more than 5 years before you filed your
application and the conviction was incurred more than 7 years before you filed
your application; or
You received a full pardon (restoring all rights) for the disqualifying criminal
conviction.

TSA should notify you whether your application has been granted within 60 days after receiving
your documentation and/or a corrected copy of your criminal history record, or a longer period of
time for good cause.

GENERAL INSTRUCTIONS FOR CITIZENSHIP/IMMIGRATION ELIGIBILITY
•

I AM A U.S. CITIZEN (BY BIRTH OR NATURALIZATION), A U.S. NATIONAL
(A NATIVE OF AMERICAN SAMOA OR SWAINS ISLAND), OR A LAWFUL
PERMANENT RESIDENT OF THE UNITED STATES.
(I can provide documentation to support that I am a U.S citizen, a U.S.
national, or an LPR).

If you are a U.S. citizen, national, or an LPR, you may submit a copy (front and back) of
supporting documentation to TSA for review.
You must use the enclosed TSA Pre✓™ Application Program Response Cover Sheet
when submitting your supporting documentation to TSA for review and your
documentation must be received within 60 days from the date you receive this letter.
Along with the cover sheet, you should send a copy (front and back) of documents to
show that you are a U.S. citizen, national, or an LPR.
Acceptable documentation includes:
•
•
•
•

Unexpired U.S. Passport Book or U.S. Passport Card;
Expired U.S. Passport (within 12 months of expiration);
If born in the U.S.: original or certified copy of birth certificate;
If born in a foreign country: a document that demonstrates U.S.
Citizenship:
• Certificate of Naturalization;
• Certificate of Citizenship;
• Consular Report of Birth Abroad; or
• Certification of Report of Birth Abroad
• If a Lawful Permanent Resident (LPR) of the U.S.: a document that
demonstrates LPR status such as a Permanent Resident Card (I-551)
TSA should notify you whether your application has been approved within 60 days after
receiving your supporting documentation, or a longer period of time for good cause.

•

HOW TO SEND DOCUMENTS TO TSA

Before submitting your TSA Pre✓™ Application Program Response Cover Sheet, please
make sure that your printed name and address are correct. If they are not, please make any
necessary corrections and be sure to include a telephone number where you can be reached
during the day.
DOCUMENTS MAY BE MAILED VIA U.S. POSTAL SERVICE TO THE ADDRESS
PROVIDED ON THE TSA PRE✓™ APPLICATION PROGRAM RESPONSE COVER
SHEET.
If you use an overnight mail service, make sure that the mail carrier delivers to a Post Office
Box. Currently, only the U.S. Postal Service delivers to Post Office Boxes. In addition to
Express Mail, you may also write to TSA using registered, certified, priority, or regular mail.
Using the enclosed TSA Pre✓™ Application Program Response Cover Sheet and mailing
the documents to the address on the cover sheet is the fastest way to communicate with
TSA.

TSA PRE✓™ APPLICATION PROGRAM RESPONSE COVER SHEET
FROM:

FIRSTNAME LASTNAME
123 MAIN ST
CITY, STATE 00000

TSA Pre✓™ Application Program Case No.: XXXXXXXX

Daytime Telephone Number: ______________________________________
(Area Code)
DIRECTIONS FOR THE APPLICANT
(1) Review and correct the above information as needed; (2) Select from the options listed below by marking the
appropriate box(es); and (3) Attach this cover sheet to the front of any documentation submitted to TSA.
℉CRIMINAL RECORD CORRECTION: I dispute the preliminary determination of ineligibility because (check all
appropriate boxes and provide supporting documentation and/or a corrected copy of your criminal history record):
CRIMINAL RECORD ISSUES:
[ ] My arrest/indictment did not result in a felony conviction.
[ ] I was convicted of a misdemeanor offense, not a felony.
[ ] I received a pardon.
[ ] My conviction was overturned on appeal.
[ ] My conviction was expunged.
[ ] My conviction is more than 7 years old and I was never incarcerated.
[ ] My conviction is more than 7 years old and I was released from incarceration more than 5 years ago.
[ ] Other (an explanation must be provided) ___________________________________________________

℉SUBMISSION OF CITIZENSHIP/IMMIGRATION DOCUMENTATION: I dispute the preliminary
determination of ineligibility because (check the appropriate box and provide a copy (front and back) of supporting
documentation):
CITIZENSHIP/IMMIGRATION ELIGIBILITY ISSUES:
[ ] I am a U.S. citizen or national.
[ ] I am a Naturalized U.S. citizen.
[ ] I am a Lawful Permanent Resident (LPR) of the United States.
Correspondence may be submitted to TSA as follows:
*Via U.S. Postal Service:
Transportation Security Administration
TSA Pre✓™ Application Program Processing Center
P.O. Box XXXX
City, State 00000
Please ensure that all documentation provided for TSA’s reconsideration of the preliminary determination of ineligibility
is attached. Closely following these directions will help ensure expedited processing of your request.