Custom Declaration Form

Collects a traveler's details, flight information, and the items they're bringing in to satisfy the customs declaration process before entering the country.

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Name

Nombre

Apellido

Date of Birth

How Many Family Members Are Traveling With You?

U.S. Address (Hotel/Destination)

Dirección

Ciudad

Estado / Provincia

Código postal

Passport Issued By

Passport Number

Country of Residence

Flight # or Vessel Name

Primary Purpose of This Trip Is

Business Pleasure/Tourism Other

You Are Bringing

Fruits or Vegetables Meat or Animal Products Plants Soil None of the Above

Have You Been in Close Proximity to Livestock?

Yes No

Are You Carrying Currency or Monetary Instruments Over $10,000 U.S. or Foreign Equivalent?

Yes No

Do You Have Commercial Merchandise?

Yes No

I, the Undersigned, Agree With the Following Statements

I agree

Date

Signature

Sign here

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