Cbp Form 3171 PDF Details

Customs and Border Protection (CBP) Form 3171 is a document used by CBP to request entry of cargo into the United States. The shipment manifest is used to identify the contents of each shipment, as well as any special requirements or exceptions. The form must be completed in full and submitted prior to arrival of the cargo at a U.S. port of entry. Failure to do so may result in delays or possible seizure of the shipment. Completed forms can be mailed, faxed, or hand-delivered to a CBP port director.Learn more about this important document and how to complete it correctly in order avoid costly delays with your cargo's arrival in the United States. As a business owner importing goods into the US

QuestionAnswer
Form NameCbp Form 3171
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesCBP_Form_3171 cbp 3171 form

Form Preview Example

 

Approved OMB No. 1651-0005 Exp. 02/28/2013

 

 

 

 

DEPARTMENT OF HOMELAND SECURITY

 

CBP USE ONLY

 

 

 

 

 

 

U.S. Customs and Border Protection

 

APPROVED

 

 

 

 

APPLICATION-PERMIT-SPECIAL LICENSE

 

No.

 

 

 

UNLADING-LADING-OVERTIME SERVICES

 

 

 

 

Date/Time

 

 

 

 

19 CFR 4.10, 4.30, 4.37, 4.39, 4.91, 10.60, 24.16,

 

Signature of CBP Officer

122.29, 122.38, 123.8, 146.32, 146.34

 

 

 

 

 

 

 

1. Name of Vessel, Vehicle or Aircraft

2. Port

3.

Flag

 

4. Name and Nationality of Owner/Operator

5. Name/Phone No. of Agent

 

 

 

 

 

 

 

6.

Arriving from

7. Date/Time of Arrival

8. Locations (Dock/Terminal)*

 

 

 

(Port Name and Country)

 

 

 

Day Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Night Phone

 

 

 

 

 

 

 

9. Application is made for a permit for the operations indicated:

(1) To unlade merchandise (intended to be unladen at this port, as shown by the manifest), baggage or passengers. To discharge ballast, and to land ''in bond'' merchandise. (Sec. 551, Tariff Act of 1930).

(2) To land supplies, ship's stores, sea stores, or equipment not to be reladen, subject, however, to free or duty-paid entry (Sec. 446, Tariff Act of 1930).

(3) To lade merchandise or baggage requiring CBP supervision.

(4) To land and release for repair, adjustment, or refilling and to relade under CBP supervision articles of carrier's equipment. (Articles to

be listed reverse side hereof showing date and hour of unlading and relading.) The undersigned certifies the articles listed on the reverse hereof for release under this term is to be landed only for the purpose mentioned in this item and will be reladen on this carrier.

(5) Other

10. Itinerary of Vessel/Aircraft (show port country and departure dates for entire voyage including U.S. itinerary)*

11. TYPE OF CARGO:

Container

Break Bulk

Bulk

Other (Specify)

12.List all carriers, including carriers sharing or chartering space onboard the vessel and check the box that describes how the carrier presented the cargo manifest.*

SCAC

AMS

CBP 1302

Paperless

SCAC

AMS

CBP 1302 Paperless

13. Application is made for a special license for overtime services of CBP officers and employees for:

Entrance, Clearance

 

Unlading, lading, etc.

on

at

 

or

 

 

 

 

 

 

(Date)

 

(Time)

Other:

Per supplemental oral request

14.

Bond No.

15. Application is made for a Term Permit and Special License

 

 

 

From:

To:

 

 

 

 

 

 

 

 

 

16.

Principal on Bond

17. Surety Company Code

18. Amount of Bond

19. Date of Bond

 

 

 

 

 

 

 

 

20.

Importer Number

21. Address of Agent

 

 

 

(Party to be billed; show hyphens)

 

 

 

 

 

 

22. Signature

23. Date

This PERMIT is not valid until properly lodged with a CBP officer at the point of discharge and all operations indicated therein are performed under CBP supervision.

*use back for additional space; (Instructions and Paperwork Reduction Act Notice on reverse)

CBP Form 3171 (05/10)

CONTINUED FROM ITEM #9 (4): RECORD OF ARTICLES RELEASED AND RELADEN

 

 

UNLADEN AND RELEASED

 

 

RELADEN

 

 

 

 

 

 

 

 

 

 

 

 

Date

Time

Description of Articles

 

Released to

Insp. Badge

Date

 

 

Time

Insp. Badge

 

 

 

 

 

Signature

 

 

 

 

 

 

 

 

Company

#

 

 

 

 

#

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Continued from # 8 - additional Locations:

Continued from # 9 (5) - Other:

Continued from # 10 - additional Itinerary of Vessel:

Continued from # 12 - additional SCAC Codes:

SCAC

AMS

CBP 1302 Paperless

SCAC

AMS

CBP 1302

Paperless

INSTRUCTIONS

CBP Form 3171 shall be filed in duplicate. (When a term permit is requested, additional copies may be required for local purposes). Items shall be completed as follows:

1.Name or number of vessel, vehicle, or aircraft (On term permit ''Not Applicable.'')

2.Port at which application is filed.

3.Flag of vessel.

4.Name of shipping company, airlines etc., which owns or operates the vessel, vehicle or aircraft and their nationality.

5.Name and day/night phone numbers of party filing application.

6.Name of port or place and country from which a vessel, vehicle, or aircraft is arriving. (On Term Permit show ''Not applicable.'')

7.Give the date of arrival or expected arrival when request covers a specific vessel, vehicle, or aircraft.

8.List all places of lading, unlading, etc. If request is for overtime services only state where services are to be performed.

9.Check appropriate items.

10.Show port, country and sailing dates for the itinerary of the vessel/aircraft, including U.S. itinerary.

11.Check the appropriate box/boxes.

12.List all carriers, including carriers sharing or chartering space onboard the vessel and check the box that describes how the carrier presented the cargo manifest.

13.Indicate purpose for which services are requested and date and time. (If date and time are not known, check "per supplemental oral request.")

14.Self-Explanatory.

15.When requesting a term permit, show dates or period to be covered.

16-21. Self-Explanatory.

22-23. Signature and date of party submitting request.

Paper 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 the information to carry out the Customs Service laws of the United States. This form is used by carriers to request specific CBP services relating to the lading or unlading of merchandise and by CBP to authorize requested activities. It is also used to permit and control various statutes. Another major use of this form is to request CBP services during other than regular hours of service. It is mandatory.

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 1651-0005. The estimated average time to complete this application is 8 minutes. 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 3171 (Back)(05/10)

How to Edit Cbp Form 3171 Online for Free

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Step 2: With our handy PDF tool, you can accomplish more than merely complete blanks. Edit away and make your forms appear faultless with customized text added in, or tweak the original input to perfection - all that supported by an ability to add almost any photos and sign the PDF off.

To be able to finalize this document, ensure you type in the necessary information in every single field:

1. The Cbp Form 3171 usually requires particular details to be typed in. Be sure that the following blank fields are completed:

Writing part 1 of Cbp Form 3171

2. The subsequent step is to complete the next few blanks: Other, Itinerary of VesselAircraft show, TYPE OF CARGO, Container, Break Bulk, Bulk, Other Specify, List all carriers including, SCAC, AMS, CBP Paperless, SCAC, AMS, CBP Paperless, and Application is made for a special.

Writing section 2 in Cbp Form 3171

3. This next step is simple - complete all of the fields in Bond No, Application is made for a Term, Principal on Bond, Surety Company Code, Amount of Bond, Date of Bond, From, Importer Number Party to be, Address of Agent, Signature, Date, This PERMIT is not valid until, use back for additional space, and CBP Form in order to complete this process.

Writing segment 3 in Cbp Form 3171

4. To go forward, this next step involves typing in a couple of empty form fields. Examples include Signature, Company, Continued from additional, Continued from Other, Continued from additional, Continued from additional SCAC, SCAC, AMS, CBP Paperless, SCAC, AMS, and CBP Paperless, which are integral to moving forward with this particular PDF.

Cbp Form 3171 conclusion process outlined (portion 4)

5. The final notch to complete this form is essential. Be sure you fill in the mandatory blanks, for example INSTRUCTIONS, CBP Form shall be filed in, Name or number of vessel vehicle, Show port country and sailing, Port at which application is filed, Check the appropriate boxboxes, Flag of vessel, Name of shipping company airlines, Name and daynight phone numbers, Name of port or place and country, Give the date of arrival or, List all places of lading, List all carriers including, Indicate purpose for which, and SelfExplanatory, before finalizing. Otherwise, it might generate an incomplete and probably nonvalid form!

Find out how to prepare Cbp Form 3171 step 5

You can certainly get it wrong while filling out your List all places of lading, thus you'll want to take a second look before you'll submit it.

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