In those instances in which an export examination has been designated, the importer/broker is required to submit the form prior to exportation to the Port Director or his/her designee.
Presentation: the Port Director at the port of exportation will determine the time frame for presentation of the form prior to exportation.
Time: it shall be the responsibility of the importer of record to ensure the form is presented to the port of exportation in sufficient time to perform the examination.
Invoice: please attach copy of export invoice describing articles to be exported.
CBP officer: the CBP Officer must upload one copy of this form to DIS for the port of origin upon exportation.
| Question | Answer |
|---|---|
| Form Name | CBP Form 3495 |
| Form Length | 1 page |
| Fillable? | Yes |
| Fillable fields | 44 |
| Avg. time to fill out | 8 min |
| Edition | 06/25 |
| Issuing agency | U.S. Customs and Border Protection |
| Where to send | CBP Port Director |
| Who signs | Importer or agent |
| Matches the agency's file | Yes, checked October 1, 2026 |
| Other names | CBP 3495, CBP Form 3495, Form 3495, Customs Form 3495, Application for Exportation of Articles Under Special Bond |
| Official source | CBP Form 3495 (Rev 06/25), U.S. Customs and Border Protection |
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