Form 1302A Cargo Declaration (Outward)

DEPARTMENT OF HOMELAND SECURITY

U.S. Customs and Border Protection
CARGO DECLARATION

Outward With Commercial Forms
19 CFR 4.62, 4.63, 4.75, 4.82, 4.87-4.89

Form Approved
OMB No. 1651-0001
Exp. 03-31-2012
Page Nr.

(Oath to be taken on CBP Form 1300)
1. Name of Ship
3. Nationality of ship

B/L Nr.

6. Marks and Nrs. (MN)
Container Nrs. (CN)
Seal Nrs. (SN)

2. Port where report is made (not required by United States)
4. Name of master

5a. Port of loading

7. Number and kind of packages; Description of goods

This form may be printed by private parties provided it conforms to the official form in size,
wording, arrangement style and size of type, and quality and color of paper. (19 CFR 4.99)

5b. Port of discharge
(Answer Col. 8 OR Col. 9)
8. Gross Weight 9. Measurement
(Ib. or kg.)
(per HTSUS)

CBP Form 1302A (06/09)

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 1651-0001. The estimated average time to complete
this application is 3 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 1302A (06/09)(Back)