Form 7507 General Declaration (Outward/Inward)

Form Approved OMB No.
1651-0002 Exp. 07-31-2009
See back of form for Paperwork Reduction Act Notice.

DEPARTMENT OF HOMELAND SECURITY

U.S. Customs and Border Protection
GENERAL DECLARATION
(Outward/Inward)
AGRICULTURE, CUSTOMS, IMMIGRATION, AND PUBLIC HEALTH
19 CFR 122.43,122.52,122.54,122.73,122.144
Owner or Operator
Marks of
Nationality and Registration

Flight
No.

Date

Arrival at

Departure from
(Place)

(Place)

FLIGHT ROUTING
(''Place'' Column always to list origin, every en-route stop and destination)
PLACE

TOTAL NUMBER
OF CREW

NUMBER OF PASSENGERS
ON THIS STAGE 1)
Departure Place:
Embarking
Through on
same flight
Arrival Place:
Disembarking
Through on
same flight
NUMBER OF SED's AND AWB's
SED's

Declaration of Health
Persons on board known to be suffering from illness other than airsickness or the
effects of accidents, as well as those cases of illness disembarked during the flight:

AWB's
For official use only

Any other condition on board which may lead to the spread of disease:

Details of each disinsecting or sanitary treatment (place, date, time, method) during
the flight. If no disinsecting has been carried out during the flight give details of most
recent disinsecting:

Signed, if required
Crew Member Concerned
I declare that all statements and particulars contained in this General Declaration, SIGNATURE Authorized Agent or Pilot-in-Command
and in any supplementary forms required to be presented with this General
Declaration are complete, exact and true to the best of my knowledge and that all
through passengers will continue/have continued on the flight.
1) Not to be completed when passenger manifests are presented.

CBP Form 7507 (12/96)

GENERAL DECLARATION
Notes and Specifications

NOTE 1.

An arrival-departure card (CBP Form I-94) for each passenger on board shall be presented to
the immigration officer at the port of first arrival.

NOTE 2.

List surname, given name and middle initial of each crew member in the column
headed "Total Number of Crew."

NOTE 3.

Air cargo manifests shall be attached hereto.

NOTE 4.

If copies of air waybills/consignment notes are attached, their numbers shall be entered
on separate cargo manifest CBP Form 7509 to be attached hereto. If copies of air
waybills/consignment notes are not attached to this form, a separate cargo manifest
CBP Form 7509 completed to show the full information required shall be furnished.

NOTE 5.

If the airline or operator consolidates a shipment with other shipments, or encloses
the goods in other wrappers or containers, either separately or with other goods, the
changes in packing and/or marks and numbers must be clearly stated in the air waybill/consignment note.

NOTE 6.

Declaration of Health (U.S. Public Health Service requirements):
First two items-- To be completed immediately upon landing or immediately before
landing, by pilot-in-command or appropriate crew member designated by him. Make
entries in clear handwriting. Person making entries is to initial the first item unless he
signs the general declaration.
Third item-- If entry is duplicated, it is to be (a) initialed by person signing the general
declaration or (b) signed by his authorized agent having knowledge of measures
applied.

NOTE 7.

This General Declaration and/or attached manifests or air waybills should not bear
erasures or corrections except those approved by the proper public authorities
concerned nor contain interlineations or several listings on the same line. As many extra
sheets may be added as necessary.

The information requested by the official General Declaration may be furnished on ICAO Annex 9, Appendix 1,
provided the form approximates (but does not exceed) 8 1/2" x 14", and is printed on white paper of appropriate
quality.

This form may be printed by private parties provided it conforms to official form in size, wording, arrangement,
and quality and color of paper.

PAPERWORK REDUCTION ACT NOTICE: This request is in accordance with the Paperwork Reduction Act. We ask for the information
in order to carry out the laws and regulations administered by the U.S. Customs and Border Protection. These regulations and forms
apply to the agent or pilot-in-command to make entry of the aircraft as required by statute, to bring the aircraft under United States
control, deliver passengers and their baggage to their destination, and cargo to the appropriated consignee/owner for payment of duties
and taxes. It is mandatory. The estimated average burden associated with this collection of information is 5 minutes per respondent
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 (1651-0002), Washington, DC 20503.
CBP Form 7507 (12/96)(Back)