U.S. Department of Homeland Security Seal

DHS Traveler Redress Inquiry Program
(DHS TRIP)

DHS | TRIP Form

Department of Homeland Security Traveler Redress Inquiry Program (DHS TRIP)

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Your Travel Experience

Participation in the DHS Traveler Redress Inquiry Program is voluntary. If you wish to apply, complete this Travel Inquiry Form; provide your original signature and e-mail in with a copy of at least one unexpired photograph-bearing government-issued travel document (e.g., driver's license or unexpired passport) to TRIP@dhs.gov or mail it to DHS Traveler Redress Inquiry Program (DHS TRIP), TSA-901, 601 South 12th Street, Arlington, VA 20598-6901. Each person in a family or other traveling group seeking redress must submit a separate application.

The OMB control number assigned to this collection is 1652-0044 which expires on 05/31/2022

Incidents Related To Flight

Please provide the following information relating to your inquiry (not required, but helpful in processing your request)






Please check ALL the scenarios that describe your travel experience (must select at least one):







*If you have multiple flights, please provide the information in the Incident Details box


Incidents Related To Ports of Entry, Immigration, Customs or Border Patrol


Please provide the following information relating to your inquiry (not required, but helpful in processing your request)







Please check ALL the scenarios that describe your travel experience (must select at least one):







Incidents Related To Privacy





Please describe incident related to the box(es) you have checked. Please note that we are unable to accept DHS TRIP applications in languages other than English.


Warning: Please do not use special characters. Only commas (,) and periods (.) are authorized.


Traveler Inquiry Form

The following information is voluntary; however, it may be needed to complete your request.

The OMB control number assigned to this collection is 1652-0044 which expires on 05/31/2022


* denotes a required field

Personal Information



Other Names Used (if applicable)

Date of Birth*:

 

     

 

   

Contact Information





Attorney/Representative Information (Required if applicable)




(up to 2000 characters)

Warning: Please do not use special characters. Only commas (,) and periods (.) are authorized.



Traveler Frequency

We are interested in your commercial aviation or international travel patterns.



Identity Documentation

Please provide a legible, unexpired copy of your passport. If you do not have a passport, please provide at least one legible, unexpired copy of a government-issued photograph bearing travel document from the list below. For children under the age of 18 who do not possess a photograph-bearing travel document, a copy of a birth certificate may be submitted.

Do not send the original document. Please note that providing a copy of an identity document is a program requirement that DHS TRIP cannot waive. Please do not provide copies of Social Security Cards, Tax Information, or Personal Financial documents.

The OMB control number assigned to this collection is 1652-0044 which expires on 05/31/2022

Check the box next to the document(s) you are submitting with this form:





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