Attachment 1_TSA Vetting Request.xlsx
XLSX spreadsheet 66 KB Posted
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About this file
This is a TSA Security Threat Assessment Request form designed to collect vetting information on company personnel in connection with federal contract opportunities. The document serves as a template for companies to submit detailed background information required by the Transportation Security Administration for security clearance purposes.
The form captures company-level information including company name, address, CAGE Code, and UEI, along with a designated Senior Corporate Official contact. It contains two primary vetting sections: one for US Citizens and one for Foreign Nationals. For each individual requiring vetting, the form requests comprehensive personal data including full name, gender, date of birth, citizenship status, Social Security Number, country/state of birth, passport information with expiration dates, current employment position, and any existing clearance status with associated investigation types and dates. The form also requires sponsor information (name, title, email, and phone) and mandates that each vettable person execute a Non-Disclosure Agreement as a condition of the evaluation. This vetting request is associated with the Electronic Baggage Screening Program (EBSP) Recapitalization Explosive Detection System (EDS) Industry Engagement Events hosted by TSA, a Department of Homeland Security agency.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 2_NDA Form 11000-6.pdf | ||
| EBSP Recap Special Notice_Amendment 1.pdf | ||
| EBSP Recap Special Notice.pdf |
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Text version
Company Information
TSA Security Threat Assessment Request
Date:
Company Name:
Address:
CAGE Code:
UEI:
Senior Corporate Official Contact Information
| Name: |
| Title: |
| Phone: |
| Email: |
US Citizen
US Citizen Vetting
In order to complete the evaluation, TSA requires a Non-Disclosure Agreement for each of the persons listed.
Last Name First Name Middle Initial Gender Birth Date Citizenship Social Security Number Previous Clearance Status Country and/or State of Birth Passport Country Passport Number Passport Expiration Date Position/ Employer Clearance Clearance Date Type of Investigation
Foreign National
| Foreign National Vetting | |
| In order to complete the evaluation, TSA requires a Non-Disclosure Agreement for each of the persons listed. |
Date:
Company Name:
Address:
CAGE Code:
UEI:
| Employees: | Family Name | Other Names | Country and Citizenship(s) | |||||||||
| (list all) | Gender | Social Security Number (if applicable) | Date of Birth (MM/DD/YYYY) | Country and/or State of Birth | Passport Country | Passport Number | Passport Expiration Date | Position/ Employer | Clearance | Clearance Date | Type of Investigation | Investigation Close Date |
Sponsor Info: Sponsor Name Sponsor Title Sponsor Email Sponsor Phone Sponsor Org image1.png
File details come from the government source that posted it. Updated .