HS 7a Box 8 Importers Application HS 7a Box 8

IMPORTATION OF A MOTOR VEHICLE
UNDER BOX 8 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: _______________________________________________________
OFF-ROAD USE AND FEATURES ____________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Photos should be attached showing the vehicle and its off-road features.
Fax request to:
(202) 366-1024

NVS-223
National Highway Traffic Safety Administration
1200 New Jersey Ave SE
Washington, D.C. 20590

E-Mail photos to:

Dick.Merritt@dot.gov

NOTE: If importing more than one vehicle, attach an addendum with model year, make, model,
and VIN for each vehicle. All sections of this form must be complete and submittals in writing
must be legible (49 CFR Part 551.31). All requests submitted to this office must allow 30
business days for determination.
HS-7A (Box 8)