Ds 3072-2026

1. Click ‘Get Form’ to open the ds 3072 in the editor.
2. Begin by filling out the Personal Principal Adult Family Member Information section. Enter your name, Social Security Number, date of birth, nationality, sex, and place of birth.
3. List any accompanying family members by providing their nationality, date of birth, relationship to you, and other relevant details.
4. In Part 1 - Emergency Loan Application, indicate your telephone number and check all applicable boxes for assistance types such as evacuation or medical repatriation.
5. Complete the Promissory Note section by checking the appropriate box that applies to your citizenship status and understanding of repayment terms.
6. Fill in the loan amounts for repatriation or emergency medical assistance as required. Ensure all dates are entered correctly.
7. Sign and date where indicated at the bottom of each page to finalize your application.

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