Get the free CBP Referral Form 013006.doc

One Medical Center Drive Lebanon, NH 03756-0001 AUTHORIZATION FOR USE/DISCLOSURE OF PROTECTED HEALTH INFORMATION (PHI) BY DMC All sections of this form must be filled out completely, or it will not

How to fill out cbp referral form 013006doc

How to fill out CBP referral form 013006doc:

1. Start by reviewing the form and gathering all the required information. The CBP referral form 013006doc is used to refer individuals to U.S. Customs and Border Protection (CBP) for further examination or inspection. It is important to have all the necessary details before filling out the form.
2. Begin by entering the date of the referral in the designated space. This should be the date when the referral is being made.
3. Provide the contact information of the person making the referral. Include their name, title, phone number, and email address. This ensures that CBP can reach out for any follow-up or additional information if needed.
4. Fill in the subject information, including the full name of the subject being referred. Provide any additional identifying information, such as their date of birth and passport number if applicable. This helps CBP accurately identify the individual.
5. Specify the reason for the referral. This could be due to suspicious behavior, incomplete documentation, perceived threat, or any other relevant factor. Provide a detailed description of the circumstances that led to the referral. The more information you can provide, the better CBP can assess the situation.
6. Indicate the location where the referral is being made. This could be a specific point of entry, airport, seaport, or any other relevant location. Provide as much detail as possible to ensure CBP knows where to direct the referral.
7. In the "Action Taken" section, document any actions already taken regarding the referral. This could include any initial screenings, interviews, or preliminary investigations conducted before the form was filled out.
8. Finally, review the form to ensure all fields are completed accurately and legibly. Double-check the information provided to avoid any errors or missing details. Once satisfied, sign and date the form to certify its accuracy.

Who needs CBP referral form 013006doc?

1. CBP officers or agents who encounter individuals at U.S. ports of entry and suspect further examination or inspection is necessary may need to fill out CBP referral form 013006doc.
2. Law enforcement agencies collaborating with CBP and identifying individuals of concern or suspicious activity may also need to use this referral form.
3. Any authorized personnel involved in the entry process, including immigration officers, customs officers, and other relevant authorities, may require the use of CBP referral form 013006doc when referring individuals for additional scrutiny or investigation.

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