I-408 Application to Payoff or Discharge an Alien Crewman

DEPARTMENT OF HOMELAND SECURITY

U.S. Customs and Border Protection

OMB APPROVAL NO. 1651-0106
EXPIRES: 07/31/2023

APPLICATION TO PAY OFF OR DISCHARGE ALIEN CREWMAN
To be filed in triplicate (see instructions).

I.

CARRIER:

ARRIVAL MANIFEST FILED AT (PORT):

DATE OF ARRIVAL:

I hereby request authorization to pay off/discharge the alien crewmen listed below.
II.

NAME IN FULL

FAMILY NAME

NATIONALITY AND
PASSPORT NUMBER

GIVEN NAME AND
MIDDLE INITIAL

ACTION BY CBP

NOTE: IF ADDITIONAL SPACE IS REQUIRED, ATTACH LIST IN TRIPLICATE.
III. REASON FOR REQUEST:

IV. ARRANGEMENTS FOR DEPARTURE FROM THE U.S. OF THE CREWMEN LISTED ABOVE (INCLUDE DATE AND PORT OF
DEPARTURE, AIR CARRIER, AND FLIGHT NUMBER OR VESSEL):

MAILING ADDRESS OF CARRIER
STREET ADDRESS:

SIGNATURE:

CITY:

TITLE:

STATE:

ZIP CODE:

FOR GOVERNMENT USE ONLY
APPLICATION:
GRANTED
OFFICE:

DENIED

COPY:

DATE:
MAILED

DATE:

SIGNATURE:

SIGNATURE:

TITLE:

TITLE:

CBP Form I-408 (3/22)

DELIVERED

Page 1 of 3

To be filed in triplicate (see instructions).
I.

CARRIER:

ARRIVAL MANIFEST FILED AT (PORT):

DATE OF ARRIVAL:

I hereby request authorization to pay off/discharge the alien crewmen listed below.
II.

NAME IN FULL

FAMILY NAME

NATIONALITY AND
PASSPORT NUMBER

GIVEN NAME AND
MIDDLE INITIAL

ACTION BY CBP

NOTE: IF ADDITIONAL SPACE IS REQUIRED, ATTACH LIST IN TRIPLICATE.
III. REASON FOR REQUEST:

IV. ARRANGEMENTS FOR DEPARTURE FROM THE U.S. OF THE CREWMEN LISTED ABOVE (INCLUDE DATE AND PORT OF
DEPARTURE, AIR CARRIER, AND FLIGHT NUMBER OR VESSEL):

MAILING ADDRESS OF CARRIER
STREET ADDRESS:

SIGNATURE:

CITY:

TITLE:

STATE:

ZIP CODE:

FOR GOVERNMENT USE ONLY
APPLICATION:
GRANTED
OFFICE:

DENIED

COPY:

DATE:
MAILED

DATE:

SIGNATURE:

SIGNATURE:

TITLE:

TITLE:

CBP Form I-408 (3/22)

DELIVERED

Page 2 of 3

To be filed in triplicate (see instructions).
I.

CARRIER:

ARRIVAL MANIFEST FILED AT (PORT):

DATE OF ARRIVAL:

I hereby request authorization to pay off/discharge the alien crewmen listed below.
II.

NAME IN FULL

FAMILY NAME

NATIONALITY AND
PASSPORT NUMBER

GIVEN NAME AND
MIDDLE INITIAL

ACTION BY CBP

NOTE: IF ADDITIONAL SPACE IS REQUIRED, ATTACH LIST IN TRIPLICATE.
III. REASON FOR REQUEST:

IV. ARRANGEMENTS FOR DEPARTURE FROM THE U.S. OF THE CREWMEN LISTED ABOVE (INCLUDE DATE AND PORT OF
DEPARTURE, AIR CARRIER, AND FLIGHT NUMBER OR VESSEL):

MAILING ADDRESS OF CARRIER
STREET ADDRESS:

SIGNATURE:

CITY:

TITLE:

STATE:

ZIP CODE:

FOR GOVERNMENT USE ONLY
APPLICATION:
GRANTED
OFFICE:

DENIED

COPY:

DATE:
MAILED

DATE:

SIGNATURE:

SIGNATURE:

TITLE:

TITLE:

CBP Form I-408 (3/22)

DELIVERED

Page 3 of 3

NOTICE
Section 256 of the Immigration and Nationality Act (8 U.S.C. 1286)
NOTE: The authorities and responsibilities of the Attorney General now belong to the Secretary of Homeland Security
It shall be unlawful for any person, including the owner, agent consignee, charterer, master or commanding officer
vessel or aircraft, to pay off or discharge an alien crewman, except an alien lawfully admitted for permanent residence,
employed on board a vessel or aircraft arriving in the United States without first having obtained the consent of the
Attorney General. If it shall appear to the satisfaction of the Attorney General that any alien crewman has been paid
off or discharged in the United States in violation of the provisions of this section, such owner, agent, consignee,
charterer, master, commanding officer or other person, shall pay to the Commissioner the sum of $3,000 for each such
violation. No vessel or aircraft shall be granted clearance pending the determination of the question of the liability to
the payment of such sums or while such sums remain unpaid, except that clearance may be granted prior to the
determination of such question of the liability to the payment of such sums or while such sums remain unpaid, except
that clearance may be granted prior to the determination of such question upon the deposit of an amount sufficient to
cover such sums, or of a bond approved by the commissioner with sufficient surety to secure the payment thereof.
Such fine may, in the discretion of the Attorney General be mitigated to not less than $1,500 for each violation, upon
such terms as he shall think proper.

INSTRUCTIONS
1. FILING: The application must be completed in triplicate and delivered or mailed to the nearest office of U.S.
Customs and Border Protection (CBP).
2. EXECUTION: The signature and title of either the owner, agent, consignee, charterer, master or commanding
officer of the vessel or aircraft seeking authorization to pay off or discharge crewmen must be included on the
application.
3. GENERAL: Inadequate or incomplete data required in items III, Reason for request, and IV, Arrangements for
departure, may result in denial of the application.
4. DISPOSITION: The original and one copy of the granted application will be returned to the applicant. The copy
must be submitted with the departure manifest. One copy of the application will be retained by CBP with the arrival
manifest.

PAPERWORK REDUCTION ACT STATEMENT
An agency may not conduct or sponsor an information collection and a person is not required to respond to this
information unless it displays a current valid OMB control number and an expiration date. The control number for this
collection is 1651-0106. The estimated average time to complete this application is 25 minutes. If you have any
comments regarding the burden estimate you can write to:
U.S. Customs and Border Protection
Office of Regulations and Rulings
90 K Street, NE.,
Washington, D.C., 20229.

CBP Form I-408 (3/22)

Instructions Page 1 of 1