DS-5528-2026

1. Click ‘Get Form’ to open the DS-5528 in the editor.
2. Begin with Part 1, where each adult applicant must fill in their Last Name, First Name, and Middle Name clearly. Ensure that you provide your Social Security Number and Date of Birth in the specified format (DD-MMM-YYYY).
3. Continue by entering your Place of Birth and selecting your Identity Document type. Specify whether you are Male or Female and provide the relevant Passport or National ID Number.
4. Fill in your current lodging address, phone number, and email address where you can be contacted. Be sure to include any medical conditions that may affect your evacuation.
5. Complete the billing address section accurately, ensuring it is not a Post Office Box. Include all necessary details such as Address Line 1, City, State/Province, Postal Code, and Country.
6. For emergency contacts, provide their full name, relationship to you, and contact information. If applicable, list any accompanying minor children or incapacitated adults.
7. Review Part 2 for the Promissory Note and ensure you understand the terms before signing. Complete all required fields including your printed name and signature.

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