
T'S NAME AND ADDRESS (Principal Office) (Indicate fictitious name, if applicable) LAST NAME FIRST NAME MI STREET ADDRESS CITY ZIP STATE INSTRUCTIONS: Applicants must be United States citizens. Pursuant to the requirements of 19CFR 111.12 (b) the information contained in Blocks 1,2,3,22 and 23 may be released to the public and posted by appropriate electronic means. Submit application in duplicate to the Port Director of the Port name in Block 3. All additional continuation sheets, if required, a.
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How to fill out the CBP 3124 online
The CBP 3124 form is an essential document for individuals seeking a Customs Broker License through U.S. Customs and Border Protection. This guide provides a detailed walkthrough on how to complete the form online, ensuring accurate and efficient submission.
Follow the steps to successfully complete the CBP 3124 form.
- Press the ‘Get Form’ button to access the CBP 3124 form in your preferred digital editor.
- In Block 1, enter the applicant's full name and address, including the fictitious name if applicable. Ensure that all fields are filled out accurately, as this information may be publicly disclosed.
- In Block 2, select the type of license you are applying for: Individual, Corporation, Partnership, or Association.
- In Block 3, indicate the CBP port where you will submit your application.
- For Block 4, answer whether you have ever applied for a Customs Broker License by selecting 'Yes' or 'No.' If 'Yes,' provide further explanation in Block 18.
- In Block 5, indicate if the applicant or any affiliated officers have had a license suspended, revoked, or canceled. If applicable, explain in Block 18.
- Block 6 requires you to state whether the applicant or any affiliated officers are employees of the United States, providing an explanation in Block 18 if necessary.
- In Blocks 7 to 15, fill in personal details including date of birth, social security number, birthplace, and any legal history such as arrests or bankruptcy. Ensure accuracy in these fields as they are critical for the background check.
- In Blocks 16 and 17, provide information on your intention to engage in customs brokerage and list six references, including their contact information.
- For applicants from associations, corporations, or partnerships, complete Block 19 to 23, detailing the organization’s structure, the names of all officers, and any necessary attachments.
- Finally, certify the application in Block 24 by adding your signature and date in Blocks 25 and 26. Ensure all information is complete and accurate before submission.
- After completing the form, you can save any changes, download, print, or share the completed CBP 3124 form as required.
Start filling out your CBP 3124 form online today for a smooth application process.
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