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What is the emergency form that is printed out with my documents on EasyCheck-in Online?

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What is the emergency form that is printed out with my documents on EasyCheck-in Online?

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The U.S. Department of Transportation requires that all airlines obtain the full name of each customer who is a U.S. citizen prior to boarding any international flight originating or terminating in the United States. Please complete this form and turn it in to a United representative at the gate for departing international flights.

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