Form CBP-FORM-1303 Ship's Stores Declaration

DEPARTMENT OF HOMELAND SECURITY

SHIP'S STORES DECLARATION

U.S. Customs and Border Protection

Page No.

19 CFR 4.7, 4.7a, 4.81, 4.85, 4.87

Arrival

1. Name of Ship

2. Port of arrival/departure

4. Nationality of ship

5. Port arrived from/Port of destination

6. Number of persons on board
9. Name of article

7. Period of stay
10. Quantity

OMB No.1651-0018
Exp. 05-31-2008

Departure

3. Date of arrival/departure

8. Place of storage*
11. For Official Use

12. Date and signature by master, authorized agent or officer
This form may be printed by private parties provided the supply printed conforms to the
official form in size, wording, arrangement, and quality and color of paper.

*Not required by the United States

PAPERWORK REDUCTION ACT NOTICE: This request is in accordance with the Paper Reduction Act. This information is collected to perform the responsibilities of the
U.S. Customs and Border Protection. This form is used by the master to declare ship's stores in a format that can be readily audited and checked by U.S. Customs and
Border Protection. Your response is mandatory. The estimated average burden associated with this collection of information is 15 minutes per respondent or recordkeeper
depending on individual circumstances. Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should be directed to U.S.
Customs and Border Protection, Information Services Branch, Washington, DC 20229 and to the Office of Management and Budget, Paperwork Reduction Project
(1651-0018), Washington, DC 20503.

CBP Form 1303 (02/02)