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.Country ofCitizenship
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 visitingor 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).
Whenall 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 theUnitedStatesby ship,enterSEA in this space.
5U.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 in your removal.
Left:U.S. I-94Arrival/DepartureRecord,
whichallGuam-CNMIVisaWaiver
Programparticipantsmust complete;
right:U.S. CustomsDeclaration
customs&safety
travel info
U.S. andGuam international arrivals/
expeditedscreening throughCBP
Arrivals in theU.S.
U.S. Customs andBorder Protection
(CBP) has automated the I-94
arrival/departure record. After CBP
inspection, travelers can request a
copyof their I-94 at cbp.gov/I94.
U.S. CustomsDeclaration
One traveler per familymust
complete a customs declaration
before arrival in theU.S. Please
readboth sides of thedocument,
complete the form inEnglish, using
capital letters, andbe sure to sign.
If you arepassing through the
U.S., write “TRANSIT” andyour
final destination country in the
address field.
Arrivals inGuam
All travelers entering Guam under the terms of the Guam-CNMI Visa
Waiver Programmust complete an I-94Arrival/Departure Record (one
per person, including infants); an I-736 (one per person, including
infants); and a Guam Customs Declaration (one per family). All other
travelersmust complete a Guam Customs Declaration only. Forms
must be completed in English, using capital letters. If you are passing
through Guam, write “TRANSIT” and your final destination country in
the address field. The Customs and Border Protection officer will place
the I-94 departure record in your passport after inspection. Before
boarding your return flight, please give the departure record to the
airline representative at the boarding gate.
Expeditedscreening through the
U.S. TransportationSecurity
Administration (TSA)
The TSAmanages andoperates , an expedited security screening
program that allows certain travelers tomove through securitymore
quickly and easilywhendeparting fromparticipating airports in theU.S.
The TSA, not United, randomly selects travelers for expedited screening.
The ability touse lanes ismost consistent for travelerswho
have joined aDepartment ofHomeland Security Trusted Traveler
program. After completing abackground check and screening, travelers
who are enrolled in a Trusted Traveler program are issued aKnown
TravelerNumber (KTN) or PASS ID.Members of theU.S. ArmedForces,
including those serving in theU.S. Coast Guard, Reserves andNational
Guard, canuse theirDepartment of Defense (DoD) identificationnumber.
This number shouldbenotedwhenmaking a flight reservation, or you
can add it to an existingUnited reservation through the “Edit traveler
information” option at united.com/managereservations.
If the TSAdetermines that a traveler is eligible for expedited screening,
information is embedded in thebarcodeof his or her boardingpass. A
logoor “TSAPRE” is alsoprintedon theboardingpass near the
traveler’s name.When the TSA agent at aparticipating airport scans the
barcode, eligible travelerswill bedirected to a lane. Note that
not all airports offer lanes. Children ages 12 andundermay
accompany an eligible traveler through .
As of April 2015, travelerswithout aKTN/PASS ID/DoD IDnumber,
including thosewhopreviouslyopted in through a frequent flyer
program, will notice a reduction in thenumber of times they are chosen
by the TSA for . Additionally, the TSAwill always incorporate
random andunpredictable securitymeasures throughout the airport, and
inorder to retain a certain element of randomness, no individualwill be
guaranteed expedited screening. Visit tsa.gov/tsa-precheck to learnmore.
Safety information
Customer safety isour
primary concern. Our
flight attendants are
trained thoroughly in
all safetyprocedures. But as expert
as theyare, in theevent of an
emergency theyneedhelp from
you, the customer. You should
beawareof the following:
NEED TOKNOW
NEVERPERMITTED
TheFederal Aviation
Administrationand
theTransportation
SecurityAdministration
prohibit hazardousmaterials in
either checkedor carry-onbaggage.
Substantial fines canbe imposed
forviolations.
Smoking isnot permitted. Federal
law imposesfinesof $1,000 for
smokingandup to$2,200 for any
attempt todisableanaircraft’s
smokedetectors.Weprohibit the
useor chargingof e-cigarettes and
personal vaporizersonourflights.
The correct procedure for exiting
the cabin inanemergency
Please look carefullyat the safety
information card located in the seat
pocket in front of you
EXIT
Locationof thenearest
emergencyexit
Whereyour oxygenmaskwill
appear, how to start theoxygenflow
andhow touse themask
Liquidand solidexplosives
Flammable liquids,
gases and compressedgases
Poisons, radioactivematerial,
corrosiveandoxidizingagents
Spare lithiumbatteriescannever
be incheckedbaggage, including
gate-checkedbags. Stowall spare
batteries incarry-onbags. E-cigarettes
andpersonalvaporizersarealsonot
permitted incheckedbags.
It is aviolationof federal
regulations todrinkalcoholic
beveragesduringaflight unless
theyare servedbyour personnel.
Also, airlines are forbidden to serve
alcoholicbeverages toanyonewho
appears tobe intoxicated.
!
Expeditedentry
Clearance in theU.S.—GlobalEntry™expeditedpassportcontrol andcustoms
CBPoffers theGlobal Entryprogram toexpedite theprocessingofpre-
approved, low-risk international travelersentering theU.S. Upon returning
from travel abroad, travelersenrolled inGlobal Entrymaybypass the regular
passport control lineandproceed to theGlobal Entrykiosk. Pleasenote that
Global Entry isnot available to travelersarrivingatHonoluludirectly from
Guam. Fordetailed information, includingeligibility requirementsand the
enrollmentprocess, visit globalentry.gov.
OneStopLanes inChicagoandHoustonshortenyourwalk
If youdidn’t check anybags, proceed to theOneStop lanes, regardless
of your nationalityor final destination. Global Entry kiosks are available.
InHouston, youmay alsouse theOneStop lanes if you checked abag
and are immediately connecting to anotherUnited-operated
international flight.
112
OCTOBER 2015
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