US flag Official website of the Department of Homeland Security

Home >> Forms

Form 5129 - Crew Member's Declaration and Instructions

Document Posting Date: 
August 14, 2018

Sample for reference only.  Not for usage or printing purposes.


*The OMB Date is expired, however this form is still valid for use and is under review by OMB awaiting a new expiration date.

Last modified: 
December 7, 2020