Cruise Ship Crew Repatriation Request Form

Form for initiating crew repatriation for medical, compassionate, or contract completion reasons, capturing crew details, reason for repatriation, approved routing, and company authorization signature.

Submission Notice

• Purpose of this request
• Consent and data use acknowledgment

Crew Member and Contract Details

• Crew member full name
• Employee ID
• Job title / rank
• Vessel name
• Current port or location
• Contract end date

Repatriation Reason

• Reason for repatriation
• Reason details
  Briefly explain the circumstances and any relevant operational context.
• Medical supporting documents
  Upload only the minimum necessary medical documentation required for review.
• Compassionate leave supporting documents
  Upload supporting documentation only if needed for approval.

Approved Routing and Travel Plan

• Approved destination
• Routing method
• Proposed departure date
• Proposed departure time
• Travel notes and constraints
  Include visa, escort, medical, baggage, or connection constraints relevant to the approved routing.

Company Authorization

• Approver name
• Approver title
• Approval status
• Approval comments
• Company authorization signature

Audit Trail

• Request reference
• Submitted by
• Submission date and time