FMC Form-32 [01/2024] Federal Maritime Commission OMB Clearance No. 3072-0075 (Exp. 1/2027)

Dispute Services Request – Cruise

Person Requesting Assistance:

Name: 

Current address: 

City: State: ZIP Code: 

Ticket or Booking Number: 

Email: Phone:

Dispute is with:

Name(s): 

Address: 

City: State: ZIP Code: Country: 

Phone: E-Mail:

Does your dispute involve: 

Casualty

Non-performance

Other

Did the cruise begin at a U.S. port? Yes No

If you embarked the cruise in a foreign country, please visit: https: www.fmc.gov/resources-services/cruise-passenger-assistance/ 

If you booked with a travel agent or third party seller of travel, please visit: www.fmc.gov/resources-services/cruise-passenger-assistance/

How did you hear about CADRS?

Answer the following below: Have you filed a complaint with the cruise line? Have you contacted anyone else 

for assistance? Did you purchase any travel insurance? How did you book your cruise (e.g., online, travel 

agent, other). Provide a timeline and attach booking confirmation, reservation, ticket, and any other 

relevant. documents. 

Affirmation: I understand that the information that I have provided is for the purpose of convening the use of confidential 

ombuds or mediation services to resolve a cruise related dispute. As such, I authorize CADRS to contact the named party(ies) 

to engage in efforts to seek resolution to this matter. Also, in the event that this matter falls outside of FMC jurisdiction, I 

authorize CADRS to refer my request for assistance to the appropriate governmental agency possessing jurisdiction over my 

complaint. Unless otherwise marked confidential in this intake form or attached documents, I authorize CADRS to disclose 

information provided in the intake form to the other named party(ies) for the purpose of exploring resolution to this dispute. 

I understand and agree that CADRS staff will act as a neutral third party in my ombuds or mediation matter and as such 

CADRS’ staff cannot provide me with legal representation or advice. I also understand and agree that ombuds services and 

mediation are voluntary and that any party and/or CADRS staff may decline or terminate ombuds or mediation services at any 

time. I affirm that the information provided in this intake form, to the best of my knowledge, is true and accurate. 

Signature: Date: 

A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a

collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a current valid OMB Control 

Number. The OMB Control Number for this information collection is 3072-0075. Public reporting for this collection of information is estimated to be approximately 

10 minutes per response, including the time for reviewing instructions, gathering the data needed, and completing and reviewing the collection of information. All 

responses to this collection of information are voluntary, and will be provided confidentiality to the extent allowed by the Freedom of Information Act (FOIA) and the 

Alternative Dispute Resolution Act (ADRA). Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions 

for reducing this burden to: Information Collection Clearance Officer, Federal Maritime Commission, 800 N. Capitol Street, NW, Washington, DC 20573. 

Country:

Return to: CADRS@fmc.gov