U.S CUSTOMS AND BORDER PROTECTION DEPARTMENT OF HOMELAND SECURITY
PRE-ARRIVAL REPORTING INFORMATION
1) ARRIVAL LOCATION + DATE: 2) FOREIGN PORT DEPARTED: 3) MASTER’S LAST NAME: 4) FIRST NAME: 5) DATE OF BIRTH: 6) CITIZENSHIP: 7) DOCUMENT # AND TYPE: BOATER REGISTRATION NO. (MASTER) 8) MAILING ADDRESS: 9) BOAT NAME: 10) VESSEL FLAG: 11) BOAT REG # 12) VESSEL LENGTH: 13) VESSELS OVER 30’ CBP DECAL# 14) BOAT HULL NUMBER (IF DOCUMENTED): 15) ADDRESS TEL# 16) CONTACT TEL# 17) NUMBER OF PASSENGERS# 18) PASSENGERS NAME (LAST/FIRST), DOB, AND CITZENSHIP + DOC # AND TYPE FOR ALL PERSONS ON BOARD VESSEL: 1) BR# (See Below) Document# 2) BR# (See Below) Document# 3) BR# (See Below) Document#
DOB/Citizenship Document# Document Type:____ (see 2 letter codes) Document Type:____ (see 2 letter codes) BR# (See Below) Document#
Document# Document Type:____(see 2 letter codes) Document Type:____(see 2 letter codes)
DOB/Citizenship
Document# Document Type:____(see 2 letter codes) Document Type:____(see 2 letter codes)
DOB/Citizenship
Document# Document Type:____(see 2 letter codes) Document Type:____(see 2 letter codes)
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4) BR# (See Below) Document# 5) BR# (See Below) Document# 6) BR# (See Below) Document# 7) BR# (See Below) Document# 8) BR# (See Below) Document# EXAMPLE: PP Passport Number Birth Certificate Driver' License s ** BC ** DL TD VS CA
DOB/Citizenship
Document# Document Type:____(see 2 letter codes) Document Type:____(see 2 letter codes)
DOB/Citizenship
Document# Document Type:____(see 2 letter codes) Document Type:____(see 2 letter codes)
DOB/Citizenship
Document# Document Type:____(see 2 letter codes) Document Type:____(see 2 letter codes)
DOB/Citizenship
Document# Document Type:____(see 2 letter codes) Document Type:____(see 2 letter codes)
DOB/Citizenship
Document# Document Type:____(see 2 letter codes) Document Type:____(see 2 letter codes)
BOATER REGISTRATION # IS OBTAINED AT THE TIME OF THE ISSUANCE OF AN I-68 OR A NEXUS CARD. CURRENT NEXUS CARD HOLDERS MAY ALSO OBTAIN A BR# BY REQUESTING IT AT AN OPEN PORT OF ENTRY. THE BR# IS ISSUED FOR THE MASTER AND EACH INDIVIDUAL PASSENGER.
Refugee Travel Document Visa Number NEXUS ID Card Number
New for 2008
** A US or Canadian Birth Certificate will need to be accompanied by a valid government photo identification for US and Canadian citizens 19 years of age and older.**
When available the enhanced driver's license will be considered proof of citizenship.
AR I-551 Card Number (A#) UP US Passport Card CC Candian Citizenship Card # ** ED Enhanced Driver' License # s
To obtain a User Fee Decal acccess for boats over 30 feet in length https://tradelinks4.mellon.com/cbp/Dispatcher via the internet.
FOR OFFICIAL CBP USE ONLY.
MASTER: PASSENGERS: #1 #2 #3 #4 #5 #6 #7 #8
OFFICER COMMENTS: ARRIVAL NUMBER: INSPECTION COMPLETE:
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