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 enroll-
ment 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.
MileagePlus compensates 2013 Global Services, Premier 1K
and Premier Platinummembers for the $100 Global Entry™
application fee (for new applications). Customers can verify
their eligibility and receive their personalized code by visiting
united.com/web/en-US/apps/mileageplus/globalentry/
default.aspx or united.com/premier.
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 U.S. 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 through 21).
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
44
MAY 2013
•
HEMISPHERESMAGAZINE.COM
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