New Search
_______DEBRIS AND FOD <br />It is the responsibility of each person entering the AOA to control, collect and properly dispose of debris and FOD <br />(foreign objects and debris). It is unacceptable to allow the accumulation of debris or FOD around aircraft, <br />hangars, aprons, ramps, parking areas and other areas within the AOA. <br />_______DOGS WITHIN THE AOA <br />Dogs are permitted only in the General Aviation hangar areas and must be on a leash at all times. Dogs and <br />other pets are not permitted within the remainder of the AOA at any time. Dog owners are fully responsible for the <br />collection and proper disposal of solid waste created by pets. <br />_______REVOCATION, SUSPENSION AND DENIAL OF ACCESS PRIVILEGES <br />Access privileges may be temporarily suspended or permanently revoked for any violation of the application <br />process, rules, regulations or misuse of the badge. Any misuse of or willful failure to return a Eugene Airport- <br />issued identification badge is subject to criminal prosecution. <br />As the applicant, I have read, understand and agree to the following: <br /> There will be a replacement fee for any lost, stolen or broken ID badge. <br /> The badge shall be displayed at all times when working inside the AOA. <br /> ID badges must be surrendered to Airport upon demand. <br /> Badges must be returned to Airport when access is no longer required at the Eugene Airport or the lost <br />badge fee will be assessed. <br /> I will not loan my access badge to others. <br /> I will not permit unauthorized access by others. <br /> All vehicles must adhere to requirements on all posted signs. <br /> Vehicles will be parked only in designated parking spaces. No vehicles shall park on taxi lanes. <br /> If I do not follow the above rules, a loss of access will result. <br />The information I have provided on this application is true, complete, and correct to the best of my knowledge and <br />belief and is provided in good faith. I understand that a knowing and willful false statement on this application can be <br />punished by fine or imprisonment or both. (See section 1001 of Title 18 United States Code.) <br />I authorize the Social Security Administration to release my Social Security Number and full name to the <br />Transportation Security Administration, Office if Transportation Threat Assessment and Credentialing (TTAC), <br />th <br />Attention: Aviation Programs (TSA-19)/Aviation Worker Program, 601 South 12 Street, Arlington, VA 22202. <br />I am the individual to whom the information applies and want this information released to verify that my SSN is <br />correct. I know that if I make any representation that I know is false to obtain information from Social Security <br />records, I could be punished by a fine or imprisonment or both. <br />______________________________________________ _______________________ <br />Applicant Signature Date of Birth <br />______________________________________________ <br />Applicant Name and SSN (Please Print) <br />Page 4 of 8 <br /> <br />