Form 1300 Vessel Entrance or Clearance Statement

DEPARTMENT OF HOMELAND SECURITY

Approved OMB. No. 1651-0019
Exp. 12-31-2011

U.S. Customs and Border Protection
VESSEL ENTRANCE OR CLEARANCE STATEMENT
19 CFR Part 4

See back for Instructions

ENTRANCE

1. Manifest No.

2. Port Arrival/Departure

5. Nationality, Name and Type of Vessel

CLEARANCE

Check One:
TRADE CODES (see back)
1
2
3
4
5
6
3. Date & Time of Arrival/Departure 4. Vessel Operating Draft (in feet and inches)
ft.
in.
7. Name, Address & Phone No. of
Ship's Agent

6. Vessel Built at/Year

8. Name & Country of Owner

9. Name & Country of Operator

10. Gross Tonnage 11. Net Tonnage 12. Port Arrived From/Departed For

13. IMO #

Official #

Call Sign

14. List All Dock Locations (continue on back if necessary)
15. Particulars of Voyage (Previous and subsequent Ports of Call, include dates; underline where remaining cargo will be discharged)
(Con't on back)
16. Brief Description of Cargo

17.

Check if Incomplete Manifest for Export
Check if Licensed Cargo Loaded
Check if Complete Manifest filed for Export

18. No. of Crew 19. No. of Passengers 20. List All Carriers on
board by SCAC Code
21. Tonnage Mark
None

Submerged

22. Bunkers: Type,
Barrels, Value

Not Submerged

23. Load Line Expires

24. Solas Certificate Expires

25. Passengers Allowed Per
Coast Guard Certificate

27. Cert. Of Fin. Resp. No. (Water Pollution) 28. Cert. Of Fin. Resp. (Passenger Death/
and Exp. Date
Injury)
30. PURPOSE OF ENTRANCE OR CLEARANCE
D (Discharge Foreign Cargo)
F (FROB - Foreign Cargo to Remain on Board)

X (Export Cargo Aboard on Arrival)
N (No Cargo transactions)

26. No. of Passengers
Embarking/Disembarking

29. Cert. Of Fin. Resp. (Passenger
Transportation Indemnification)

L (Lade Cargo for Export)
Y (Military Cargo for Discharge/to be Laden)

31. Print and Sign Name of Master, Authorized Agent or Officer, Date
FOR CBP USE ONLY

32.

CBP User Fee Paid Up*

33.

35. Cash Receipt, CBP 368 or Transaction No.

APHIS User Fee Paid Up*
36. Total Fees Collected

34.

Tonnage Tax Paid Up *

37. Port Entered/Cleared, Time and Date

38. CBP Officer Remarks

39. Signature and Title of Officer Receiving Entry/Granting Clearance
*Check boxes only if fees not collected

CBP Form 1300 (06/09)

INSTRUCTIONS
Trade Codes: Please enter the code that best describes the arriving or departing vessel
(1)
Foreign in Ballast
(2)
Foreign Bulk
(3)
Foreign General Cargo
Domestic or Coastwise Ballast
(4)
(5)
Domestic or Coastwise Bulk
(6)
Domestic or Coastwise General Cargo
Block 4 - Vessel Operating Draft: (not the design draft)
Deepest draft of the vessel on entrance (in feet and inches)
Deepest draft of the vessel on clearance (in feet and inches)
Block 5 - Vessel Types: List one of the codes and descriptions from below:
111
112
140
150
210
229
310
325
330
333
340
341

Crude Oil Tanker
Crude/Products Tanker
Tank Barge
Other Tanker
Bulk/Oil Carrier
Bulk Carrier
Container
Vehicle Carrier
General Cargo
RO-RO Cargo
Dry Cargo Barge
Deck Barge

350
410
421
422
431
432
492
493
494
499
600

Passenger
Fish Processing & Catching
Drilling Ship
Tug/Supply Offshore Support
Tug/Tow Boat
Pushboat
Research/Survey
Dredger
Yacht
Other NEI
Lakers Vessels

Block 9 - Operator as listed on the Certificate of Financial Responsibility (Water Pollution): unless other verifiable charter or lease
arrangement indicates otherwise.
Block 14 - Additional Information

Block 15 - Additional Information

Paperwork Reduction Act Statement: 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 1651-0019. The estimated average time to complete this application is 30 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.

CBP Form 1300 (06/09)(Back)