Cbp Form 823F PDF Details

In an era where efficiency and security at borders are of paramount importance, the Department of Homeland Security's CBP Form 823F plays a crucial role. This form is designed for commercial drivers seeking to partake in the FAST (Free and Secure Trade) program between Mexico and the United States, a system aimed at expediting the cross-border shipment process while ensuring high security standards are met. Applicants are required to furnish detailed personal information, including citizenship, proof of identification, and a comprehensive employment history over the last five years, ensuring thorough vetting. Additionally, the form delves into applicants' background in a bid to assess their eligibility concerning criminal and customs violations, thereby safeguarding against potential threats to national security. The requirement of an upfront, non-refundable fee underscores the program's exclusivity and the commitment required from participants. By streamlining the application process through this form, the FAST program not only facilitates smoother trade operations but also fortifies border security, reflecting a delicate balance between facilitating commerce and ensuring security.

QuestionAnswer
Form NameCbp Form 823F
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesOMB, MX, 823F, FASTDRIVER

Form Preview Example

DEPARTMENT OF HOMELAND SECURITY

U.S. Customs and Border Protection

FAST Commercial Driver Application - MX

Approved OMB No. 1651-0121 Exp. 8-31-2014

Please type or print

1a. (Check one box only)

 

First time applicant

 

Renewal

 

Replacement

 

 

 

 

 

 

 

If renewal or replacement, current FAST Card No:

1b. Border crossings most frequently used (Example, Laredo)

SECTION A - PERSONAL INFORMATION

2. Last/Paternal Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2a. Maternal name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3. First name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. Middle name (in full)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4a. Suffix

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5. Other names used (e.g., maiden name, former name)

 

 

Nickname

 

 

 

 

 

6. Gender

 

 

 

 

 

 

 

 

7. Date of birth (yyyy/mm/dd)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Male

 

 

 

 

Female

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

 

 

 

Country

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

 

 

 

 

Place of birth

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9. Citizenship (Check all that apply.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10. Residence

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Canadian citizen

 

 

 

U.S. citizen

 

 

Mexican citizen

 

 

 

Other (Must Specify)

 

 

 

 

 

 

 

 

 

 

 

Canada

 

 

 

 

 

United States

 

Mexico

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11. Proof of citizenship/residency/immigration status (Attach copies)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

U.S. Alien Registration No.

 

 

 

or

 

 

Border Crossing Card No.

 

 

 

 

 

 

 

 

 

Birth Certificate No.

 

 

 

 

 

 

Passport No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country of Issuance

 

 

 

 

 

 

 

 

 

(Expiration Date)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(yyyy/mm/dd)

 

 

 

Other Type of document

 

 

 

 

 

 

 

 

 

 

No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Expiration Date)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(yyyy/mm/dd)

 

 

 

Drivers license No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Attach Copy)

 

 

 

 

 

 

 

 

 

 

 

State and Country of Issuance

 

 

 

 

 

 

 

 

 

(Expiration Date)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(yyyy/mm/dd)

SECTION B - ADDRESS HISTORY FOR THE LAST 5 YEARS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12.

Current address (yyyy/mm)

13. Street Address

 

 

 

 

 

 

 

 

Apt. No.

14. City

 

 

 

 

 

 

 

 

 

 

15. Colonia/Neighborhood

As of what

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

date?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16.

Country

 

 

17. State

 

 

 

 

 

 

 

18. Postal/Zip Code

 

 

 

19. Home telephone

 

 

20. Business telephone/Cell phone number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ext.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing address if different from residential address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21.

Street Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Apt. No.

22. City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23.

Colonia/Neighborhood

 

 

 

 

 

 

 

 

 

24. Country

 

 

 

 

 

 

 

 

 

 

 

25. State

 

 

 

 

 

 

 

 

 

26. Postal/Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Previous residential addresses if current residence is less than five years (address history continued on page 4).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

27.

 

(yyyy/mm)

 

 

 

 

 

(yyyy/mm)

 

 

28. Street Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Apt. No.

29. City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

From:

To:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

30.

Colonia/Neighborhood

 

 

 

 

 

 

 

 

 

31. Country

 

 

 

 

 

 

 

 

 

 

 

32. State

 

 

 

 

 

 

 

 

 

33. Postal/Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

34.

 

(yyyy/mm)

 

 

 

 

 

(yyyy/mm)

 

 

35. Street Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Apt. No.

36. City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

From:

To:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

37.

Colonia/Neighborhood

 

 

 

 

 

 

 

 

 

38. Country

 

 

 

 

 

 

 

 

 

 

 

39. State

 

 

 

 

 

 

 

 

 

40. Postal/Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

41.

 

(yyyy/mm)

 

 

 

 

 

(yyyy/mm)

 

 

42. Street Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Apt. No.

43. City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

From:

To:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

44.

Colonia/Neighborhood

 

 

 

 

 

 

 

 

 

45. Country

 

 

 

 

 

 

 

 

 

 

 

46. State

 

 

 

 

 

 

 

 

 

47. Postal/Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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 1651-0121. The estimated average time to complete this application is 40 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 823F (07/10)

SECTION C - EMPLOYMENT HISTORY FOR THE LAST 5 YEARS

48.Current employer (yyyy/mm)

From:

(yyyy/mm)

To:

49. Employer's name

50. Street Address, incl. Apt. No.

51. City

52. Colonia/Neighborhood

53. State

54. Postal/Zip code

55. Country

56. Telephone number

Ext.

57.Occupation (attach separate sheet if necessary).

Previous Employer name and address if current employer is less than five years (attach separate sheet if necessary).

58.

(yyyy/mm)

From:

(yyyy/mm)

To:

59. Employer's name

60. Street Address, incl. Apt. No.

61. City

62. Colonia/Neighborhood

63. State

64. Postal/Zip code

65. Country

SECTION D - ADDITIONAL INFORMATION

66.

 

 

 

 

Have you ever been convicted of an offense in any country?

No

Yes

What country were you convicted in?

 

 

 

If yes, have you ever received a waiver of inadmissibility to the U.S. from the CBP (former USINS)?

No

Yes

Have you ever been found in violation of customs or immigration laws?

No

Yes

If you have answered YES, please give details;

 

 

 

SECTION E - CERTIFICATION

67.

I certify that all information given on this application, and in support of this application, was provided voluntarily and is true and complete. I understand that any information on this application, including any supporting documentation, background information, and biometric data may be shared among Customs and Immigration authorities in both Mexico and the U.S. and among law enforcement and other government agencies in accordance with applicable laws. I certify that I have read, understood, and agree to abide by all conditions required for use of the FAST program, including all instructions and notices accompanying this application.

Applicant

Name (print)

Signature

Date (yyyy/mm/dd)

U.S. PRIVACY ACT STATEMENT

The authority to collect the information on this application, any supporting documentation, fingerprints, and other requested information is contained in Titles 8 and 19 of the U.S. Code and corresponding regulations. Furnishing the information on this form is voluntary; however, failure to provide all the requested information may result in the delay of a final decision or denial of your application. The information collected will be used to make a determination on your application. It may also be provided to other government agencies (Federal, state, local, and/or foreign) as permitted under the Privacy Act of 1974, 5 U.S.C. § 552a (2002), and other applicable law. All applicants are subject to a check of criminal information databases and other immigration and customs databases in order to determine eligibility for this program.

Please mail or take your completed application along with fee to the nearest U.S./Mexico FAST Enrollment Center. Locations and addresses of U.S./Mexico FAST Enrollment Centers can be found at www.FASTDRIVER.gov

SECTION F - FEE PAYMENT (non-refundable)

69. The fee for an applicant to the FAST program is $50.00 US only

 

 

All credit card fees will be processed as U.S. funds

 

 

I am enclosing a certified check or money order payment

 

Visa

 

MasterCard

 

Discover

 

American Express

 

 

 

 

 

 

 

 

 

 

 

 

Once an application has been processed, absolutely no refunds will be granted. No exceptions.

Card no.

 

Expiration

(yyyy/mm)

 

 

 

 

 

 

 

Date

 

 

 

 

 

Card holder's name (please print)

Card holder's signature

CBP Form 823F (07/10)(Back)

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1. Fill out the FASTDRIVER with a number of necessary blank fields. Gather all the necessary information and make sure nothing is omitted!

Stage # 1 for filling in incl

2. The next stage would be to fill in all of the following blanks: As of what date, Country, State, PostalZip Code, Home telephone, Business telephoneCell phone, Mailing address if different from, Street Address, Ext, Apt No, City, ColoniaNeighborhood, Country, State, and PostalZip Code.

Tips on how to complete incl part 2

It's easy to make a mistake when filling out your State, consequently make sure that you go through it again before you'll send it in.

3. The third step will be straightforward - fill in every one of the form fields in SECTION C EMPLOYMENT HISTORY FOR, Employers name, yyyymm, yyyymm, From, Street Address incl Apt No, City, ColoniaNeighborhood, State, PostalZip code, Country, Telephone number, Occupation attach separate sheet, Ext, and Previous Employer name and address to finish this segment.

incl completion process detailed (part 3)

4. The following subsection will require your involvement in the subsequent parts: Have you ever been found in, If you have answered YES please, Yes, SECTION E CERTIFICATION, I certify that all information, Name print, Applicant, Signature, Date, yyyymmdd, The authority to collect the, US PRIVACY ACT STATEMENT, Please mail or take your completed, and SECTION F FEE PAYMENT. Make certain you give all of the required information to go onward.

The way to fill in incl step 4

5. Finally, this final subsection is what you'll want to wrap up prior to submitting the document. The fields in this case include the next: SECTION F FEE PAYMENT, The fee for an applicant to the, I am enclosing a certified check, Visa, MasterCard, Card holders name please print, Discover, American Express, Once an application has been, Card no, Expiration, Date, Card holders signature, and CBP Form F Back.

Stage # 5 for submitting incl

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