U.S. I-94 Arrival/Departure Record
All travelers who hold a U.S. visa are required to complete
an I-94 Arrival/Departure Record (one per person, including
infants). Write in English, in capital letters. Be sure to include
the street name and number, city and state of your address in
the U.S. If you are transiting through the U.S., you may write
TRANSIT and your final destination country. The Customs and
Border Protection officer will place the I-94 Departure Record
in your passport after inspection. Make sure you return the
Departure Record to the airline representative before boarding
your return flight.
U.S. Customs Declaration
All passengers (or one passenger per family) are required
to complete a Customs Declaration before arrival in the U.S.
Write in English, in capital letters. Be sure to include the street
name and number, city and state of your address in the U.S. If
you are transiting through the U.S., you may write TRANSIT
and your final destination country. Please read both sides of the
declaration and place your signature at the bottom of the form.
Expedited Passport
Control and Customs
Clearance in the U.S.—
Global Entry™
U.S. Customs and Border Protection (CBP) offers the
Global Entry™ program in order to expedite the processing
of pre-approved, low-risk international travelers entering the
U.S. Upon returning from international travel, Global Entry™–
enrolled travelers may bypass the regular passport control
line and proceed to the Global Entry™ kiosk. Global Entry™
program participants scan their machine-readable passport,
U.S. permanent resident card or U.S. visa on the kiosk, place
their fingertips on the scanner for fingerprint verification and
make a customs declaration. The kiosk will issue the traveler
a transaction receipt and direct the traveler to baggage claim
and exit. Kiosks are located at major U.S. airports, as well as at
several CBP Pre-Clearance locations.
The following travelers are eligible for enrollment in
Global Entry™:
•
Citizens and residents of the U.S.
•
Citizens of Mexico who hold a U.S. visa
•
Citizens of the Netherlands who are enrolled in Privium
•
Citizens of South Korea who are enrolled in SES (Smart
Entry Service)
•
NEXUS members
•
SENTRI members
Application for enrollment in the Global Entry™ program is
available at the Global On-Line Enrollment System (GOES):
goes-app.cbp.dhs.gov. It costs only US$100, which covers
enrollment in the program for a five-year period. The govern-
ment will review the applicant’s information while a back-
ground investigation is conducted. Applicants undergo an
interview with CBP officers at an Enrollment Center in the
U.S. before final approval is granted.
Global Entry members who are U.S. citizens are also eligible
to participate in the TSA Pre
✓
™ program. TSA Pre
✓
™ allows
select passengers traveling within the United States to
qualify for expedited screening through TSA checkpoints
at several airports.
For detailed information, go to the U.S. Customs and Border
Protection site, globalentry.gov.
DEPARTMENTOFHOMELANDSECURITY
U.S.Customs andBorderProtection
OMBNo. 1651-0111
OMBNo.1651-0111
OMBNo.1651-0111
CBPForm I-94 (05/08)
CBPForm I-94 (05/08)
CBPForm I-94 (05/08)
STAPLEHERE
SeeOtherSide
AdmissionNumber
ArrivalRecord
000000000 00
AdmissionNumber
DepartureRecord
000000000 00
1.
FamilyName
2.
First (Given)Name
3.
BirthDate (DD/MM/YY)
4.
CountryofCitizenship
5.
Sex (Male orFemale)
8.
PassportNumber
9.
Airline andFlightNumber
10.
CountryWhereYouLive
11.
CountryWhereYouBoarded
12.
CityWhereVisaWas Issued
13.
Date Issued (DD/MM/YY)
14.
AddressWhile in theUnitedStates (Number andStreet)
16.
TelephoneNumber in theU.S.WhereYouCan beReached
17.
EmailAddress
18.
FamilyName
19.
First (Given)Name
20.
BirthDate (DD/MM/YY)
21.
CountryofCitizenship
DEPARTMENTOFHOMELANDSECURITY
U.S.Customs andBorderProtection
15.
City andState
6.
Passport IssueDate (DD/MM/YY)
7.
PassportExpirationDate (DD/MM/YY)
Welcome to theUnitedStates
I-94Arrival/DepartureRecord
Instructions
This formmust be completed by all persons exceptU.S.Citizens, returning resident aliens,
alienswith immigrant visas, andCanadianCitizens visiting or in transit.
Type or print legiblywith pen inALLCAPITAL LETTERS.Use English.Do notwrite on the
back of this form.
This form is in two parts.Please complete both theArrivalRecord (Items 1 through 17) and
theDepartureRecord (Items 18 through21).
When all items are completed, present this form to theCBPOfficer.
Item 9 - If you are entering theUnitedStates by land, enter LAND in this space. If you are
entering theUnitedStates by ship, enterSEA in this space.
5
U.S.C. § 552a(e)(3)PrivacyActNotice: Information collected on this form is required byTitle 8 of theU.S.Code,
including the INA (8U.S.C. 1103, 1187), and 8CFR 235.1, 264, and 1235.1.The purposes for this collection are to
give the terms of admission and document the arrival and departure of nonimmigrant aliens to the U.S. The
information solicitedon this formmaybemade available toothergovernment agencies for law enforcementpurposes
or to assistDHS in determining your admissibility.All nonimmigrant aliens seeking admission to theU.S., unless
otherwise exempted,must provide this information. Failure to provide this informationmay deny you entry to the
UnitedStates and result inyour removal.
Left, U.S. Customs Declaration; right, U.S. I-94 Arrival/
Departure Record, which all U.S. visa holders must complete.
Customs
&
Immigration
INFORMATION
16
JANUARY 2013
•
HEMISPHERESMAGAZINE.COM
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