Cbp Form I-418 - Us Customs And Border Protection Page 2

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MASTER'S CERTIFICATION

MASTER: Execute the following oath before a U.S. Customs and Border Protection Officer as to all arriving passengers on all vessels and all departing crew on United States Flag Vessels, and before an

CBP Officer authorized to administer oaths as to all departing passengers on vessels:

I certify that the U.S. Customs and Border Protection baggage declaration requirements have been made known to incoming passengers; that any required CBP baggage declarations have been or will

simultaneously herewith be filed as required by law and regulation with the proper CBP Officer; and that the responsibilities devolving upon this vessel in connection therewith, if any, have been or will be

discharged as required by law or regulation before the proper CBP Officer. I further certify that there are no steerage passengers on board this vessel (46 U.S.C. 151-163).

Signature of Master:

CERTIFICATION OF COPY OF CREW LIST OF UNITED STATES FLAG VESSEL

I certify that this is a true copy of the original crew list of the named American vessel, which original crew list is on file in this office. Given under my hand and seal of office at the customhouse at

Signature of CBP Officer:

PASSENGER LIST - CREW LIST - Continuation Sheet

Page

Vessel Name:

Arrival Port in U.S.:

Arrival Date:

Inspection Status

Date

Date of

Nationality/

Position or Title

(DHS Use Only)