Cruise Ship Security Screening Form
Complete this form to document the security screening process for each cruise ship passenger. Do not collect sensitive personal or financial information.
Passenger Full Name
*
First Name
Last Name
Screening Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Screening Officer Name
*
Travel Document Type
*
Please Select
Passport
National ID Card
Seafarer’s Identity Document
Birth Certificate
Other
Screening Status
*
Completed - No Issues
Completed - Issues Found
Not Completed
Baggage Inspection Status
*
All Baggage Inspected
Partial Inspection
Inspection Not Conducted
Did the passenger declare any restricted items?
*
Yes
No
Restricted Items Found (if any)
*
None
Sharp Objects
Flammable Liquids
Firearms/Ammunition
Illegal Substances
Other
Screening Officer Observations / Notes
Clearance Outcome
*
Cleared for Boarding
Cleared with Restrictions
Not Cleared
Submit Screening
Should be Empty: