PPQ Form 625 Claim

Clear Form
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection
of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0579-0076. The time
required to complete this information collection is estimated to average .5 hours per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

UNITED STATES DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE
PLANT PROTECTION AND QUARANTINE

OMB APPROVED
0579-0076
EXP. XX/XXXX

FILE No.

CLAIM
Filing of this claim is required for return of seized property and information shall be transmitted to the U.S. Attorney for forfeiture proceedings in the U.S. District Court per
7 CFR 356.

1. I, ________________________________________________________________, hereby file a claim as specified in 7 CFR 356.4(c)(2). My interest
in this property is as follows:

2. LIST OR SCHEDULE CONTAINING A DESCRIPTION OF SEIZED ARTICLES

THE FOREGOING LIST IS CORRECT
3. CLAIMANT

4. ATTEST

5. ATTEST

6.
I understand that this claim does not entitle me to possession of the property. I also understand that in case of condemnation of the articles claimed, the
claimant shall pay all costs and expenses of the proceeding to obtain such condemnation.
PPQ FORM 625
JUL 2018

Previous edition is obsolete.