Annual Recurrent Signatory Training

2. Minot International Airport Authorized Signatory Form

   Please fill out the information requested below and accept at the bottom. Once completed you will be directed to the ANTN Digicast website to login and complete your signatory training. If you need any assistance logging into the Digicast website please contact Jessica Long or Judy Norby for assistance.

4. Name*
5. Organization*
7. Phone Number*
8. Work Email*
12. Responsibilities of Signatory
    • Participate in initial and recurrent training (annual)
    • Acknowledgement of the following statement: "I hereby certify that the above-named applicant will abide by TSA and Minot International Airport security regulations. I further certify that the organization I represent assumes all responsibility for all fines, or other penalties imposed by the TSA upon the Minot International Airport for any violation(s) by the applicant. Furthermore, if movement area access is requested, I certify that that applicant has received the appropriate training as it relates to ground vehicle operation regulations and in relation to the level of job responsibilities that they will perform. I certify that I will collect the unescorted access identification media from the employee immediately upon terminal of his/her unescorted access and return the badge to Airport Administration within 5 days.
14. Authorized Signatory Acknowledgement*

    1. By checking this box I confirm I have read, acknowledge, and accept the responsibilities of Signatory
Leave This Blank:


16. 1. Receive an email copy of this form.
17. Email address

    This field is not part of the form submission.

18. Submit Submit and Print

* indicates a required field