Cbp Form 28 PDF Details

If you are a U.S. citizen or lawful permanent resident and will be traveling outside of the United States, it is important to know about the required travel document, CBP Form 28. This form is used by U.S. Customs and Border Protection (CBP) officers to verify your identity and citizenship status when you return to the United States. Here's what you need to know about CBP Form 28 and how to apply for it.

QuestionAnswer
Form NameCbp Form 28
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesCBP_Form_28 form 434 fillable

Form Preview Example

DEPARTMENT OF HOMELAND SECURITY

OMB No. 1651-0023

Exp. 03-31-2014

 

 

 

 

 

 

 

U.S. Customs and Border Protection

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1. Date of Request

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REQUEST FOR INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19 CFR 151.11

 

 

 

 

 

 

 

 

2. Date of Entry and Importation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3. Manufacturer/Seller/Shipper

 

 

4. Carrier

 

 

 

 

 

 

 

 

5. Entry No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5a. Invoice Description of Merchandise

 

 

 

 

 

5b. Invoice No.

 

6. HTSUS Item No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. Country of Origin/Exportation

 

 

 

 

 

8. CBP Broker and Reference or File No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9. TO:

 

 

 

 

 

 

 

 

10. FROM:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Production of Documents and/or Information Required by Law: If you

 

 

 

 

 

11a. Port

 

 

 

 

 

11b. Date Information

have provided the information requested on this form to U.S. Customs and

 

 

 

 

 

 

 

 

 

 

 

 

 

Furnished

Border Protection at other ports, please indicate the port of entry to which it

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

was supplied, and furnish a copy of your reply to this office, if possible.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

General Information and Instructions on Reverse

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12. Please Answer Indicated Question(s)

 

 

 

 

 

 

 

13. Please Furnish Indicated Item(s)

 

 

A.

 

Are you related (see reverse) in any way to the seller of

 

 

 

 

A.

 

 

Copy of contract (or purchase order and seller's

 

 

 

 

 

 

 

 

 

 

 

 

 

this merchandise? If you are related, please describe the

 

 

 

 

 

 

 

confirmation thereof) covering this transaction, and any

 

 

 

 

 

 

 

 

 

 

 

revisions thereto.

 

 

 

 

 

 

relationship, and explain how this relationship affects the

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

price paid or payable for the merchandise.

 

 

 

 

B.

 

 

Descriptive or illustrative literature or information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

explaining

what the merchandise is, where and how it is

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

used, and exactly how it operates.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C.

 

 

Breakdown of components, materials, or ingredients by

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

weight and the actual cost of the components at the time

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

of assembly into the finished article.

 

 

 

 

B.

 

Identify and give details of any additional costs/

 

 

 

 

D.

 

Submit samples:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Article number and description

 

 

 

 

 

expenses incurred in this transaction, such as:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1) packing

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

from container

 

 

 

 

 

 

 

 

(2) commissions

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

mark(s)and number

 

 

 

 

 

 

 

 

(3) proceeds that accrue to the seller

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Samples consumed in analysis, and other samples whose

 

 

 

 

 

(4) assists

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

return is not specifically requested, will not normally be

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(5) royalties and/or license fees

 

 

 

 

 

 

 

returned.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E.

 

See item 14 below.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14. CBP Officer Message

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15. Reply Message (Use additional sheets if more space is needed.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16.

 

 

It is required that an appropriate corporate/company official execute this certificate and/or endorse all correspondence

 

CERTIFICATION

in response to the information requested. (NOTE: NOT REQUIRED IF FOREIGN FIRM COMPLETES THIS FORM.)

I hereby certify that the information

 

16a. Name and Title/Position of Signer (Owner,

l6b. Signature

 

 

 

 

Importer, or Corporate/Company Official)

 

 

 

 

 

 

 

 

 

 

furnished herewith or upon this form in

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

response to this inquiry is true and correct,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16c. Telephone No.

 

16d. Date

and that any samples provided were taken

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

from the shipment covered by this entry.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17. CBP Officer

 

 

 

18. Team Designation

 

 

 

 

19. Telephone No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CBP Form 28 (03/11)

GENERAL INFORMATION AND INSTRUCTIONS

1.The requested information is necessary for proper classification and/or appraisement of your merchandise and/or for insuring import compliance of such merchandise. Your reply is required in accordance with section 509(a), Tariff Action of 1930, as amended (19 U.S.C. 1509).

2.All information, documents, and samples requested must relate to the shipment of merchandise described on the front of this form.

3.Please answer all indicated questions to the best of your knowledge.

4.All information submitted will be treated confidentially.

5.If a reply cannot be made within 30 days from the date of this request or if you wish to discuss any of the questions designated for your reply, please contact the CBP officer whose name appears on the front of this form.

6.Return a copy of this form with your reply.

DEFINITIONS OF KEY WORDS IN BLOCK 12

Question A: RELATED - The persons specified below shall be treated as persons who are related:

(A)Members of the same family, including brothers and sisters (whether by whole or half blood), spouse, ancestors, and lineal descendants.

(B)Any officer or director of an organization and such organization.

(C)An officer or director of an organization and an officer or director of another organization, if each such individual is also an officer or director in the other organization.

(D)Partners.

(E)Employer and employee.

(F)Any person directly or indirectly owning, controlling, or holding with power to vote, 5 percent or more of the outstanding voting stock or shares of any organization and such organization.

(G)Two or more persons directly or indirectly controlling, controlled by or under common control with, any person.

PRICE PAID OR PAYABLE - This term is defined as the total payment (whether direct or indirect and exclusive of any costs, charges, or expenses incurred for transportation, insurance, and other C.I.F. charges) made, or to be made, for imported merchandise by the buyer to, or for the benefit of, the seller.

Question B: ASSISTS - The term "assist" means any of the following if supplied directly or indirectly, and free of charge or at reduced cost, by the buyer of the imported merchandise for use in connection with the production or the sale for export to the United States of the merchandise:

(1)Materials, components, parts, and similar items incorporated in the imported merchandise.

(2)Tools, dies, molds, and similar items used in the production of the imported merchandise.

(3)Merchandise consumed in the production of the imported merchandise.

(4)Engineering, development, artwork, design work, and plans and sketches that are undertaken elsewhere than in the United States and are necessary for the production of the imported merchandise.

PROCEEDS THAT ACCRUE TO THE SELLER - This term is defined as the amount of any subsequent resale, disposal, or use of the imported merchandise that accrues, directly or indirectly, to the seller.

ROYALTIES AND/OR LICENSE FEES - This term relates to those amounts that the buyer is required to pay, directly or indirectly, as a condition of the sale of the imported merchandised for exportation to the United States.

PAPERWORK REDUCTION ACT STATEMENT - An agency may not conduct or sponsor an information collection and a person is not required to respond to this information unless it displays a current valid OMB control number and an expiration date. The control number for this collection is 1651-0023. The estimated average time to complete this application is 2 hours. If you have any comments regarding the burden estimate you can write to U.S. Customs and Border Protection, Office of Regulations and Rulings, 799 9th Street, NW., Washington DC 20229.

CBP Form 28 (03/11)(Back)

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1. To start with, while completing the Cbp Form 28, begin with the part that features the following blanks:

Cbp Form 28 completion process detailed (stage 1)

2. Just after filling in the last step, go on to the next step and fill out all required details in all these fields - Are you related see reverse in any, Identify and give details of any, packing, commissions, proceeds that accrue to the seller, assists, royalties andor license fees, CBP Officer Message, Reply Message Use additional, Descriptive or illustrative, Breakdown of components materials, Submit samples Article number and, from container, marksand number, and Samples consumed in analysis and.

Writing part 2 in Cbp Form 28

People generally make some errors when filling in Breakdown of components materials in this area. Make sure you review everything you type in right here.

3. This next step is related to I hereby certify that the, a Name and TitlePosition of Signer, c Telephone No, d Date, CBP Officer, Team Designation, Telephone No, and CBP Form - fill out each one of these fields.

Cbp Form 28 conclusion process explained (part 3)

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