Welcome to Scribd. Sign in or start your free trial to enjoy unlimited e-books, audiobooks & documents.Find out more
Download
Standard view
Full view
of .
Look up keyword
Like this
1Activity
0 of .
Results for:
No results containing your search query
P. 1
U.S. Customs Form: CBP Form I-418 - Passenger List – Crew List

U.S. Customs Form: CBP Form I-418 - Passenger List – Crew List

Ratings: (0)|Views: 137|Likes:
Published by Customs Forms

More info:

Published by: Customs Forms on Mar 18, 2010
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as PDF, TXT or read online from Scribd
See more
See less

05/12/2014

pdf

text

original

 
DEPARTMENT OF HOMELAND SECURITY
U.S. Customs and Border Protection
Prior to arrival in the United States, complete a separate form for a) working crew; and b) passengers and supernumeraries. In addition to its initial completion, the crew list shall beupdated to reflect crew changes and other relevant activity (or lack thereof) until the vessel departs the United States.
Nationality:Official Number:Last Foreign Port
(Place and Country):
 Date Sailed from Foreign Port:Date of Arrival in U.S.:Arrival Port:No. of Crew
(including Master):
 No. of Passengers:Agent at Arrival
(Name & Address):
 Will crew perform longshore work while vessel is in the United States?
(Provide applicable INA Section 258 Exemption):
Vessel Name:NO YES
PASSENGER LIST - CREW LIST
OMB 1651-0103Expires 2/28/2010
Next U.S. Port(s)Arrival DateVessel Agent
(Name and Address)
 PROPOSED ITINERARY
Page 1 of CREW LISTPASSENGER LIST
List individuals alphabetically. Crew who join the vessel subsequent to its arrival while in the United States must be added to the original list and the appropriate date recorded in the"Date Joined" column. The "Date Separated" column must be used when a listed crewman is separated from the vessel while it is in the United States. Any crewman designated as"REFUSED" in the "DHS Use Only" column is to be detained on the vessel at all times.
FamilyNameNationality/Document #Position or Title
(Crew Only)
Inspection Status(DHS Use Only)
Checked box indicatessubsequent parole.
First Name &InitialDate of BirthDateJoined
(Crew Only)
DateSeparated
(Crew Only)
RECEIPT FOR CREW LIST (CBP Use Only).
I-418 Receipt Number at right indicates that the U.S. Customs and Border Protection (CBP) has received the CREW LIST containing the names of all members of crew, including Master, on boardsaid vessel at time of its arrival.
 
I-418 Receipt Number (POE - YYMMDD - Badge # - Military Time):CBP Port of Arrival (address):
CBP Form I-418 (06/09)
SUMMARY OF DEPARTURE.
Vessel Agent (at Departure): Following this vessel's departure from the United States,ensure that crew list reflects all crew additions and separations and is promptly submitted to the U.S. Customs and Border Protection office at the port of departure. Summarize the departure circumstances by providing the following information:
Agent at Departure (Name & Address):Total Separated Crew:Total Added Crew:Port of Departure:Date of Departure:
 
I certify that the U.S. Customs and Border Protection baggage declaration requirements have been made known to incoming passengers; that any required CBP baggage declarationshave been or will simultaneously herewith be filed as required by law and regulation with the proper CBP Officer; and that the responsibilities devolving upon this vessel in connectiontherewith, if any, have been or will be discharged as required by law or regulation before the proper CBP Officer. I further certify that there are no steerage passengers on board thisvessel (46 U.S.C. 151-163).
Signature of Master:
MASTER'S CERTIFICATIONMASTER:
Execute the following oath before a U.S. Customs and Border Protection Officer as to all arriving passengers on all vessels and all departing crew on United States FlagVessels, and before an CBP Officer authorized to administer oaths as to all departing passengers on vessels:
 CERTIFICATION OF COPY OF CREW LIST OF UNITED STATES FLAG VESSEL
I certify that this is a true copy of the original crew list of the named American vessel, which original crew list is on file in this office. Given under my hand and seal of office at thecustomhouse atSignature of CBP Officer:
on.
PASSENGER LIST - CREW LIST - Continuation Sheet
Vessel Name:Arrival Port in U.S.:Arrival Date:
Page o
FamilyNameNationality/Document #Position or Title
(Crew Only)
Inspection Status(DHS Use Only)
Checked box indicatessubsequet parole.
First Name &InitialDate of BirthDateJoined
(Crew Only)
DateSeparated
(Crew Only)
CBP Form I-418 (06/09)
I-418 Receipt Number (DHS Use Only)
 
Vessel Name
FamilyNameNationality/Document #Position or Title
(Crew Only)
Inspection Status(DHS Use Only)
Checked box indicatessubsequet parole.
First Name &InitialDate of BirthDateJoined
(Crew Only)
DateSeparated
(Crew Only)
CBP Form I-418 (06/09)
Arrival Port in U.S.:Arrival DatePASSENGER LIST - CREW LIST - Continuation Sheet -
Pageof 

You're Reading a Free Preview

Download
scribd
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->