DHS TRIP Traveler Inquiry Form

Once modified the Traveler Inquiry Form will reflect the following content:

HOMELAND SECURITY Traveler Inquiry Form

On page 2 of 4 of the PDF version of the Traveler Inquiry Form, under Section IV:

IV. Additional Information (if applicable)

Date of Entry into U.S.: (mm/dd/yyyy) Name of Airline or Ship: _____

Port of Entry into U.S.: ______ Flight or Cruise Number: _____

Departure Date from U.S.: ______ Other Names Used: _________

U.S. Port of Departure: ______ Name at Entry into U.S.: ______

Frequency of Travel: weekly, monthly, yearly (circle one)