Customs Declaration Form

Purpose: This document is used to declare goods and their values for compliance with import and export regulations. It ensures accurate reporting for customs clearance and duty determination.

Shipper Information

Name: {shipperName}

Address: {shipperAddress}

Country: {shipperCountry}

Phone: {shipperPhone}

Consignee Information

Name: {consigneeName}

Address: {consigneeAddress}

Country: {consigneeCountry}

Phone: {consigneePhone}

Shipment Details

Departure Country: {departureCountry}

Destination Country: {destinationCountry}

Means of Transport: {transportMeans}

Departure Date: {departureDate}

Arrival Date: {arrivalDate}

Declared Items

Customs Notes

{customsNotes}

Insurance Information

{#hasInsurance}Insured: Yes

Insurance Company: {insuranceCompany}

Policy Number: {insurancePolicyNumber}

Insured Value: {insuredValue} {currency}{/hasInsurance}

{^hasInsurance}Insured: No{/hasInsurance}

Attachments

{#attachments}

• {title}: {description}

{/attachments}

Declaration

I, {shipperName}, hereby declare that the information provided above is complete and accurate to the best of my knowledge. I acknowledge that any false declaration may result in penalties in accordance with applicable laws and regulations.

Signature: ____________________________

Date: {declarationDate}