Customs Clearance Declaration Form
Please fill in the details below for customs clearance.
Full Name
First Name
Last Name
Passport Number
Country of Departure
Please Select
USA
Canada
UK
Australia
Germany
France
China
Japan
India
Other
Country of Destination
Please Select
USA
Canada
UK
Australia
Germany
France
China
Japan
India
Other
Description of Goods
Value of Goods (in USD)
Are the goods for commercial use?
Yes
No
Date of Declaration
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature
Submit
Should be Empty: