Canadian Declaration Form – Fill Out and Use This PDF

All travellers must be identified on a Canada

Border Services Agency (CBSA) Declaration

Card. You may list up to four people living at the

same address on one card. Each traveller is

responsible for his or her own declaration.

Each traveller is responsible for reporting

detach

currency and/or monetary instruments

totaling CAN$10,000 or more that are in his

or her actual possession or baggage.

Under the law, failure to properly declare goods,

and

currency and/or monetary instruments brought

into Canada may result in seizure action,

line

monetary penalties and/or criminal prosecution.

Information from this declaration will be used

along

for CBSA control purposes, and may be shared

with other government departments to enforce

Canadian laws. For more information see INFO

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SOURCE (ref. no. CBSA PPU 018), at a public

library or visit http://infosource.gc.ca.

Part B – Visitors to Canada

The following duty-free allowances apply to each

visitor entering into Canada:

 24 hours: CAN$200

detach

Not claimable if goods exceed CAN$200.

Alcohol and tobacco cannot be claimed.

 48 hours: CAN$800

and

This includes alcohol and tobacco

(see table below).

 7 days: CAN$800

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This includes alcohol and tobacco

(see table below) and unaccompanied goods.

along

Alcohol and tobacco

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exemption table

1.5 L of wine or 1.14 L of liquor or

24 x 355 ml cans or bottles (8.5 L) of beer or

ale. (You must be of legal age in the province

of importation.)

200 cigarettes, 200 tobacco sticks,

50 cigars or cigarillos and

200 grams of manufactured tobacco

(Special Duty may apply).

PAX

– For Agency Use Only –

R

U.S. V

OV

Cr

O

Date of birth:

Y Y M M D D

Citizenship:

Date of birth:

Y

Y

M

M

D

D

Citizenship:

YY - MM - DD

Date of birth:

Y

Y

M

M

D

D

Citizenship:

YY - MM - DD

Date of birth:

Y

Y

M

M

D

D

Citizenship:

YY - MM - DD

HOME ADDRESS – Number, street, apartment No.

City/Town

Prov./State

Country

Postal/Zip code

Arriving by:

Purpose of trip:

Arriving from:

Study

Air

Rail

Marine

Highway

U.S. only

Airline/flight No., train No. or vessel name

Personal

Other country direct

Business

Other country via U.S.

I am/we are bringing into Canada:

Yes No

Duration of stay in Canada

Do you or any person listed above exceed the duty-free

Yes

No

days

allowances per person? (See instructions on the left.)

Part C

Residents of Canada

Do you or any person listed above exceed the exemptions per person?

Yes

No

(See instructions on the left.)

Complete in the same order as Part A

Date left Canada

Value of goods – CAN$

Date left Canada

Value of goods – CAN$

purchased or received abroad

purchased or received abroad

YY - MM - DD

YY - MM - DD

(including gifts, alcohol & tobacco)

(including gifts, alcohol & tobacco)

1

Y Y M M D D

3

Y Y M M D D

2

Y Y M M D D

4

Y Y M M D D

1

Date

Y

Y

M

M

D

D

2

YY - MM - DD

3

4

E311 (12/06)

Protected A when completed

BSF311