Form CBP Form 7507 CBP Form 7507 General Declaration

DEPARTMENT OF HOMELAND SECURITY

U.S. Customs and Border Protection
GENERAL DECLARATION
(Outward/Inward)
AGRICULTURE, CUSTOMS, IMMIGRATION, AND PUBLIC HEALTH

OMB No. 1651-0002
Expires 06/30/2017
See back of form for Paperwork Reduction Act Notice.

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 (11/12)

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 way-bill/consignment note.

NOTE 6.

Declaration of Health (U.S. Public Health Service requirements):
This section is to be completed only as directed by the U.S. Centers for Disease Control and
Prevention (CDC) in the event of a public health emergency.
Conveyance operators should follow established procedures for reporting deaths/ill persons
onboard an aircraft as required by 42 CFR Part 71.
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 Statement: An agency may not conduct or sponsor an information collection and a person is
not required to respond to this information unless it displays a current valid OMB control number and an expiration
date. The control number for this collection is 1651-0002. Obligation to respond is mandatory. The estimated average
time to complete this application is 5 minutes. If you have any comments regarding the burden estimate you can write
to U.S. Customs and Border Protection, Office of Regulations and Rulings, 90K Street, NE., Washington DC 20229.

CBP Form 7507 (11/12)(Back)