HS 7a Box 7 Application for Determination of Eligible Motor Vehicles

TEMPORARY IMPORTATION OF A MOTOR VEHICLE
UNDER BOX 7 OF THE HS-7 FORM
IMPORTER OF RECORD Company: _________________________________________________________
Contact Person: _____________________________________ E-Mail Address: _________________________
Street Address: _____________________________________________________________________________
City: _________________________________________ State: ___________ ZIP: _______________________
Tel: (________) ______________________________ Fax: (________) ________________________________
BROKER INFORMATION Company: ______________________________________ Filer Code: _________
Contact Person: _____________________________________ E-Mail Address: _________________________
Street Address: _____________________________________________________________________________
City: _________________________________________ State: ___________ ZIP: _______________________
Tel: (________) ______________________________ Fax: (________) ________________________________
VEHICLE INFORMATION Make: ____________________________ Model: _________________________
Model Year: _____________ VIN: _____________________________________________________________
PURPOSE OF IMPORT _____________________________________________________________________
__________________________________________________________________________________________
HIGHWAY USE  Yes  No If highway use is requested, state the number of miles and why it is required:
___________ Miles ________________________________________________________________________
__________________________________________________________________________________________
DISPOSITION OF VEHICLE

 Export
Date: ___________________
 Destroy under Customs Supervision
Date: ___________________
Note: Proof of export or destruction must be submitted to this office not later than 30 days following the
end of the period for which the vehicle has been approved to be admitted to the United States.
Fax request to:
(202) 366-1024
E-mail photos to:

NVS-223
National Highway Traffic Safety Administration (NHTSA)
1200 New Jersey Ave SE
Washington, D.C. 20590
Dick.Merritt@dot.gov

NOTE: Approval permits importation for up to one year. If additional time is required, a request for an extension must be
submitted in writing along with a copy of the prior approval letter no later than 30 business days before the expiration date.
Extensions may be granted for a total of up to 5 years. If permission is sought for more than one vehicle, attach an addendum
with year, make, model, and VIN for each vehicle. All requests submitted to this office must allow 30 business days for
determination. All sections of this form must be complete and submittals in writing must be legible (49 CFR Part 551.31). It is
the importer’s responsibility to make sure all Box 7 approvals are current with NHTSA.
HS-7A (Box 7)