RS 864 - Certificate of discharge; master's duty to give
The master of every vessel arriving at any port shall give to every person shipped on board such vessel, who is entitled to his discharge, or who is discharged there, a certificate in the following form:
"A.B., one of the crew of the ship or vessel called the ________ of __________ on her voyage from ________ to ________ is hereby discharged.
Dated _____ of _______ in the year of ______
(Signed,)
C.D., Commanding said vessel."