美国入境 海关申报表

美国海关申报/U.S.Customs and Border Protection

Customs Declaration海关申报

1. Family Name 姓 
First（Given）名　　                      Middle中间名

2. Birth  Date出生日期 
Day　        Month　　     　Year

3. Number of Family members traveling with you与你同行的家庭成员人数 

4. （a）U.S. Street Address（hoetl name/destination）在美国的街道地址  
（b）City城市                       （c）State 州

5. Passport Issued by（country）护照签发国

6. Passport Number护照号码 

7. Country of Residence居住国

8. Countries visited on this trip prior to U.S. arrival本次旅行抵美以前曾去过的国家

9. Airline/Flight No.or Vessel Name 航空公司/航班号

10. The primary purpose of this trip is business 此次旅程的目的是公务                 yes是    no否

11. I am（we are）bringing
（a）fruits, vegetables，plants，seeds，food，insects：                             yes是    no否 
（b）meats，animals，animal/wildlife products：                                   yes是    no否 
（c）disease agents，cell cultures，snails：                                        yes是    no否 
（d）soil or have been on a farm/ranch/pasture：                                    yes是    no否

12. I have（we have）been in close proximity of （such as touching or handling）livestock   yes是    no否

13. I am（we have）carrying currency ormonetary instruments over $10000U.S. or the foreign equiralent. 你携带现金或珍贵物品，其价值超过一万美金或相当于一万美金的外币吗                         yes是    no否

14. I am（we have）commercial merchandise：                                       yes是    no否

15.Visitors访客—The total value of all articles that will remain in the U.S.,including commercial merchandise is将留在美国境内的所有物品价值多少