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Get and Sign Form I 418 2015-2022
Port:
Last Foreign Port (Place and Country):
No. of Passengers:
No. of Crew (including Master):
Will crew perform longshore work while vessel is in the United States?
Next U.S. Port(s)
PASSENGER LIST
Official Number:
CREW LIST
Arrival Date
Date of Arrival in U.S.:
Arrival Port:
Agent at Arrival (Name & Address):
NO
YES
(Provide applicable INA Section 258 Exemption):
PROPOSED ITINERARY
Vessel Agent (Name and Address)
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