Transcription of Sample US Customs Declaration Form - Immihelp
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Example: tourism industry
Sample US Customs Declaration Form - Immihelp
Customs Declaration19 CFR 1 , , , , , 14S8i 31 CFR 531 6 FORMAPPROVEDOil,lB NO. 1651-0009 Each arriving traveler or responsible family member must provide the followinginformation (only ONE wriften Declaration per family is required):1. FamilyNameFtlr.;t (Giorn) Middle2. Birdr date D^y Month Year3. Number of Family members traveling with you4. (a) Street Address (hotel name/destination)(b) City(c) State5. Passport issued by (country)6. Passport number7. Country of Residence8. Countries visited on thisrip prior to arrival9. Airline/Flight No. or Vessel Name10. The primary purpose of this trip is business: Yes NoI l. I am (We are) bringing(a) fruits, vegetables, plants, seeds, food, insects: Yes No(b) meats, animals, animaVwildlife products: Yes No(c) disease agents, cell cultures, snails: Yes No(d) soil or have been on a fann/rancVpasture: Yes have QV'e have) been in close proximity of(such as touching or handling) livestock: Yes NoI 3.
Customs Declaration 19 CFR 1 22.27, 148.12, 148.13, 148.110,148.111, 14S8i 31 CFR 531 6 FORMAPPROVED Oil,lB NO. 1651-0009 Each arriving traveler or responsible family member must provide the following
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