Travel Customs Declaration Questionnaire Form
Please complete this form to declare the necessary information for customs intake. All responses are required for entry assessment. Do not include sensitive ID or financial details.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Country of Citizenship
*
Date of Arrival
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Country of Origin (Last Departure)
*
List all countries visited in the past 30 days
*
Purpose of Travel
*
Business
Tourism
Visiting Family/Friends
Other
Are you bringing any restricted or declared items (such as food, plants, animals, currency over $10,000, or goods for sale)?
*
Yes
No
If yes, please describe the items you are declaring
Submit Declaration
Should be Empty: