Get Ds-5528 2019-2025

The DS-5528 is an essential form used for evacuation applications and promissory notes by individuals seeking assistance from the U.S. Department of State. This guide will provide you with clear and supportive instructions for completing the form online, ensuring your submission is accurate and timely.

Follow the steps to fill out the DS-5528 online effectively.

1. Press the ‘Get Form’ button to retrieve the DS-5528 and open it in your preferred online editor.
2. Begin by filling out Part 1, which requires information from each adult applicant. Clearly print your last name, first name, and middle name as they appear on your identity document.
3. Provide your Social Security number, date of birth, and place of birth in the designated fields.
4. Input your identity document details, indicating whether it is a passport number or national ID number, along with the issuing country.
5. Specify your current lodging, phone number, and email address to ensure that you can be contacted.
6. If applicable, detail any medical conditions or limited mobility that may affect your evacuation process.
7. Fill in the verifiable billing address at your final destination in the United States, avoiding post office box addresses.
8. Input your emergency contact's information, including full name, address, phone number, and relationship to you.
9. If you have accompanying minor children or incapacitated adults, complete the relevant sections to provide their details.
10. Review your entries for accuracy before proceeding to Part 2.
11. In Part 2, read through the promissory note clauses carefully, confirming your understanding of the evacuation terms and repayment obligations.
12. Provide your signature, full name, and date in the designated signature block, confirming acceptance of the terms.
13. Finally, make sure to save your changes, and depending on your needs, download, print, or share the completed form.

Complete your DS-5528 online now for a smooth evacuation process.