Cbp Form 400 PDF Details

The Cbp Form 400 is a document that is used by customs and border protection agents to collect information about people and goods entering the United States. The form is used for a variety of purposes, including assessing duties and taxes on imports, enforcing trade restrictions, and investigating smuggling or other illegal activities. The Cbp Form 400 can be completed online or manually, and must be submitted to a customs or border protection agent prior to entry into the United States.

Form NameCbp Form 400
Form Length1 pages
Fillable fields0
Avg. time to fill out15 sec
Other namesCBP_Form_400 cbp form 400

Form Preview Example


OMB No. 1651-0078

U.S. Customs and Border Protection

Expiration: 09-30-2014



U.S. Customs and Border Protection Automated Clearinghouse Daily Statement Payment Program

(This application will be used to communicate account information to Federal Reserve Bank of Cleveland)


Action to be Taken:

Change Effective Date:

Current Payer Unit Number:

(Effective date should be at least 3 business days in the future)


Effective Date:

Current Payer Unit Number:

Payer Information










Payer Importer Number OR 3 digit filer code:





(Include Suffix)



















Payer Company Name:






















Payer Company Address:






















Payer City, State Zip:






















Payer Contact Name:






















Payer Email Address:





















Payer Telephone:




















(Enter country code if applicable)


(Enter country code if applicable)









Name of Authorizing Company Official

(Please type or print)

Signature of Authorizing Company Official

Banking Information










Bank must be a National Automated Clearinghouse Association (NACHA) participant.

Bank Name:










ACH Bank Transit

ACH Bank

Routing Number:



Account Number:



To ensure the accuracy of the account information, it is requested that written verification (obtained from your bank) be completed and accompany this application. The ACH payer will be responsible for defaults, which result from incomplete or erroneous account information when written verification is not submitted and certified by bank personnel. Please ensure that the bank transit routing and account numbers on the ACH application have been verified by your bank before sending to the Revenue Division.

Broker/Filer Information










Name of CBP Broker/Filer:





3 digit filer code:














Contact Name:



















ABI Representative of Customs Broker/Filer:



















This application may be faxed, mailed or e-mailed to the ACH Coordinator at:








Revenue Division

Telephone: (317)

298-1200 Ext. 1098

ACH Debit Applications










6650 Telecom Drive, Suite 100



Indianapolis, IN 46278

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 1651-0078. The estimated average time to complete this application is 5 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 400 (02/12)

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In an effort to finalize this document, be certain to provide the required details in every blank:

1. Complete the Cbp Form 400 with a group of essential fields. Gather all of the information you need and make sure there is nothing omitted!

Step no. 1 for completing Cbp Form 400

2. Right after this selection of blank fields is done, go on to type in the relevant details in these: Name of Authorizing Company, Please type or print, Signature of Authorizing Company, Banking Information, Bank must be a National Automated, Bank Name, ACH Bank Transit Routing Number, Address, ACH Bank Account Number, To ensure the accuracy of the, BrokerFiler Information, Name of CBP BrokerFiler, digit filer code, Contact Name, and Telephone.

Step no. 2 in completing Cbp Form 400

As to Bank Name and Name of CBP BrokerFiler, be sure that you do everything right in this current part. These are viewed as the most significant ones in this form.

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