CBP Form 4455 at a glance
What it is: CBP Form 4455 is the Certificate of Registration of the U.S. Customs and Border Protection, Department of Homeland Security, for articles exported for alteration, repair, use abroad, replacement, processing or other.
Who signs: Sign on SIGNATURE OF OWNER OR AGENT (Print or Type and Sign) and enter the DATE. Under CERTIFICATE ON RETURN, sign on SIGNATURE OF IMPORTER (Print or Type and Sign) and enter the DATE.
A filled-in CBP Form 4455 example: an owner registers a camera before export
How to fill out CBP Form 4455, box by box
Via (carrier), B/L or insured number and date
Enter the VIA (Carrier), the B/L or INSURED NO. and the DATE.
Name, address and zip code to which the certified form is to be mailed
Enter the NAME, ADDRESS, AND ZIP CODE TO WHICH CERTIFIED FORM IS TO BE MAILED (If Applicable).
Articles exported for
Under Articles exported for, mark Alteration, Repair, Use abroad, Replacement, Processing or Other, (specify).
The cost or value of alterations, repairs, or processing abroad is subject to CBP duty.
List articles exported
Under List articles exported, enter the Number Packages, the Kind of Packages and the Description.
Signature of owner or agent and date
Sign on SIGNATURE OF OWNER OR AGENT (Print or Type and Sign) and enter the DATE.
The above-described articles were laden or examined
The CBP officer marks LADEN under my supervision or EXAMINED, with the DATE, the PORT and the SIGNATURE OF CBP OFFICER.
Certificate on return
Under CERTIFICATE ON RETURN: Duty-free entry is claimed for the described articles as having been exported without benefit of drawback and are returned unchanged except as noted: (use reverse if needed).
Under CERTIFICATE ON RETURN, sign on SIGNATURE OF IMPORTER (Print or Type and Sign) and enter the DATE.
More rules for CBP Form 4455
The number of copies to be submitted varies with type of transaction; inquire at the Port Director's office as to the number of copies required.
Certifying officers shall draw lines through all unused spaces with ink or indelible pencil.
The estimated average time to complete this application is 10 minutes.
Common questions about CBP Form 4455
What is the CBP form 4455 used for?
CBP Form 4455 is the Certificate of Registration of the U.S. Customs and Border Protection, Department of Homeland Security, for articles exported for alteration, repair, use abroad, replacement, processing or other. CBP Form 4455: 19 CFR 10.8, 10.9, 10.68, 148.1, 148.8, 148.32, 148.37.
Sources
[1] CBP Form 4455 (06/25), Certificate of Registration, U.S. Customs and Border Protection (the Official source link on this page).