Free CBP Form 7507 - General Declaration Agriculture, Customs, Immigration and Public Health - Federal

DEPARTMENT OF HOMELAND SECURITY

U.S. Customs and Border Protection GENERAL DECLARATION (Outward/Inward) AGRICULTURE, CUSTOMS, IMMIGRATION, AND PUBLIC HEALTH
19 CFR 122.43,122.52,122.54,122.73,122.144 Owner or Operator Marks of Nationality and Registration Departure from
(Place)

Form Approved OMB No. 1651-0002 Exp. 07-31-2009 See back of form for Paperwork Reduction Act Notice.

Flight No. Arrival at

Date

(Place)

FLIGHT ROUTING (''Place'' Column always to list origin, every en-route stop and destination) PLACE TOTAL NUMBER OF CREW NUMBER OF PASSENGERS ON THIS STAGE 1) Departure Place: Embarking Through on same flight Arrival Place: Disembarking Through on same flight NUMBER OF SED's AND AWB's SED's Declaration of Health Persons on board known to be suffering from illness other than airsickness or the effects of accidents, as well as those cases of illness disembarked during the flight: AWB's For official use only

Any other condition on board which may lead to the spread of disease:

Details of each disinsecting or sanitary treatment (place, date, time, method) during the flight. If no disinsecting has been carried out during the flight give details of most recent disinsecting:

Signed, if required
Crew Member Concerned I declare that all statements and particulars contained in this General Declaration, SIGNATURE Authorized Agent or Pilot-in-Command and in any supplementary forms required to be presented with this General Declaration are complete, exact and true to the best of my knowledge and that all through passengers will continue/have continued on the flight. 1) Not to be completed when passenger manifests are presented.

CBP Form 7507 (12/96)

GENERAL DECLARATION
Notes and Specifications

NOTE 1. NOTE 2. NOTE 3. NOTE 4.

An arrival-departure card (CBP Form I-94) for each passenger on board shall be presented to the immigration officer at the port of first arrival. List surname, given name and middle initial of each crew member in the column headed "Total Number of Crew." Air cargo manifests shall be attached hereto. If copies of air waybills/consignment notes are attached, their numbers shall be entered on separate cargo manifest CBP Form 7509 to be attached hereto. If copies of air waybills/consignment notes are not attached to this form, a separate cargo manifest CBP Form 7509 completed to show the full information required shall be furnished. If the airline or operator consolidates a shipment with other shipments, or encloses the goods in other wrappers or containers, either separately or with other goods, the changes in packing and/or marks and numbers must be clearly stated in the air waybill/consignment note. Declaration of Health (U.S. Public Health Service requirements): First two items-- To be completed immediately upon landing or immediately before landing, by pilot-in-command or appropriate crew member designated by him. Make entries in clear handwriting. Person making entries is to initial the first item unless he signs the general declaration. Third item-- If entry is duplicated, it is to be (a) initialed by person signing the general declaration or (b) signed by his authorized agent having knowledge of measures applied.

NOTE 5.

NOTE 6.

NOTE 7.

This General Declaration and/or attached manifests or air waybills should not bear erasures or corrections except those approved by the proper public authorities concerned nor contain interlineations or several listings on the same line. As many extra sheets may be added as necessary.

The information requested by the official General Declaration may be furnished on ICAO Annex 9, Appendix 1, provided the form approximates (but does not exceed) 8 1/2" x 14", and is printed on white paper of appropriate quality.

This form may be printed by private parties provided it conforms to official form in size, wording, arrangement, and quality and color of paper.

PAPERWORK REDUCTION ACT NOTICE: This request is in accordance with the Paperwork Reduction Act. We ask for the information in order to carry out the laws and regulations administered by the U.S. Customs and Border Protection. These regulations and forms apply to the agent or pilot-in-command to make entry of the aircraft as required by statute, to bring the aircraft under United States control, deliver passengers and their baggage to their destination, and cargo to the appropriated consignee/owner for payment of duties and taxes. It is mandatory. The estimated average burden associated with this collection of information is 5 minutes per respondent depending on individual circumstances. Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should be directed to U.S. Customs and Border Protection, Information Services Branch, Washington, DC 20229, and to the Office of Management and Budget, Paperwork Reduction Project (1651-0002), Washington, DC 20503. CBP Form 7507 (12/96)(Back)