Pay Off or Discharge Form #I-408

OMB# 1651-0106 (06/09 EDN)- EXPIRATION DATE 10-31-2016

This form is used by the owner, agent, master or commanding officer of a vessel or aircraft seeking authorization to pay off or discharge crewmembers in the United States. No alien crewmember on a vessel or aircraft, except for those admitted for lawful permanent residence, may be discharged or paid off in the United States without prior authorization.

This form is supplied in triplicate as a 3-Part NCR, poly-wrapped in bundles of 100.

Please contact a customer service representative for further information.