Form 0920-1318 Contact Information - Returned Air Passenger

REQUIREMENT FOR PROOF OF COVID-19 VACCINATION FOR NONCITIZEN, NONIMMIGRANT AIR PASSENGERS

Attachment G-Returned Inadmissible Passenger

Airline Representative - Contact information collection for public health follow up

OMB: 0920-1318

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Returned Air Passenger
Data Collection Points from Airlines when a Traveler is Denied Entry to a Foreign Country and Must
Return to the United States without being able to meet requirements for the GTO or Vaccine
Requirement
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Date and Time Received
Passenger Name
DOB (mm/dd/yyyy)
Passport # and Nationality
Cell Phone #
Email
Destination Address
Departure Date to US
Airline
Flight #
Name of submitting entity (if different from passenger)
Contact Info for POC
Explanation of Why Pax is being returned


File Typeapplication/pdf
AuthorAmber Stolp
File Modified2021-11-01
File Created2021-11-01

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