Get Ds-5528 2016

The DS-5528 is the evacuate manifest and promissory note form required for individuals seeking evacuation by the U.S. Government. This guide provides step-by-step instructions for completing the form online, ensuring that all users can navigate the process effectively.

Follow the steps to complete the DS-5528 online.

1. Click the ‘Get Form’ button to access the DS-5528 form. This will open the document in your browser or document viewer for completion.
2. In Part 1 of the form, enter your last name, first name, and middle name in the provided fields. Make sure to print clearly and use your legal name as it appears on your identity documents.
3. Provide your social security number and date of birth in the appropriate fields. For date of birth, use the format DD-MMM-YYYY.
4. Indicate your place of birth and the issuing country of your identity documents. This section requires accuracy as it pertains to your identification.
5. Fill out your current lodging information including the address where you can be contacted, as well as phone and email address fields.
6. If applicable, describe any medical conditions, current injuries, or limited mobility relevant to your evacuation in the designated section.
7. Complete the billing address section, ensuring that it does not specify a post office box. This is necessary for third-party contractors and certain categories of applicants.
8. Provide your emergency contact information, ensuring that the individual listed is not traveling with you. Include their full name, address, phone number, email, and relationship to you.
9. If applicable, list any accompanying minor children or adults who may require assistance in the designated area of the form.
10. Review the Promissory Note section in Part 2. It's essential to understand the terms regarding repayment and acceptance of transportation offered by the U.S. Government.
11. Sign and date the consent section at the end of the form, confirming that you accept the terms outlined, and ensure that the information provided is accurate.
12. Finally, save your changes, and then you can download, print, or share the completed form as necessary.

Complete your DS-5528 online today for a seamless evacuation process.