CBP Form 4455 PDF Details

Articles exported for: Alteration, Repair, Use Abroad, Replacement, Processing, or Other, (specify).

Cost or value: the cost or value of alterations, repairs, or processing abroad is subject to CBP duty.

Copies: number of copies to be submitted varies with type of transaction; inquire at Port Director's office as to number of copies required.

Signatures: Signature of Owner or Agent (Print or Type and Sign); under Certificate on Return, Signature of Importer (Print or Type and Sign).

Certified form: name, address, and zip code to which certified form is to be mailed (If Applicable).

QuestionAnswer
Form NameCBP Form 4455
Form Length1 page
Fillable?Yes
Fillable fields40
Avg. time to fill out7 min
Edition06/25
Issuing agencyDepartment of Homeland Security, Customs and Border Protection
Matches the agency's fileYes, checked October 2, 2026
Other namesCBP Form 4455, Form 4455, 4455 form, CBP 4455, Customs Form 4455, Certificate of Registration
Official sourceCBP Form 4455 (Rev 06/25), Department of Homeland Security, Customs and Border Protection