Embassy Registration

Please complete this form and return to DCS Visa Solutions. The registration notifies the US Embassy/Consulate in each country of your travel plans and enrolls you in the State Department travel advisory and warnings program, keeping you informed about important occurrences in the countries you will visit. The benefits are:

Receive important information from the Embassy about safety conditions in your destination country, helping you make informed decisions about your travel plans.
Help the U.S. Embassy contact you in an emergency, whether natural disaster, civil unrest, or family emergency.
Help family and friends get in touch with you in an emergency.

After registration you will receive an email from the Department of State indicating your enrollment in its travel alert program.

DCS Visa Solutions charges $25.00 per person for this Service. By submitting this form you agree to this charge.

Submit Your Travel Plans To Us Securely

Step 1 of 2 - Travelers

Personal Information
How Many Travelers?*
Please provide information for each traveler.
Traveller #1
Full Name, exactly as in Passport*
Date of Birth*
MM slash DD slash YYYY
Passport Number*
Date of Issue*
MM slash DD slash YYYY
Expiration Date*
MM slash DD slash YYYY
Home Address*
Street Address Address Line 2 City State ZIP Code
Your Email Address*
This is the email address we will use to contact you.
Phone*
Comments
For example: Health concerns, accessibility issues, other important travel information, etc.
Traveller #2
Full Name, exactly as in Passport*
Date of Birth*
MM slash DD slash YYYY
Passport Number*
Date of Issue*
MM slash DD slash YYYY
Expiration Date*
MM slash DD slash YYYY
Home Address*
Street Address Address Line 2 City State ZIP Code
Email Address*
Phone*
Comments
For example: Health concerns, accessibility issues, other important travel information, etc.
Traveller #3
Full Name, exactly as in Passport*
Date of Birth*
MM slash DD slash YYYY
Passport Number*
Date of Issue*
MM slash DD slash YYYY
Expiration Date*
MM slash DD slash YYYY
Home Address*
Street Address Address Line 2 City State ZIP Code
Email Address*
Phone*
Comments
For example: Health concerns, accessibility issues, other important travel information, etc.
Traveller #4
Full Name, exactly as in Passport*
Date of Birth*
MM slash DD slash YYYY
Passport Number*
Date of Issue*
MM slash DD slash YYYY
Expiration Date*
MM slash DD slash YYYY
Home Address*
Street Address Address Line 2 City State ZIP Code
Email Address*
Phone*
Comments
For example: Health concerns, accessibility issues, other important travel information, etc.
Traveller #5
Full Name, exactly as in Passport*
Date of Birth*
MM slash DD slash YYYY
Passport Number*
Date of Issue*
MM slash DD slash YYYY
Expiration Date*
MM slash DD slash YYYY
Home Address*
Street Address Address Line 2 City State ZIP Code
Email Address*
Phone*
Comments
For example: Health concerns, accessibility issues, other important travel information, etc.

Destination Information
What is the purpose of the visit?*
How many countries will you be visiting*
Country #1
Country #1
Date of Entry
MM slash DD slash YYYY
Date of Exit
MM slash DD slash YYYY
Country #2
Country #2
Date of Entry
MM slash DD slash YYYY
Date of Exit
MM slash DD slash YYYY
Country #3
Country #3
Date of Entry
MM slash DD slash YYYY
Date of Exit
MM slash DD slash YYYY
Destination Country Contact
Please provide at least one Address and Phone Number in case or emergency
Country #1 Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Country #1 Phone
Type of Phone - Country #1
Country #2
Country #2 Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Country #2 Phone
Type of Phone - Country #2
Country #3
Country #3 Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Country #3 Phone
Type of Phone - Country #3
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Comments
This field is for validation purposes and should be left unchanged.

Embassy Registration

Submit Your Travel Plans To Us Securely

Step 1 of 2 - Travelers

Personal Information

Traveller #1

Traveller #2

Traveller #3

Traveller #4

Traveller #5

Destination Information

Country #1

Country #2

Country #3

Destination Country Contact

Country #2

Country #3

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