Cbp Form 3124E PDF Details

Navigating the complexities of becoming a licensed customs broker in the United States involves understanding and accurately completing specific required documents—one of the key ones being the CBP Form 3124E. Managed by the Department of Homeland Security, this form serves as the initial step for aspiring brokers to take the customs broker license examination, a critical hurdle in pursuing this career path. The form captures essential applicant information, including name, address, evidences of U.S. citizenship such as passport or birth certificate, and inquiries about any accommodations needed under the American Disabilities Act. It also questions the applicant’s government employment status, as certain positions may disqualify individuals from taking the examination. Additionally, the form includes a certification section where the applicant must affirm the truthfulness of their provided information, highlighting the importance of honesty in this process. Attention to detail and a commitment to accuracy when filling out this form cannot be overstated; any misstatements can lead to the denial of the application, even after passing the examination. Guidelines stipulated by the Privacy Act of 1974 ensure applicants’ information is protected and exclusively used for official purposes, underscoring the form’s significance in maintaining integrity and security within the customs brokerage profession.

QuestionAnswer
Form NameCbp Form 3124E
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namescbp_form_3124e custom broker license on9 form

Form Preview Example

 

DEPARTMENT OF HOMELAND SECURITY

OMB No. 1651-0034 Exp. 03-31-2014

 

U.S. Customs and Border Protection

 

 

1. Applicant's Name and Address

 

 

 

APPLICATION

 

 

FOR

 

 

CUSTOMS BROKER LICENSE EXAM

 

 

19 U.S.C. 1641; 19 CFR 111.13

Email Address:

 

 

 

 

 

 

2. Residence Address (If different from Block 1; if same write

3. CBP Port

 

"SAME")

 

 

 

 

4. All Applicants MUST be U.S. Citizens

One or more of the following documents may be presented to verify citizenship and identity.

 

 

 

 

U.S. passport

 

 

 

Birth Certificate

 

 

 

 

Certificate of Naturalization

 

 

 

Certificate of U.S. Citizenship

 

 

 

 

Final adoption decree

 

 

 

Official military service record

 

 

 

 

Driver's license (identity)

 

 

 

State, federal or local government ID card

 

 

 

 

 

 

 

 

5. Does the Applicant seek Accommodations under

6. Is the Applicant an Officer or Employee of the United States?

 

 

the American Disabilities Act?

 

 

 

 

 

 

 

No

 

Yes (Explain in Block 12)

 

 

NO

 

Yes (If yes, you may not take the exam)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION I

7. Date of Birth

8. Birthplace (City & State)

9. Social Security No.

10. Home Phone No.

11. Business Phone No.

12.Remarks: (In responding to questions above, include Block number. If more space is needed, continue on blank sheet of paper.)

SECTION II – CERTIFICATION

WARNING: Any misstatement of pertinent facts in this application constitutes sufficient grounds for denial of the application. If a passing score is achieved and it is later determined that a misstatement of pertinent facts is identified, the applicant's license application will be denied.

13. I,

 

certify that the statements contained in the foregoing application

and supporting attachments thereto are true and correct to the best of my knowledge and belief.

Signature

 

Date

Privacy Act Notice: Pursuant to the requirements of Public Law 93-579 (Privacy Act of 1974), as amended, notice is hereby given in accordance with 5 U.S.C. 552a(e)(3) that the authority to collect information on CBP Form 3124E is 19 U.S.C. 1641; 5 U.S.C. 301; Reorganization plan no. 1 of 1950; Treasury Department Order No. 165, Revised and Amended; The information, collected and contained on this application form, may be provided to those employees of the Department of Homeland Security, CBP who have a need for the information contained herein in the performance of their duties. The information may also be used, when deemed appropriate by the Department of Justice for its use in connection with appeals.

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- 0034. The estimated average time to complete this application is 1 hour. 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 3124E (08/11)

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When it comes to blanks of this particular document, here's what you should know:

1. Complete your Cbp Form 3124E with a selection of necessary blank fields. Get all of the required information and make sure nothing is left out!

Cbp Form 3124E completion process shown (part 1)

2. Just after finishing this part, go to the next step and fill out all required particulars in these fields - Date of Birth, Birthplace City State, Social Security No, Home Phone No, Business Phone No, Remarks In responding to, SECTION II CERTIFICATION, WARNING Any misstatement of, certify that the statements, and supporting attachments thereto, Signature, and Date.

Guidelines on how to prepare Cbp Form 3124E stage 2

People who use this PDF often make mistakes while filling out Home Phone No in this area. Ensure that you double-check what you type in right here.

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