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APRIL 2012
•
HEMISPHERESMAGAZINE.COM
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 declara-
tion 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 trav-
elers 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 scan-
ner 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.
The following travelers are eligible for enrollment inGlobal 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
• 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 government
will review the applicant’s information while a background
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™ is available in the following cities: Atlanta
(ATL), Boston (BOS), Chicago (ORD-O’Hare), Dallas (DFW),
Detroit (DTW), Fort Lauderdale (FLL), Honolulu (HNL), Houston
(IAH-Intercontinental), Las Vegas (LAS), Los Angeles (LAX),
Miami (MIA), Montreal (YUL), New York (JFK), Newark
(EWR-Liberty), Orlando (MCO-International and SFB-Sanford),
Ottawa (YOW), Philadelphia (PHL), Seattle (SEA), San Francisco
(SFO), San Juan (SJU), Toronto (YYZ), Washington, D.C.
(IAD-Dulles) and Vancouver (YVR).
For detailed information, go to the U.S. Customs and Border
Protection site, globalentry.gov.
DEPARTMENT OF HOMELAND SECURITY
U.S. Customs and Border Protection
OMB No. 1651-0111
OMB No. 1651-0111
OMB No. 1651-0111
CBP Form I-94 (05/08)
CBP Form I-94 (05/08)
CBP Form I-94 (05/08)
STAPLE HERE
See Other Side
Admission Number
Arrival Record
000000000 00
Admission Number
Departure Record
000000000 00
1. Family Name
2. First (Given) Name
3. Birth Date (DD/MM/YY)
4. Country of Citizenship
5. Sex (Male or Female)
8. Passport Number
9. Airline and Flight Number
10. Country Where You Live
11. Country Where You Boarded
12. City Where Visa Was Issued
13. Date Issued (DD/MM/YY)
14. Address While in the United States (Number and Street)
16. Telephone Number in the U.S. Where You Can be Reached
17. Email Address
18. Family Name
19. First (Given) Name
20. Birth Date (DD/MM/YY)
21. Country of Citizenship
DEPARTMENT OF HOMELAND SECURITY
U.S. Customs and Border Protection
15. City and State
6. Passport Issue Date (DD/MM/YY)
7. Passport Expiration Date (DD/MM/YY)
Welcome to the United States
I-94 Arrival/Departure Record
Instructions
This form must be completed by all persons except U.S. Citizens, returning resident aliens,
aliens with immigrant visas, and Canadian Citizens visiting or in transit.
Type or print legibly with pen in ALL CAPITAL LETTERS. Use English. Do not write on the
back of this form.
This form is in two parts. Please complete both the Arrival Record (Items 1 through 17) and
the Departure Record (Items 18 through 21).
When all items are completed, present this form to the CBP Officer.
Item 9 - If you are entering the United States by land, enter LAND in this space. If you are
entering the United States by ship, enter SEA in this space.
5 U.S.C. § 552a(e)(3) Privacy Act Notice: Information collected on this form is required by Title 8 of the U.S. Code,
including the INA (8 U.S.C. 1103, 1187), and 8 CFR 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 solicited on this form may be made available to other government agencies for law enforcement purposes
or to assist DHS in determining your admissibility. All nonimmigrant aliens seeking admission to the U.S., unless
otherwise exempted, must provide this information. Failure to provide this information may deny you entry to the
United States and result in your removal.
Left, U.S. Customs Declaration; right, U.S. I-94 Arrival/
Departure Record, which all U.S. visa holders must complete.
Andorra
Australia
Austria
Belgium
Brunei
Czech Republic
Denmark
Estonia
Finland
France
Germany
Greece
Hungary
Iceland
Ireland
Italy
Japan
Latvia
Liechtenstein
Lithuania
Luxembourg
Malta
Monaco
Netherlands
New Zealand
Norway
Portugal
San Marino
Singapore
Slovakia
Slovenia
South Korea
Spain
Sweden
Switzerland
United Kingdom
(British citizen
or with unrestricted
right of abode)
Australia
Brunei
Hong Kong
(SAR; with HKG
identity card)
Japan
Malaysia
Nauru
New Zealand
Papua New Guinea
Russian Federation
Singapore
South Korea
Taiwan
(direct flight to
Guam with passport
and national ID card)
United Kingdom
(including BNO)
Countries participating in the U.S.
Visa Waiver Program (VWP):
Countries participating in the Guam-CNMI
Visa Waiver Program (VWP):
Customs
& Immigration
Eastern
Time Zone
7:00
MEX I CO
CANADA
BAHAMAS
CUBA
Gulf Of
St. Lawrence
PACIFIC
OCEAN
ATLANTIC
OCEAN
Gulf
Of Mexico
TEXAS
Pacific
Time Zone
4:00
Mountain
Time Zone
5:00
Central
Time Zone
6:00
Atlantic
Time Zone
8:00
UN I TED STATE S
LOUISIANA MI SS I SS IPPI
ALABAMA
GEORGIA
FLORIDA
SOUTH
CAROLINA
NORTH
CAROLINA
VIRGINIA
KENTUCKY
OHIO
PA
NEW YORK
INDIANA
ILLINOI S
MICHIGAN
TENNESSEE
OKLAHOMA
MI SSOURI
IOWA
KANSAS
NEBRASKA
SOUTH
DAKOTA
NORTH
DAKOTA
MINNESOTA
WI SCONS IN
WYOMING
MONTANA
IDAHO
OREGON
WASHINGTON
CALIFORNIA
NEVADA
UTAH
ARIZONA
NEW MEXICO
ARKANSAS
WV
VT.
N.H.
MAINE
ONTARIO
NEW
BRUNSWICK
NOVA
SCOTIA
MA N I T O BA
SASKATCHEWAN
ALBERTA
BRITI SH
COLUMBIA
MASS .
C.T.
R.I.
N.J.
DEL .
MARYLAND
Pacific Ocean
NEWFOUNDLAND
& LABRADOR
PRINCE EDWARD
I SLAND
Newfoundland
Time Zone 8:30
Maui
0
50
100
150 Miles
0 50 100 150 200 Kilometers
COLORADO
0
100
200
300
400 Miles
0 100 200 300 400 500 600 Kilometers
BERMUDA
Route lines reflect flights operated by United Airlines
and/or its regional partners. For accurate flight
schedules, please see www.united.com.
©2012 United Air Lines, Inc. All Rights Reserved.
0412
Moncton
Presque Isle
Sand Spit
Prince Rupert
Terrace
Smithers
Fort St. John
Fort McMurray
Prince George
Kamloops
Kelowna
Nanaimo
Penticton
Castlegar
Cranbrook
Lethbridge
Medicine Hat
Thunder Bay
Sault Ste.
Marie
North Bay
Sarnia
Grande Prairie
Sudbury
Timmins
Rouyn-Noranda
Kingston
Baie-Comeau
Wabush
Mont-Joli
Gaspe
Charlottetown
Bathurst
Fredericton
Saint John
Sydney
Goose Bay
Deer Lake
Gander
Îles de la Madeliene
Windsor
Vancouver
Toronto
Edmonton
Calgary
Winnipeg
Halifax
Ottawa
Victoria
London
City
Regina
Saskatoon
Cullaton Lake
Ennadai Lake
Saguenay
Bangor
Miami
Orlando
West Palm Beach
Portland
Seattle
Boise
San Jose
Las Vegas
LOS ANGELES
San Diego
SAN FRANCISCO
Oakland
DENVER
Sacramento
Salt Lake City
Tucson
Phoenix/Scottsdale
Albuquerque
Charleston
Colorado Springs
Greenville/
Spartanburg
Savannah
Baltimore
Birmingham
HOUSTON
(INTERCONTINENTAL)
Louisville
Memphis
Milwaukee
Philadelphia
San Antonio
St. Louis
Tampa/St. Petersburg
Charlotte
CLEVELAND
Dallas/
Fort Worth
Detroit
Jacksonville
Kansas City
New
Orleans
New York (La Guardia)
(J.F. Kennedy)
Norfolk/Virginia Beach
Omaha
Albany
Atlanta
Austin
Boston
Columbia
Columbus
Nashville
Oklahoma City
Raleigh/Durham
Richmond
WASHINGTON, DC (DULLES)
Hartford/
Springfield
Cincinnati
Bozeman
Orange County
Portland
Providence
NEW YORK (NEWARK)
Greensboro/High Point/Winston-Salem
Lexington
Grand
Rapids
Ft. Lauderdale/Hollywood
Syracuse
Buffalo/
Niagara Falls
Knoxville
Tulsa
El Paso
Honolulu
Manchester
Ft. Myers
Kahului
Indianapolis
Minneapolis
Dayton
Allentown
Madison
Pittsburgh
Appleton/
Fox Cities
Burlington
Cedar
Rapids/
Iowa City
Wausau
Des
Moines
Ft.
Wayne
Green Bay
White
Plains
Lansing
Moline
Rochester
South
Bend/Elkhart/
Mishawaka
Springfield
Spokane
Wichita
Lincoln
Missoula
Rapid City
Reno/Tahoe
Charleston
Traverse City
Akron/Canton
State
College
Jackson Hole
Kona
Burbank
Gunnison/
Crested
Butte
Hayden/
Steamboat
Springs
Montrose
Vail/Eagle
Fargo
Gillette
Rock Springs
Crescent City
Eureka
Aspen
Wilkes Barre/
Scranton
Bakersfield
Charlottesville
Chico
Carlsbad
Cody/
Yellowstone
Casper
Eugene
Fresno
Sioux
Falls
Grand
Junction
Medford
Pasco
Palm Springs
Santa Barbara
Roanoke
Imperial
Inyokern
Monterey
San Luis Obispo
Santa Maria
Yuma
Modesto
Springfield
Redmond
Redding
(Reagan National)
Bismarck
Peoria
Asheville
Augusta
Pensacola
Myrtle Beach
Fayetteville/Ft. Bragg
Gainesville
Hilton Head Island
Huntsville/
Decatur
Jacksonville
Long Island/Islip
New Bern
Tri-Cities Regional
Wilmington
Newport News/Williamsburg
Greenville
Northwest
Arkansas
Great Falls
Little
Rock
Billings
Altoona
Johnstown
Beckley
Shenandoah
Valley
Clarksburg
Morgantown
Helena
Klamath
Falls
North Bend
Midland/
Odessa
Chattanooga
Gulfport/
Biloxi
Huntington
New Haven
Williamsport
Jackson Montgomery
Mobile
Salisbury
Newburgh
Ft. Walton
Beach
Florence
Durango
Paducah
Brownsville
Baton
Rouge
Corpus Christi
Harlingen
Laredo
McAllen
Daytona
Lubbock
Amarillo
Dallas (Love)
Waco
College Station
Lafayette
Alexandria
Lake
Charles
Shreveport
Beaumont/
Pt. Arthur
Tyler
Monroe
Victoria
Erie
Liberal
Dodge City
Great Bend
Garden City
Hays
Prescott
Hilo
Flint
Long Beach
Flagstaff
Midland/
Saginaw
Parkersburg
Lynchburg
Elmira
Hyannis
Bar Harbor
Nassau
Tallahassee
Treasure Cay
Cat Island
Andros Town
Nantucket
Ontario
Harrisburg
Ithaca
Binghamton
Idaho Falls
Kalispell
Duluth
Muskegon
Eau Claire
Houghton
Minot
Pierre
Alliance
Chadron
Scottsbluff
Kearney
Laramie
Huron
McCook
Alamosa
Pueblo
Cortez
Farmington
Telluride
Page/
Lake Powell
Show Low
Moab
Worland
Sheridan
Dickinson
Williston
Glasgow
Lewistown
Visalia
Kapalua
Key West
Vernal
North Platte
Cheyenne
Riverton
to Anchorage
to Fairbanks
Bimini
Freeport
George Town
North Eleuthera
Governors Harbour
Marsh Harbour
Jamestown
Dubois
Bradford
Franklin
Lewisburg
Clearfield
Sarasota/Bradenton
Plattsburgh
Melbourne
Killeen
Del Rio
Mammoth Lakes
Hobbs
St. George
ATLANTIC
OCEAN
New York (Penn Station)
Boston
Newark
(Liberty)
New Haven
Philadelphia
Washington, DC
Stamford
Wilmington
Train Routes
Codeshare/MileagePlus Partner Service
MileagePlus Eligible Service
United/United Express Route
United Seasonal Service
United Future Service
United Hub (Red All Caps)
Cities served
Cities served by select airline partners
Time zone boundary
CITY
RouteMaps
NORTHAMERICANCITIES
Route lines do not reflect actual flight path
INFORMATION