Form 3-177, 3-177a 3-177, 3-177a Declaration for Importation or Exportation of Fish or Wi

Declaration for Importation or Exportation of Fish or Wildlife, 50 CFR 14.61-14.64 and 14.94(k)(4)

Form 3-177 3-177a Inst Final 08182023

eDecs (Upon Import) (Private Sector)

OMB: 1018-0012

Document [docx]
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U.S. FISH AND WILDLIFE SERVICE DECLARATION FOR IMPORTATION

OR EXPORTATION OF FISH OR WILDLIFE

USFWS Form 3-177 (Revised 08/2023)

OMB Control No. 1018-0012

Expiration Date: XX/XX/XXXX

Page of


1. Date of Import/Export: (mm/dd/yyyy)

__ __/__ __/__ __ __ __


7. Name of Carrier:


2a. Import/Export License Number:


2b. Designated Port Exception Permit Number:



8. Air Waybill/Bill of Lading/Container Number:

Master:


House:


Container Number:

3. Indicate One: o Import o Export


9. Transportation Code: ____

License Plate: State or Province:

_________ _________

4. Port of Clearance: __ __


5. Purpose Code: ____


10. Bonded Location for Inspection:

6. Customs Document Number(s):


11. Number of Cartons Containing Wildlife:



12. Markings of Cartons Containing Wildlife:


13a. (Indicate One) o U.S. Importer o U.S. Exporter

Name (Business or First and Last):

Address:

Telephone:

Email:

13b. Identifier Number: ________________ ID Type: _____________

14a. (Indicate One) o Foreign Importer o Foreign Exporter 14b. Country Code: __ __

Name (Business or First and Last):

Address:

Telephone:

Email:

14c. Identifier Number: ________________ ID Type: _____________

15a. Customs Broker, Shipping Agent or Freight Forwarder:

Business Name:

Address:

Telephone:

Email:


15b. Contact Name: ______________________________________

15c. Identifier Number: ________________ ID Type: _____________

Species

Code

(Official Use

Only)

16a. Scientific Name

17a. Foreign CITES Permit

18a. Description Code

19a. Quantity/Unit

20. Country of Species Origin

Code

(ISO Code)

21. Venomous Live Wildlife Indicator

(Check if YES)

17b. U.S. CITES Permit

16b. Common Name

17c. CITES Tag/Marking Number

18b. Source Code

19b. Total Monetary

Value

17d. Other U.S. Permits







o













o













o













o







Knowingly making a false statement in a Declaration for Importation or Exportation of Fish or Wildlife

may subject the declarant to the penalty provided by 18 U.S.C. 1001 and 16 U.S.C. 3372(d).

22. I certify under penalty of perjury that the information furnished

is true and correct:


Shape3 Shape2

Signature Date


Shape4


Type or Print Name

For Official Use Only

Action/Comments:



Wildlife Declared: Yes No

Wildlife Inspected:

None / Partial / Full












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U.S. FISH AND WILDLIFE SERVICE DECLARATION FOR IMPORTATION

OR EXPORTATION OF FISH OR WILDLIFE



CONTINUATION SHEET

USFWS Form 3-177 (Revised 08/2023)

OMB Control No. 1018-0012

Expiration Date: XX/XX/XXXX



Page of



2a. Import/Export License Number:



8. Air Waybill/Bill of Lading/Container Number:

Master:


House:


Container Number:


13. Name of U.S. Importer or Exporter

Species

Code

(Official Use

Only)

16a. Scientific Name

17a. Foreign CITES Permit

18a. Description Code

19a. Quantity/Unit

20. Country of Species Origin

Code

(ISO Code)

21. Venomous Live Wildlife Indicator

(Check if YES)

17b. U.S. CITES Permit

16b. Common Name

17c. CITES Tag/Marking Number

18b. Source Code

19b. Total Monetary

Value

17d. Other U.S. Permits







o













o













o













o













o













o













o













o













o







Knowingly making a false statement in a Declaration for Importation or Exportation of Fish or Wildlife may subject the declarant to the penalty provided by 18 U.S.C. 1001 and 16 U.S.C. 3372(d).

22. I certify under penalty of perjury that the information furnished

is true and correct:

Shape7 Shape6


Signature Date


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Type or Print Name

For Official Use Only











NOTICES


PRIVACY ACT STATEMENT


Authority: The information requested is authorized by the Endangered Species Act of 1973 (ESA; 16 U.S.C. 1531-1543) and Title 50, Parts 14 and 17.


Purpose: The information requested is to determine authorization to import or export wildlife, including parts and products, and to facilitate enforcement of the ESA and other wildlife laws and regulations including the provisions of the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES).


Routine Uses: This information may be shared in accordance with the Freedom of Information Act (FOIA), the Privacy Act of 1974, and the routine uses listed in the System of Records Notice, FWS-21 Permits System available at https://www.doi.gov/privacy/fws-notices.


Disclosure: Providing the requested information is voluntary. However, failure to furnish all requested information will prevent the U.S. Fish and Wildlife Service (Service) from being able to authorize import or export of wildlife, including parts and products.



PAPERWORK REDUCTION ACT STATEMENT


In accordance with the Paperwork Reduction Act (PRA; 44 U.S.C. 3501 et seq.), the Service collects required information to determine authorization to import or export wildlife, including parts and products, and to facilitate enforcement of the ESA and other wildlife laws and regulations including the provisions of CITES. Providing the information requested in this form is voluntary. However, failure to provide all requested information may be sufficient cause for the U.S. Fish and Wildlife Service to deny authorization to import or export wildlife, including parts and products. According to the PRA, an agency may not conduct or sponsor and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. OMB has approved this collection of information and assigned Control No. 1018-0012.



ESTIMATED BURDEN STATEMENT


We estimate the public burden to complete this form to be 15 minutes by hand, or 10 minutes electronically, including time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form. Direct comments regarding the burden estimate or any other aspect of the form to the Service Information Clearance Officer, U.S. Fish and Wildlife Service, 5275 Leesburg Pike, MS: PRB (JAO/3W), Falls Church, VA 22041-3803, or via email to [email protected]. Please do not send your completed form to this address.



FREEDOM OF INFORMATION ACT STATEMENT


The Freedom of Information Act (FOIA) provides that agency records are to be made available to the public unless an exemption to disclosure applies. Confidential commercial or financial information may be withheld if, in the Service's view, certain criteria are met. For Form 3-177, the Service only considers information in field 19b (the "Applicable Field") as potentially confidential commercial or financial information. To the extent an organization, business, or individual operating as a business believes any of the Applicable Field information that it is submitting is confidential commercial information, that entity (the “submitter”) should be prepared to, upon request by the Service when the Service has received a FOIA request seeking this Applicable Field information, to provide a justification that explains the nature of the information and why it should be withheld under Exemption 4 of the FOIA, with special attention to the submitter’s confidentiality practices. Further, the Service will review whether the information submitted is personal information. If the Service determines the information is personal, it will balance the public interest in disclosure with the submitter's privacy interests.

FILING INSTRUCTIONS FOR DECLARATION FOR IMPORTATION OR EXPORTATION OF FISH OR WILDLIFE (USFWS FORM 3-177)


NOTE: Failure to file a declaration for importation or exportation of fish or wildlife when required by the regulations in 50 CFR 14 is a violation of the Endangered Species Act of 1973 as amended (16 U.S.C. 1531 et. seq.). Regulations concerning the importation and exportation of wildlife may be found in 50 CFR Part 14. Form 3-177 must be filed with the appropriate wildlife inspection office, U.S. Customs and Border Protection Office, or regional law enforcement office as required under 50 CFR Part 14. Do not file or forward this form to the Information Collection Clearance Officer in Falls Church, Virginia.


Instructions: We strongly encourage all filers to use the U.S. Fish and Wildlife Service electronic filing system (eDecs) to reduce paper and time. Filers may access the internet filing system at https://edecs.fws.gov/. Filers may also access an on-line Adobe Acrobat version of Form 3-177 (https://www.fws.gov/program/office-of-law-enforcement/information-importers-exporters) where the form can be filled in on-line and printed. Filers cannot save their completed on-line form unless they own the Adobe Acrobat software. For filers who choose to file a paper form, you must file the original declaration, and up to 2 copies to be retained by the Importer/Exporter or Broker. Print or type legibly. All filers are required to provide all relevant information, including supplemental documentation (as required in 50 CFR 14).


  1. Enter the date of import into, or export from, United States jurisdiction (as defined by 50 CFR 14).


2a. Enter the USFWS Import/Export License Number as required in 50 CFR 14.

2b. Enter the USFWS Port Exception Permit Number, if required. You must include a copy of your USFWS Designated Port Exception Permit in the document package, if applicable.


  1. Check the appropriate box.


  1. Enter the appropriate 2-letter Port code from the list below.

*If the Port is not listed, use the numeric code for the Region where the port is located and enter the name of the port.

Albuquerque, NM

AB

Grand Portage, MN

GP

Port Everglades, FL

PE

Agana, GU

AG

Hidalgo, TX

HI

Port Huron, MI

PH

Alcan, AK

AL

Highgate Springs, VT

HS

Portal, ND

PL

Anchorage, AK

AN

Honolulu, HI

HA

Portland, ME

PO

Atlanta, GA

AT

Houlton, ME

HO

Portland, OR

PT

Baltimore, MD

BA

Houston, TX

HN

Presidio, TX

PR

Blaine, WA

BL

International Falls, MN

IF

Raleigh, NC

RL

Boston, MA

BO

Jackman, ME

JK

Raymond, MT

RY

Brownsville, TX

BV

Jacksonville, FL

JX

Saipan, MP

SP

Buffalo/Niagara Falls, NY

BN

Juneau, AK

JU

San Diego/San Ysidro, CA

SY

Calais, ME

CA

Kansas City, KS

KC

San Francisco, CA

SF

Calexico, CA

CX

Kona, HI

KO

San Juan, PR

SJ

Champlain, NY

CP

Laredo, TX

LR

San Luis, AZ

SL

Charleston, SC

CR

Las Vegas, NV

LV

Santa Theresa, VI

ST

Chicago, IL

CH

Los Angeles, CA

LA

Sault Saint Marie, MI

SS

Columbus, OH

CO

Louisville, KY

LO

Savannah, GA

SA

Cleveland, OH

CL

Lukeville, AZ

LK

Seattle, WA

SE

Dallas/Fort Worth, TX

DF

McAllen, TX

MC

Sumas, WA

SU

Del Rio, TX

DR

Memphis, TN

ME

Sweetgrass, MT

SW

Denver, CO

DN

Miami, FL

MI

Tampa, FL

TP

Derby Line, VT

DL

Minneapolis/St. Paul, MN

MP

Tornillo, TX

TN

Detroit, MI

DE

Mobile, AL

MB

Tulsa, OK

TU

Douglas, AZ

DG

New Orleans, LA

NO

West Palm Beach, FL

WP

Dulles, VA

DU

New York, NY

NY

Wilmington, SC

WI

Dunseith, ND

DS

Newark, NJ

NW

Region 1 – Other

01*

Dutch Harbor, AK

DH

Nogales, AZ

NG

Region 2 – Other

02*

Eagle Pass, TX

EP

Nome, AK

NK

Region 3 – Other

03*

Eastport, ID

EA

Norfolk, VA

NF

Region 4 – Other

04*

El Paso, TX

EL

Orlando, FL

OR

Region 5 – Other

05*

Erlanger, KY

ER

Oroville, WA

OV

Region 6 – Other

06*

Fairbanks, AK

FB

Pembina, ND

PB

Region 7 – Other

07*

Fernandina Beach, FL

FE

Philadelphia, PA

PA

Region 8 – Other

08*

Fort Lauderdale, FL

FL

Phoenix, AZ

PX




  1. Enter the appropriate one-letter Purpose Code from the list below.

Biomedical research

M

Circuses/traveling exhibitions

Q

Personal

P

Botanical gardens

G

Commercial

T

Reintroduction/introduction into the wild

N

Breeding in captivity or artificial propagation

B

Educational

Hunting trophies

E

H

Scientific

Zoos

S

Z


  1. Enter the U.S. Customs and Border Protection document reference number(s) associated with the import or export, if applicable. For exports, enter any shipper’s export declaration reference number, if applicable.


  1. Enter the name of the carrier used to import or export (airline, vessel, rail, or truck company), or indicate personally owned vehicle.


FILING INSTRUCTIONS FOR DECLARATION FOR IMPORTATION OR EXPORTATION OF FISH OR WILDLIFE (USFWS FORM 3-177)


  1. Enter the Master and House Air Waybill number or Bill of Lading, if applicable. Enter the container number(s) for ocean shipments.



  1. Enter the applicable one-letter Transportation Code from the list below. For personal vehicles, also indicate the license number and State or Province.

Air cargo

A

Ocean cargo

O

Rail

R

Border crossing on foot

B

Personal accompanying baggage

P

Truck (commercial)

T

Mail

M

Personal vehicle

V




  1. Enter the customs bonded physical location where the shipment is available for inspection.


  1. Indicate the quantity of cartons in the entire shipment that contain wildlife.


  1. List any unique markings or codes on cartons that contain wildlife as required in 50 CFR Part 14.


13a. Check the appropriate box to indicate U.S. importer or exporter. Enter the complete name, address (in the United States), e-mail address, if applicable, and telephone number of the U.S. importer or exporter.


13b. Enter an identifier number and the type of identifier (for example, DUNS number, U.S. Customs and Border Protection account number) for the

U.S. Importer or Exporter, if applicable.


14a. Enter the complete name, address (in the foreign country), and telephone number of the foreign importer or exporter. Enter the e-mail address, if applicable.


14b. Enter the applicable two letter ISO (International Organization for Standardization) country code from the list below.

Afghanistan

AF

Cayman Islands

KY

Gambia

GM

Åland Islands

AX

Central African Republic

CF

Georgia

GE

Albania

AL

Chad

TD

Germany

DE

Algeria

DZ

Chile

CL

Ghana

GH

Andorra

AD

China, People’s Republic of

CN

Gibraltar

GI

Angola

AO

Christmas Island

CX

Great Britain

GB

Anguilla

AI

Cocos (Keeling) Islands

CC

Greece

GR

Antarctica

AQ

Colombia

CO

Greenland

GL

Antigua and Barbuda

AG

Comoros

KM

Grenada

GD

Argentina

AR

Congo

CG

Guadeloupe

GP

Armenia

AM

Congo, Democratic Republic of

CD

Guatemala

GT

Aruba

AW

Cook Islands

CK

Guernsey

GG

Austria

AT

Costa Rica

CR

Guinea

GN

Azerbaijan

AZ

Cote d’Ivoire (Ivory Coast)

CI

Guinea-Bissau

GW

Azores

PT

Croatia

HR

Guyana

GY

Bahamas

BS

Cuba

CU

Haiti

HT

Bahrain

BH

Curacao (Netherlands Antilles)

AN

Heard and McDonald Islands

HM

Bangladesh

BD

Cyprus

CY

High Seas

ZZ

Barbados

BB

Czech Republic (Czechia)

CZ

Holy See (Vatican City State)

VA

Belarus

BY

Democratic Republic of Congo

CD

Honduras

HN

Belgium

BE

Denmark

DK

Hong Kong

HK

Belize

BZ

Djibouti

DJ

Hungary

HU

Benin

BJ

Dominica

DM

Iceland

IS

Bermuda

BM

Dominican Republic

DO

India

IN

Bhutan

BT

Ecuador

EC

Indonesia

ID

Bolivia

BO

Egypt

EG

Iran, Islamic Republic of

IR

Bonaire, Saint Eustatius and Saba

BQ

El Salvador

SV

Iraq

IQ

Bosnia and Herzegovina

BA

England

GB

Ireland

IE

Botswana

BW

Equatorial Guinea

GQ

Ireland, Northern

GB

Bouvet Island

BV

Eritrea

ER

Isle of Man

IM

Brazil

BR

Estonia

EE

Israel

IL

British Indian Ocean Territory

IO

Eswatini

SZ

Italy

IT

British Virgin Islands

VG

Ethiopia

ET

Ivory Coast (Cote d’Ivoire)

CI

Brunei Darussalam

BN

Falkland Islands (Malvinas)

FK

Jamaica

JM

Bulgaria

BG

Faroe Islands

FO

Japan

JP

Burkina Faso

BF

Fiji

FJ

Jersey

JE

Burundi

BI

Finland

FI

Jordan

JO

Cambodia

KH

France

FR

Kazakhstan

KZ

Cameroon

CM

French Guiana

GF

Kenya

KE

Canada

CA

French Polynesia (Tahiti)

PF

Kiribati

KI

Canary Islands

ES

French Southern Territories

TF

Korea, Democratic People’s Republic of


Cape Verde

CV

Gabon

GA

(North Korea)

KP

FILING INSTRUCTIONS FOR DECLARATION FOR IMPORTATION OR EXPORTATION OF FISH OR WILDLIFE (USFWS FORM 3-177)



Country codes (continued).

Korea, Republic of (South Korea)

KR

Nigeria

NG

South Georgia and South


Kuwait

KW

Niue

NU

Sandwich Islands

GS

Kyrgyzstan

KG

Norfolk Island

NF

Spain

ES

Lao People’s Democratic Republic

LA

North Macedonia

MK

Sri Lanka

LK

Latvia

LV

Norway

NO

Sudan

SD

Lebanon

LB

Oman

OM

Suriname

SR

Lesotho

LS

Pakistan

PK

Svalbard and Jan Mayen

SJ

Liberia

LR

Palau

PW

Sweden

SE

Libyan Arab Jamahiriya

LY

Palestinian Territory, Occupied

PS

Switzerland

CH

Liechtenstein

LI

Panama

PA

Syrian Arab Republic

SY

Lithuania

LT

Papua New Guinea

PG

Taiwan (Province of China)

TW

Luxembourg

LU

Paraguay

PY

Tajikistan

TJ

Macao

MO

Peru

PE

Tanzania, United Republic of

TZ

Macedonia

MK

Philippines

PH

Thailand

TH

Madagascar

MG

Pitcairn

PN

Timor-Leste

TL

Malawi

MW

Poland

PL

Togo

TG

Malaysia

MY

Portugal

PT

Tokelau

TK

Maldives

MV

Qatar

QA

Tonga

TO

Mali

ML

Reunion

RE

Trinidad and Tobago

TT

Malta

MT

Romania

RO

Tunisia

TN

Marshall Islands

MH

Russian Federation

RU

Turkey

TR

Martinique

MQ

Rwanda

RW

Turkmenistan

TM

Mauritania

MR

Saint Barthelemy

BL

Turks and Caicos Islands

TC

Mauritius

MU

Saint Helena, Ascension and Tristan


Tuvalu

TV

Mayotte

YT

Da Cunha

SH

Uganda

UG

Mexico

MX

Saint Kitts and Nevis

KN

Ukraine

UA

Micronesia, Federated States of

FM

Saint Lucia

LC

United Arab Emirates

AE

Moldova, Republic of

MD

Saint Martin

MF

United Kingdom

GB

Monaco

MC

Saint Pierre and Miquelon

PM

United States of America

US

Mongolia

MN

Saint Vincent and the Grenadines

VC

Unknown

XX

Montenegro

ME

Samoa, Western

WS

Uruguay

UY

Montserrat

MS

San Marino

SM

Uzbekistan

UZ

Morocco

MA

Sao Tome and Principe

ST

Vanuatu

VU

Mozambique

MZ

Saudi Arabia

SA

Vatican City

VA

Myanmar

MM

Scotland

GB

Venezuela

VE

Namibia

NA

Senegal

SN

Viet Nam

VN

Nauru

NR

Serbia

RS

Virgin Islands, British

VG

Nepal

NP

Seychelles

SC

Wales

GB

Netherlands

NL

Sierra Leone

SL

Wallis and Futuna Islands

WF

Netherlands Antilles

AN

Singapore

SG

Western Sahara

EH

Neutral Zone

NT

Slovakia

SK

Western Samoa

WS

New Caledonia

NC

Slovenia

SI

Yemen

YE

New Zealand

NZ

Solomon Islands

SB

Zambia

ZM

Nicaragua

NI

Somalia

SO

Zimbabwe

ZW

Niger

NE

South Africa

ZA




14c. Enter an identifier number and the type of identifier (for example, DUNS number, U.S. Customs and Border Protection account number) for the foreign Importer or Exporter, if applicable.


15a. Enter the business name of the appropriate agent, including telephone and fax numbers, and e-mail address, if applicable.


15b. Enter the contact name for the individual filing the declaration.


15c. Enter an identifier number and the type of identifier (for example, DUNS number, U.S. Customs and Border Protection account number) for the

U.S. Customs Broker, Shipping Agent, or Freight Forwarder, if applicable.


16a. List the scientific name for each species. This is a Latin name including genus and species (and sub-species, when required to determine if the fish or wildlife is protected at the subspecies level). Use multiple species lines if a species is associated with multiple permits or certificates,

descriptions, sources, or countries of species origin.


16b. List the common name in English for each species in 16a.


17a. List the foreign CITES permit or certificate number for each species in 16a, if applicable. List one permit or certificate number per block. Use multiple species lines if a species is listed on more than one CITES permit or certificate.



FILING INSTRUCTIONS FOR DECLARATION FOR IMPORTATION OR EXPORTATION OF FISH OR WILDLIFE (USFWS FORM 3-177)


17b. List the U.S. CITES permit or certificate number for each species in 16a, if applicable. List one permit or certificate number per block. Use multiple species lines if a species is listed on more than one CITES permit or certificate.


17c. For sport-hunted trophies of markhor, leopard, crocodilians, elephant, and black rhinoceros, list the CITES tag number or marking number. List one tag or marking number per species line. Use multiple species lines if a species has more than one CITES tag number or marking number.


17d. List any other U.S. Fish and Wildlife Service issued permit numbers for each species in 16a.


18a. Enter the applicable description code for each species in 16a from the list below.

Baleen

BAL*

Fur products (small manufactured (e.g.


Rostrum (sawfish)

ROS*

Bark (raw, dried, powdered,


handbags, keyfobs, purses, pillows)

FPS*

Rug (made from one skin only)

RUG*

unprocessed)

BAR*

Gall

GAL*

Sawn wood (sawn lengthwise or


Bone (including jaw, but not skull)

BON*

Gall bladder

GAB*

produced by profile-chipping;


Bone piece (not manufactured)

BOP*

Garment (excluding shoe or trim)

GAR*

normally exceeds 6mm in thickness)

SAW*

Bone product or carving

BOC*

Genitalia (castrates and dried penes)

GEN*

Scale (turtle, other reptile, fish,


Bulb, corm or tuber

BUL

Gill plates

GIL*

pangolin)

SCA*

Calipee (turtle cartilage for soup)

CAL*

Graft rootstock

GRS*

Seedling

SDL

Carapace (raw or unworked)

CAP*

Hair

HAI*

Seed

SEE*

Carving (other than bone, horn, or


Hair product (including paint brushes)

HAP*

Shell product (from mollusc or turtle)

SPR

ivory)

CAR*

Horn (substantially whole, including


Shell (raw or unworked shell of


Caviar (unfertilized dead processed


antler)

HOR*

mollusc)

SHE*

eggs of sturgeon or paddlefish)

CAV*

Horn carving (including horn or antler


Shoe (shoe or boot)

SHO

Chip (timber)

CHP*

product)

HOC*

Side (including flanks except tinga


Claw (including talon)

CLA*

Horn piece (not manufactured)

HOP*

frames)

SID*

Cloth

CLO*

Ivory carving

IVC*

Skeleton (substantially whole)

SKE*

Coral (raw or unworked, excluding live


Ivory jewelry

IJW*

Skin (substantially whole, raw or


rock)

COR*

Ivory piano key (# of keys not pianos)

KEY*

tanned, including tinga frames)

SKI*

Coral product

CPR

Ivory piece (not manufactured,


Skin piece (including scraps, raw or


Cosmetics

COS*

includes scraps)

IVP*

tanned)

SKP*

Culture of an artificially propagated


Jewelry (other than ivory jewelry)

JWL*

Skull (except when part of whole


plant

CUL*

Kernel

KNL*

trophy)

SKU*

Cutting (plant cutting or division)

CUT

Leather product (large manufactured,


Soup

SOU*

Dead animal (whole animal)

BOD*

e.g., briefcase, furniture, suitcase)

LPL*

Specimen (scientific or museum


Dead specimen (live specimen that died


Leather product (small manufactured,


specimen, including blood,


during shipment)

DEA

e.g., belt, handbag, wallet, watch band)

LPS*

tissue, histological preparation)

SPE*

Derivative (except those included


Leaves

LVS*

Stem (plant stem)

STE*

elsewhere)

DER*

Live rock (Coral rock)

ROC

Swim bladder (hydrostatic organ


Dried plant

DPL*

Live specimen (live animal or plant)

LIV*

including isinglass, sturgeon glue)

SWI*

Ear (except when part of whole trophy)

EAR*

Log (all wood in the rough, whether or


Tail

TAI*

Egg (dead or blown egg, excluding


not stripped of bark or sapwood, or


Teeth (excluding tusks)

TEE*

caviar)

EGG*

roughly squared, for processing into


Timber (raw except saw-logs and sawn


Egg (live)

EGL*

sawn wood, pulpwood or veneer


wood)

TIM*

Eggshell (raw or worked)

ESH*

sheets)

LOG*

Trim (shoe, garment, or decorative


Extract (usually plant)

EXT*

Meat

MEA*

trim)

TRI

Feather

FEA*

Medicinal part or product

MED*

Transformed wood (HTS 44.09)

TRW*

Fiber (plant fiber, tennis racket string)

FIB*

Musk

MUS*

Trophy (all the parts of one animal, if


Fin (dried fins or parts of fins)

DFN*

Nest (including products)

NES

they are exported together; e.g. horns,


Fin (fresh, chilled or frozen fins or parts


Oil

OIL*

skull, cape, backskin, tail and feet


of fins)

FFN*

Pearl

PRL*

constitute one trophy)

TRO*

Fingerling (juvenile fish of one or two


Piano with ivory keys (# of pianos, not


Trunk (elephant, except when part of


years of age for the aquarium trade,


keys)

PIV

whole trophy)

TRU*

hatchery, or release operation)

FIG*

Plate of fur skins (include rugs if made


Tusk (substantially whole, worked or


Flower

FLO*

from several skins)

PLA*

not)

TUS*

Flower pot (made of tree fern or other


Plywood (material consisting of 3 or


Unspecified

UNS

plant fiber)

FPT*

more sheets of wood glued and pressed


Veneer (thin layers of wood of uniform

VEN*

Foot

FOO*

one on another and generally disposed


thickness, usually less than 6mm)

WAX*

Frog leg

LEG*

so that the grains are at an angle)

PLY*

Wax (including ambergris)

WNG

Fruit

FRU*

Powder

POW*

Wing


Fur products (large manufactured, e.g. fur


Pupae

PUP*

Wood product (including furniture,

WPR*

blankets)

FPL*

Root (dead)

ROO*

rainsticks)


*CITES recognized description code











FILING INSTRUCTIONS FOR DECLARATION FOR IMPORTATION OR EXPORTATION OF FISH OR WILDLIFE (USFWS FORM 3-177)



18b. Enter the appropriate one-letter wildlife source code for each species in 16a from the list below.

Animals born in captivity (from parents that mated in the wild) or


Plants that fulfil the definition for ‘assisted production’

Y

animals that do not qualify as captive-bred under CITES

Animals bred in captivity (from parents that mated in captivity)

F

C

Pre-convention specimens

O

Source unknown (lack of information must be justified)

U

CITES Appendix I animals or plants commercially bred or propagated


Specimens originating from a ranching operation

R

in CITES registered facilities

D

Specimens taken from the wild

W

Plants that are artificially propagated, parts and derivatives

A



19a. Enter the quantity of wildlife, and unit of measure for each species in 16a from the list below. Multiply pairs by two.

Number (individual units)

NO

Square meters

M2

Liters

LT

Centimeters

CM

Cubic meters

M3

Milliliters

ML

Square centimeters

C2

Milligrams

MG

Microliters

MU

Cubic centimeters

C3

Grams

GM



Meters

MT

Kilograms

KG




19b. Indicate the total value of items containing wildlife in U.S. dollars (rounded to the nearest dollar) for each species in 16a.


  1. Enter the two-letter ISO (International Organization for Standardization) code for the country where the animal was taken from the wild or where the animal was born.


  1. Indicate whether each species of live wildlife identified in 16a is venomous.


  1. Sign and date the form. Type or print your name below your signature.


If additional space is needed, please use the continuation form (USFWS Form 3-177a).


Knowingly making a false statement may subject the declarant to the penalty provided by 18 U.S.C. 1001 and 16 U.S.C. 3372(d).

See Reverse Side of this Form for Privacy Act


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