Form 339C Vehicle Application

User Fees

CBP Form 339C_OMB

Vehicle Application

OMB: 1651-0052

Document [pdf]
Download: pdf | pdf
OMB No. 1651-0052
Exp. 7-31-2009

DEPARTMENT OF HOMELAND SECURITY

U.S. Customs and Border Protection
VEHICLE APPLICATION

Agency Use Only

U.S. Customs and Border Protection
Attn: DTOPS Program Administrator
6650 Telecom Drive, Suite 100
Indianapolis, IN 46278

Si usted no habla o escribe ingles y necesita ayuda en español para llenar este documento, llame a la oficina de las Aduanas de
Estados Unidos de (317) 298-1245. Este servicio es gratuito.

SECTION 1. CONTACT INFORMATION
Account No.:
Ship To Address:
Company Name

Required Information:
Primary Contact
Contact Name (Please Print):

Calendar Year Applying For:

Applicant Phone Number:

Address
City

State/Province Code

Country Code

Applicant FAX Number:

Zip Code

Email Address (if available):
Please complete the address section below if your Ship To Address is not your physical
address; or if the Ship To Address is a P.O. Box.
Company Name
Address

Optional Information:
Secondary Contact
Contact Name (Please Print):
Applicant Phone Number:

(street address only)
City

Applicant FAX Number:

State/Province Code

Country Code

Email Address (if available):

Zip Code

SECTION 2. CHOOSE A SHIPMENT/PAYMENT OPTION

USER FEE PRICE: $205 ALL BORDERS

Shipping Methods: All countries not listed below will be shipped via 1st Class U.S. Mail free of charge. NOTE: If no shipping method below
is selected, your order will be shipped via 1st Class U.S. Mail at no cost (except addresses in Mexico). Allow 4-8 weeks for delivery.
EXPEDITED PACKAGES CANNOT BE DELIVERED TO A P.O. BOX. You MUST provide a street address in Section 1 above.

OPTIONAL SHIPPING METHODS: (Excludes application processing time)
United States
$6.00
Expedited - Next Business Day (Street address only)
Canada

$12.00

Expedited - Approx. 3 Business Days (Street address only)

REQUIRED SHIPPING TO ADDRESS IN MEXICO:
Mexico
$8.00

U.S. International Registered Mail - (Allow up to 8 weeks for delivery)

DO NOT SEND CASH: (Credit card and ACH applicants may apply online.) Make check or money order, drawn on U.S. Bank in

U.S. Dollars ($), payable to U.S. CUSTOMS AND BORDER PROTECTION. If paying by check, DO NOT email form, please mail the
application to the address listed in the instructions.

METHOD OF PAYMENT:

Check

Money Order

Visa

MasterCard

Credit Card
Account#

Discover

American Express

Expiration
Date:

Amount for use fee purchase ($205 x

# of vehicles): $

Plus Optional Shipping: + $
Total Amount Authorized: = $
SIGNATURE:

Signature authorizes user fee payment and any optional shipping requested.

DATE:

Submitting this application certifies that all information is accurate. The applicant is responsible for ensuring that duplicate User Fees
are not requested. All transactions are final. No refunds and no credits will be approved. To determine delivery date, add processing
time and the shipping time for the options chosen.
CBP Form 339C (02/09)

Account No.

U.S. Customs and Border Protection
Attn: DTOPS Program Administrator
6650 Telecom Drive, Suite 100
Indianapolis, IN 46278

SECTION 3. VEHICLE INFORMATION SHEET (all vehicle information is required)
Vehicle Manufacturer

Model

Model Yr

VIN

Transponder ID

3A. REQUIRED INFORMATION FOR THE VEHICLE ABOVE
Does this vehicle currently have a transponder?

Yes

No, provide reason below

If yes, is the correct transponder number listed above?

Yes

No

Cab/Unit #
Color

Not Listed

(If no number is assigned use the last five digits of the VIN)

Primary License Plate Number (U.S. is Preferred)
(No dashes, spaces or special characters)

Country Code

State/Province Code

3B. CARRIER INFORMATION
Are you OR are you carrying for a C-TPAT-FAST approved carrier?
YES. Please provide the U.S. Fast ID Number for the carrier.
U.S. FAST ID Number

(Do not use Driver Fast ID Number) Please proceed to Section 3C.

NO. Please complete Section 3C.
3C. REGISTERED OWNER INFORMATION
Is the owner C-TPAT-FAST approved?
YES. Please provide the U.S. Fast ID Number for the registered owner.
U.S. FAST ID Number

(Do not use Driver Fast ID Number)

NO. Please provide the registered owner information from the Vehicle Registration.
(If the truck has a Canadian registration, please use the registered plate owner information.)
Name (Please print):
Address 1:
Address 2:
City:
ZIP/Postal Code:

State/Province Code:
Country Code:

Submitting this application certifies that all information is accurate. The applicant is responsible for ensuring that duplicate User Fees
are not requested. All transactions are final. No refunds and no credits will be approved. To determine delivery date, add processing
time and the shipping time for the options chosen.

CBP Form 339C (02/09)

U.S. Customs and Border Protection
Attn: DTOPS Program Administrator
6650 Telecom Drive, Suite 100
Indianapolis, IN 46278

Account No.

ADDITIONAL VEHICLE INFORMATION SHEET (all vehicle information is required)
Vehicle Manufacturer

Model

Model Yr

VIN

Transponder ID

3A. REQUIRED INFORMATION FOR THE VEHICLE ABOVE
Does this vehicle currently have a transponder?

Yes

No, provide reason below

If yes, is the correct transponder number listed above?

Yes

No

Cab/Unit #
Color

Not Listed

(If no number is assigned use the last five digits of the VIN)

Primary License Plate Number (U.S. is Preferred)
(No dashes, spaces or special characters)

Country Code

State/Province Code

3B. CARRIER INFORMATION
Are you OR are you carrying for a C-TPAT-FAST approved carrier?
YES. Please provide the U.S. Fast ID Number for the carrier.
U.S. FAST ID Number

(Do not use Driver Fast ID Number) Please proceed to Section 3C.

NO. Please complete Section 3C.
3C. REGISTERED OWNER INFORMATION
Is the owner C-TPAT-FAST approved?
YES. Please provide the U.S. Fast ID Number for the registered owner.
U.S. FAST ID Number

(Do not use Driver Fast ID Number)

NO. Please provide the registered owner information from the Vehicle Registration.
(If the truck has a Canadian registration, please use the registered plate owner information.)
Name (Please print):
Address 1:
Address 2:
City:
ZIP/Postal Code:

State/Province Code:
Country Code:

Submitting this application certifies that all information is accurate. The applicant is responsible for ensuring that duplicate User Fees
are not requested. All transactions are final. No refunds and no credits will be approved. To determine delivery date, add processing
time and the shipping time for the options chosen.

CBP Form 339C (02/09)

Instructions for Completing 339C, Commercial Vehicle Annual User Fee Application
Si Ud. necesita ayuda en español para llenar este documento,
favor de llamar a la oficina de la Aduana Americana al
(317) 298-1245. Este servicio es gratuito.

INQUIRIES
Commercial Vehicle or transponder questions should be directed
to (317) 298-1245, Monday through Friday 8:00 a.m. to 4:00 p.m.
EST or send your question via email to [email protected].

DELIVERY OPTIONS
*NOTE: When paying by check with regular delivery, allow 4 to
8 weeks to receive your transponder order. You save a minimum
of 2 weeks processing time when paying by money
order or credit card.
There are three delivery options:
• Regular Delivery - The User Fee Program Administrator

Section 1: Contact Information
ACCOUNT NUMBER - If you have purchased in the past but do
not know your account number, please call (317) 298-1245. If
you have not purchased an annual user fee previously, we will
process your application and assign a new
account number.
SHIP TO ADDRESS – This is the address to which you would
like to have your order shipped. Using an address in the United
States allows for a quicker, more secure shipping method for
your annual user fee order. For example, if your business and
residence are both located outside the United States, you may
still have your annual user fee order shipped to an address within
the United States. *NOTE: EXPEDITED ORDERS CANNOT BE
SHIPPED TO A P.O. BOX.
PHYSICAL ADDRESS - This is the address where the company
or business purchasing the annual user fee is physically located.
Please provide a street address and not a P.O. Box for your
physical address.
PRIMARY CONTACT (Required) - Provide a contact name and
email address for the annual user fee request. It is important to
include a telephone and fax number so that you can be reached
if there is a problem with your application. If there is a problem,
and we cannot reach you by phone, we will return the application
and payment to the address on the form.
SECONDARY CONTACT (Optional) - Provide a contact name
and email address for the annual user fee request. It is important
to include a telephone and fax number so that you can be
reached if there is a problem with your application. If there is a
problem, and we cannot reach you by phone, we will return the
application and payment to the address on the form.

Section 2: Shipment/Payment Options
If paying by check or money order, funds are required to be
drawn through a U.S. bank in U.S. dollars. For checks,
processing time takes an extra 5 days. We cannot accept a
check or money order in U.S. currency, which is drawn
through a non-U.S. bank. If the amount is not exact, either too
low or too high, the application and payment will be returned.

•

•

will send your commercial vehicle user fee order
via first class mail for no additional charge.

Expedited - At applicant's request and for an additional
cost, orders can be expedited to U.S. or Canadian
addresses. EXPEDITED ORDERS CANNOT BE
SHIPPED TO A P.O. BOX.
Registered Delivery (Mexico) - Ship-to-addresses
located in Mexico are required to pay an additional fee
for registered mail. If you do not wish to pay the fee,
please provide a ship-to-address in the U.S.

SUBMITTING APPLICATION
Please mail your completed CBP form 339C with payment to:
U.S. Customs and Border Protection
Attn: DTOPS Program Administrator
6650 Telecom Drive, Suite 100
Indianapolis, IN 46278
NO REFUNDS will be granted for orders submitted more
than once. If applying by fax, verify your application was
NOT received before re-sending.

Section 3: Vehicle Information
MANUFACTURER – Name of manufacturer. Ex: Ford,
International, Peterbilt
MODEL – Model of vehicle. Ex: Conv, T300
MODEL YEAR – Model year of vehicle. Ex: 2001, 2009
VIN – Vehicle Identification Number; which is normally 17
alphanumeric characters in length. (Usually located inside
bottom right side of windshield. Can be seen from outside the
vehicle.)
TRANSPONDER NUMBER – 16 alphanumeric characters in
length. Number is etched onto white credit card sized
transponder that should be affixed to windshield of the vehicle if
an annual user fee has been previously purchased for vehicle. If
vehicle does not have a transponder, please leave blank and we
will assign one.

3A: REQUIRED INFORMATION
DOES THIS VEHICLE CURRENTLY HAVE A TRANSPONDER?
– If No, we will send a new transponder. We will also require
you to provide a reason as to why the vehicle needs a new
transponder if one was previously issued. If Yes, please
make sure the transponder is still affixed to the windshield of the
vehicle.

Questions may be directed to 317-298-1245 or [email protected]
Fax applications to 317-290-3219

Instructions for Completing 339C, Commercial Vehicle Annual User Fee Application
IF YES, IS THE CORRECT TRANSPONDER NUMBER
LISTED ABOVE? – If NO or NOT LISTED, we will send a new
transponder.
CAB/UNIT# - The cab number is the unit number your
company has assigned the vehicle. If no cab/unit number is
assigned, use the last five digits of the VIN.
COLOR – The color of the vehicle or truck cab.
LICENSE PLATE NUMBER – The license number assigned
to the vehicle.
LICENSE PLATE STATE – The state in which the license
plate number was issued to the vehicle. Ex: OH, FL, TAM, CHI
LICENSE PLATE COUNTRY – The country in which the
license plate number was issued to the vehicle. Ex: CAN,
USA, MEX

3B: CARRIER INFORMATION
ARE YOU OR ARE YOU CARRYING FOR A C-TPAT FAST
APPROVED CARRIER?
If YES, please provide the carrier’s FAST ID, which is normally
7 alphanumeric characters in length. DO NOT use the Driver
FAST ID number.

• A signed statement with a brief explanation of the
circumstances that required the exchange, with a
contact name and telephone number.

*Must return current transponder or include in the signed
statement the reason why it cannot be returned.
**The exception to the 30-day rule: If you purchased a
commercial vehicle annual user fee prior to January 1st, it
may be exchanged through January 31st of the renewal year.
Send Exchange Requests to:
U.S. Customs and Border Protection
Attn: DTOPS Program Administrator
6650 Telecom Drive, Suite 100
Indianapolis, IN 46278

TRANSPONDER REPLACEMENTS
If the issued transponder is non-operational, damaged, or lost,
please follow the instructions listed below:

3C: REGISTERED OWNER INFORMATION

• For online customers, request a replacement through

IS THE OWNER C-TPAT FAST APPROVED? - If YES, please
provide the registered owner’s FAST ID number. (We only
accept company FAST IDs) If NO, complete the name and
address information section. If the vehicle has a Canadian
Registration, please provide the information for the person/
company who plates the vehicle.

• For paper requests, contact the User Fee Help Desk

Once you have purchased an annual user fee for a
conveyance, you may update contact information, color, cab
number, license plate number, license country and state,
Carrier or Registered Owner information online or by sending
an update vehicle information sheet (CBP 339U) to our offices.
Please contact the User Fee Help Desk if you need to make
any corrections to the Vehicle Manufacturer, Model, Model
Year, VIN, or Transponder ID.

at (317) 298-1245 for a replacement sheet. Complete
the information on the form and return it by fax or mail
to the following address:
U.S. Customs and Border Protection
Attn: DTOPS Program Administrator
6650 Telecom Drive, Suite 100
Indianapolis, IN 46278

** TO RECEIVE A REPLACEMENT TRANSPONDER YOU
MUST RETURN THE CURRENT TRANSPONDER OR
PROVIDE A WRITTEN STATEMENT ON COMPANY
LETTERHEAD AS TO WHY IT CANNOT BE RETURNED.

REFUNDS

EXCHANGES
Because a transponder is assigned to a specific conveyance,
it cannot be transferred to another conveyance. Transponders
are matched to the vehicle by the vehicle identification number
(VIN). CBP will exchange a transponder for a different
conveyance if a written request is postmarked no later than 30
calendar days after it was issued or renewed.** The request
must also be made prior to a transfer of the renewed
conveyance to another company. Only valid requests will be
granted. The following documentation must be submitted for
an exchange:

• The new or used transponder.*
• A new application for the vehicle that will be assigned
•

your online account.

the replacement transponder. If ordering the new
vehicle online, please provide proof of payment.
The itemized receipt that was mailed to you with the
annual user fee order.

Once a commercial vehicle user fee has been purchased, the
transaction is FINAL. The applicant is responsible for ensuring
that duplicate User Fees are not ordered. There are NO
refunds.

Paperwork Reduction Act Notice As Required by
5CFR
Paperwork Reduction Act Statement: In accordance with 5
CFR 1320, an agency may not conduct or sponsor an
information collection and a person is not required to respond
to this information unless it displays a current valid OMB
control number and an expiration date. The control number for
this collection is 1651-0052. The estimated average time to
complete this application is 20 minutes. If you have any
comments regarding the burden estimate you can write to
U.S. Customs and Border Protection, Office of Regulations
and Rulings, 799 9th Street, NW., Washington DC 20229.

Questions may be directed to 317-298-1245 or [email protected]
Fax applications to 317-290-3219


File Typeapplication/pdf
File TitleMicrosoft Word - CBP Form339C 02- 09.doc
Authormhughes
File Modified2009-06-23
File Created2009-04-17

© 2024 OMB.report | Privacy Policy