Cbp Form 3078 PDF Details

In today's interconnected and security-aware society, the Department of Homeland Security's U.S. Customs and Border Protection (CBP) plays a pivotal role in safeguarding the nation's borders. Against this backdrop, the CBP Form 3078 emerges as a critical instrument, designed for individuals seeking an identification card crucial for various professional roles within the scope of CBP operations. This form encapsulates a meticulous process that scrutinizes an applicant's background, ensuring they meet the stringent criteria for access to sensitive areas and tasks. It covers a broad spectrum of information, from personal identifiers like name, social security number, and physical attributes, to detailed employment history, criminal convictions, and drug use inquiries, making it a comprehensive assessment tool. Moreover, it mandates the disclosure of past residences, military service, and any previous attempts to obtain a CBP identification card, painting a complete picture of the applicant's background. The form not only streamlines the application process but also adheres to legal requirements set forth by relevant U.S. statutes and the Code of Federal Regulations, highlighting its significance in maintaining national security while facilitating legitimate trade and transportation activities. Furthermore, it underscores the dual essence of the form – as a means to enforce law and order and as a gateway for individuals to partake in critical logistical roles. Hence, the CBP Form 3078 embodies a crucial nexus between individual aspirations and the overarching mandate of national security.

QuestionAnswer
Form NameCbp Form 3078
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namescustoms seal application form 3078, cbp customs seal application, customs 3078 form, 3078 cbp

Form Preview Example

DEPARTMENT OF HOMELAND SECURITY

U.S. Customs and Border Protection

APPLICATION FOR IDENTIFICATION CARD

OMB APPROVAL NO. 1651-0008 EXPIRATION DATE 11/30/2019

ESTIMATED BURDEN 17 MIN

19 U.S.C. 66, 1551, 1555, 1565, 1624, 1641;

19 CFR 112.42, 118, 122.182, 146.6

1. TYPE OF ACTIVITY REQUIRING IDENTIFICATION CARD

 

 

 

2. DATE OF THIS APPLICATION

Cartman/

Broker's

CBP

Warehouse Officer

Container Station

Foreign

CES

 

Lighterman

Employee

Security Area

or Employee

Employee

Trade Zone

Employee

 

 

 

Identification

 

 

Employee

 

 

3.NAME (Last, First, & Middle)

4. SOCIAL SECURITY NUMBER

5. LIST ANY OTHER NAMES YOU HAVE EVER BEEN KNOWN BY (Nicknames, aliases, etc.)

6. DATE OF BIRTH

7.HOME ADDRESS (Number, Street, City, State, and ZIP Code)

8. NAME AND ADDRESS OF PRESENT EMPLOYER

9. HOME PHONE NUMBER

10. BUSINESS PHONE NUMBER

11.PLACE OF BIRTH (City, County, State, and Country)

12. HEIGHT

13. WEIGHT

14. COLOR HAIR 15. COLOR EYES

16. VISIBLE SCARS OR MARKS

17. U.S. COAST GUARD PORT SECURITY CARD NUMBER

18. U.S. MERCHANT MARINE CARD NUMBER

 

 

19. HAVE YOU EVER APPLIED FOR CARD IN ITEM 17 OR ITEM

20. HAS APPLICATION FOR EITHER CARD IN ITEM 17 OR 18 BEEN

18?

 

DENIED?

 

 

 

 

YES

NO (Skip Items 20 and 21)

YES (If Yes, explain in Item 21)

NO (Skip Item 21)

 

 

 

 

21.EXPLANATION OF APPLICATION DENIAL

22.LIST ALL RESIDENCES DURING THE LAST 5 YEARS (List in reverse order, beginning with the present address)

 

DATES

Number and Street

City

State

From

 

To

 

 

 

 

 

 

PRESENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23. HAVE YOU EVER SERVED IN THE ARMED SERVICES OF THE U.S.?

24. BRANCH OF SERVICE

YES

NO (Skip Items 24-28)

 

 

 

 

 

 

25. DATES OF SERVICE

 

26. SERIAL NUMBER

27. TYPE OF DISCHARGE

 

 

 

 

28. IF DISCHARGE WAS OTHER THAN HONORABLE, EXPLAIN IN FULL DETAIL

29.HAVE YOU EVER APPLIED FOR AN IDENTIFICATION CARD WITH U.S. CUSTOMS AND BORDER PROTECTION?

YES (If Yes, explain details)

NO

CBP Form 3078 (3/19)

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30. PREVIOUS EMPLOYMENT -- LIST IN CHRONOLOGICAL ORDER, GIVING EARLIEST EMPLOYMENT FIRST (Last 10 Years)

DATES

From

To

 

 

EMPLOYER NAME AND ADDRESS

OCCUPATION

31. HAVE YOU EVER BEEN CONVICTED OF ANY CRIME OR OFFENSE (Other than traffic violations, you

YES (If YES, explain NO

may exclude any items which occurred before your 16th birthday) IN THIS COUNTRY OR ELSEWHERE?

in Item 32.)

 

 

32. EXPLANATION OF ALL CONVICTIONS (Federal, State, Military, or Foreign)

Date

Place

Charge

Court

Final Disposition

33. DO YOU NOW USE OR HAVE YOU EVER USED NARCOTIC DRUGS?

YES (If YES, explain below.)

NO 34. ATTACH PHOTOGRAPH HERE

35.

I certify that all of the statements made in this Application are

SIGNATURE (Sign in ink)

DATE

true, complete, and correct to the best of my knowledge and

 

 

CERTIFICATION

X

 

belief, and are made in good faith.

 

 

 

Paperwork Reduction Act Notice: The Paperwork Reduction Act says we must tell you why we are collecting this information, how we will use it, and whether you have to give it to us. We ask for this information to carry out U.S. Customs and Border Protection laws of the United States. This form is used by licensed cartmen or lightermen or their employees as an application to apply for a CBP identification card and is required to obtain or retain a benefit. The estimated average burden associated with this collection of information is 17 minutes per respondent or recordkeeper depending on individual circumstances. The valid OMB Control Number for this Information Collection is 1651-0008.

Pursuant to 5 U.S.C. § 552a(e)(3), this Privacy Act Statement serves to inform you of why DHS is requesting the information on this form. CBP is authorized to collect the information requested on this form pursuant to 5 U.S.C. 301, Reorganization Plan No. 1 of 1950; 19 U.S.C. 1551, 1565, 1624, 1641; and 19 CFR 112.42. CBP is requesting this information to enable CBP to conduct a background investigation and thereby determine whether the applicant meets the criteria required for the issuance of an identification card. CBP may provide information collected and contained in the applicant’s file to those employees of CBP who have a need for the records in the performance of their duties. CBP may also use this information, when deemed appropriate, in a proceeding to revoke or suspend the identification card. The information requested on this form may be shared externally as a “routine use” to other government agencies to assist the Department of Homeland Security in investigating and assessing an applicant’s eligibility for an identification card. A complete list of the routine uses can be found in the system of records notice associated with this form, “Department of Homeland Security/ALL-026 DHS Personal Identity Verification Management System.” The Department’s full list of system of records notices can be found on the Department's website at http://www.dhs.gov/system-records-notices-sorns. Providing this information to CBP is voluntary. However, failure to provide this information may result in CBP’s inability to conduct the background investigation required to issue the identification card.

CBP Form 3078 (3/19)

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How to Edit Cbp Form 3078 Online for Free

There isn't anything difficult about working with the cbp 3078 once you open our PDF editor. By following these clear steps, you will definitely get the prepared document within the least time frame you can.

Step 1: Hit the orange "Get Form Now" button on the following website page.

Step 2: Once you have accessed the cbp 3078 edit page, you'll discover all actions you can undertake concerning your file at the upper menu.

For each segment, fill out the content required by the platform.

step 1 to writing 3078 cbp form

Provide the essential data in the From, PRESENT, Number and Street, City, State, HAVE YOU EVER SERVED IN THE ARMED, BRANCH OF SERVICE, YES, NO Skip Items, DATES OF SERVICE, SERIAL NUMBER, TYPE OF DISCHARGE, IF DISCHARGE WAS OTHER THAN, HAVE YOU EVER APPLIED FOR AN, and YES area.

stage 2 to entering details in 3078 cbp form

The program will request particulars to easily submit the field HAVE YOU EVER APPLIED FOR AN, YES, If Yes explain details, CBP Form, and Page of.

Entering details in 3078 cbp form step 3

It is essential to define the rights and obligations of all parties in paragraph From, EMPLOYER NAME AND ADDRESS, OCCUPATION, HAVE YOU EVER BEEN CONVICTED OF, YES If YES explain in Item, EXPLANATION OF ALL CONVICTIONS, Date, Place, Charge, Court, and Final Disposition.

Filling in 3078 cbp form stage 4

Finalize by checking all these fields and filling them in as required: DO YOU NOW USE OR HAVE YOU EVER, YES If YES explain below, ATTACH PHOTOGRAPH HERE, CERTIFICATION, I certify that all of the, SIGNATURE Sign in ink, DATE, Paperwork Reduction Act Notice The, and Pursuant to USC ae this Privacy.

Entering details in 3078 cbp form stage 5

Step 3: As you hit the Done button, the completed document is easily exportable to any type of of your devices. Or, you can deliver it by using mail.

Step 4: Have a duplicate of every single file. It will save you time and make it easier to stay away from misunderstandings down the road. By the way, your information is not distributed or checked by us.

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