Form 1 Illness or Death Report from Ships, 71.21
Foreign Quarantine Regulations
Attachment 6b 71.21a Other illness reports MIDRS screenshot
71.21 (a) Radio Report of Death/Illness Report from Ships
OMB: 0920-0134
                        ⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0134 can be found here:
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| Author | IJE7 | 
| File Modified | 0000-00-00 | 
| File Created | 2021-01-30 |