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DS-3072 12-2006 Page 1 of 5 Last Name First Name Middle Name TO BE COMPLETED BY U.S. CONSULAR OFFICER Amount in Foreign Currency Amount in U. S. Currency The Above Total Includes DOL U.S. Dollars for Subsistence Date From mm-dd-yyyy And DOLS U.S. Dollars For Repatriation/Emergency Medical and Dietary Assistance 13. By signing here you authorize the Department of State to provide HHS Repatriation Program and/or its partners and grantees information regarding your medical and other pertinent...
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How to fill out evacuation documentation

01
Read and understand the evacuation documentation form
02
Gather all the necessary information required to fill out the form
03
Start by entering your personal details such as name, address, and contact information
04
Provide details about the reason for evacuation and the location from where you are evacuating
05
Ensure to include any additional information or special requirements
06
Review the filled form for accuracy and completeness
07
Sign and date the form as necessary
08
Submit the completed evacuation documentation form to the appropriate authority

Who needs evacuation documentation?

01
Individuals living in disaster-prone areas
02
People residing near volcanoes, fault lines, or at-risk geographical regions
03
Officials, volunteers, or employees involved in emergency response
04
Individuals with medical conditions requiring special evacuation assistance
05
People traveling to destinations that might be affected by natural disasters
06
Employees working in high-risk industries where evacuation plans are vital
07
Government agencies and organizations responsible for disaster management
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