SECTION I: CRIMINAL HISTORY DECLARATION
Disqualifying Crimes as defined by 49 CFR Part 1542.209
A Felony (within the last 10 years) involving:
* Forgery of certificates, false marking of aircraft, and other
* Rape or aggravated sexual abuse aircraft registration violations
* Unlawful possession, use, sale, distribution, or manufacture
* Interference with air navigation of an explosive or weapon
* Improper transportation of a hazardous material
* Extortion, Felony involving burglary, theft, or bribery
* Aircraft piracy (including outside U.S. jurisdiction)
* Armed or felony unarmed robbery
* Interference with flight crew members or flight attendants
* Distribution of, or intent to distribute, a controlled substance
* Commission of certain crimes aboard aircraft in flight
* Felony arson
* Carrying a weapon or explosive aboard aircraft
* Felony involving a threat
* Conveying false information and threats
* Felony involving willful destruction of property
* Lighting violations involving transporting controlled substances
* Felony involving importation or manufacture of a controlled
* Unlawful entry into an aircraft or airport area that serves air carriers substance or foreign air carriers contrary to established security requirements
* Felony involving dishonesty, fraud, or misrepresentation
* Destruction of an aircraft or aircraft facility
* Felony involving possession or distribution of stolen property
* Murder or assault with intent to murder
* Felony involving aggravated assault
* Espionage, Sedition, or Treason
* Felony involving illegal possession of a controlled substance
* Kidnapping or hostage taking punishable by a maximum term of imprisonment of more than
* Violence at international airports one year
* Conspiracy or attempt to commit any of these criminal acts.
I hereby certify that I have not been convicted or found not guilty by reason of insanity for any of the above listed crimes and I agree to notify Airport Public Safety within 24 hours if I am convicted or found not guilty by reason of insanity of any of these crimes. (49 CFR 1542.209) I hereby give permission to < insert airport name here > officials to conduct an FBI criminal history records check. The information I have 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 on this application can be punished by fine or imprisonment or both. (See section 1001 of Title 18 United States Code.)