Form E311 - Declaration Card

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Declaration Card
– For Agency Use Only –
PAX
R
U.S. V
OV
Cr
O
Part A
All travellers (living at the same address) – Please print in capital letters.
Instructions
Last name, first name and initials
All travellers must be identified on a
1
Canada Border Services Agency (CBSA)
Citizenship:
Date of birth:
Declaration Card. You may list up to four
Y
Y
M
M
D
D
people living at the same address on one
Last name, first name and initials
card. Each traveller is responsible for
his or her own declaration.
2
Citizenship:
Under the law, failure to properly declare
Date of birth:
Y
Y
M
M
D
D
goods, currency and/or monetary
Last name, first name and initials
instruments brought into Canada may
result in seizure action, monetary penalties
3
and/or criminal prosecution.
Citizenship:
Date of birth:
Y
Y
M
M
D
D
Information from this declaration will be
Last name, first name and initials
used for CBSA control purposes, and
may be shared with other government
4
departments to enforce Canadian laws.
For more information see Info Source
Citizenship:
Date of birth:
Y
Y
M
M
D
D
(ref. no. CBSA PPU 018), at a public
library or visit
HOME ADDRESS – Number, street, apartment No.
City/Town
Part B – Visitors to Canada
Prov./State
Country
Postal/Zip code
The following duty-free allowances apply
to each visitor entering into Canada:
Arriving by:
Purpose of
Arriving from:
Gifts (excludes alcohol and tobacco)
Study
Air
Rail
Marine
Highway
U.S. only
valued at no more than CAN$60 each.
Airline/flight No., train No. or vessel name
Personal
Other country direct
1.5 L of wine or 1.14 L of liquor or
Business
Other country via U.S.
24 x 355 ml cans or bottles (8.5 L) of
I am/we are bringing into Canada:
Yes
No
– For Agency Use Only –
beer or ale.
Firearms or other weapons
(e.g. switchblades, Mace or pepper spray).
200 cigarettes, 200 tobacco sticks,
50 cigars or cigarillos and
Commercial goods, whether or not for resale
(e.g. samples, tools, equipment).
200 grams of manufactured tobacco.
Meat/meat products; dairy products; fruits;
vegetables; seeds; nuts; plants and animals or their
Part C – Residents of Canada
parts/products; cut flowers; soil; wood/wood
products; birds; insects.
Each resident returning to Canada is
• Currency and/or monetary instruments of a value
entitled to one of the following personal
totalling CAN$10,000 or more per person.
exemptions based on his/her time absent
I/we have shipped goods that are not accompanying
from Canada (include all goods and/or
me/us.
gifts purchased or received abroad):
I/we have visited a farm and will be going to a farm in
24 hours: CAN$50
Canada.
Not claimable if goods exceed $50.
Part B Visitors to Canada
Alcohol and tobacco cannot be claimed.
Yes
No
Duration of stay in Canada
48 hours: CAN$400
Do you or any person listed above exceed the duty-free
days
allowances per person? (See instructions on the left.)
This includes alcohol and tobacco
(see table below)
.
Part C
Residents of Canada
7 days:
CAN$750
Yes
No
Do you or any person listed above exceed the exemptions per person?
This includes alcohol and tobacco
(See instructions on the left.)
(see table below)
.
Complete in the same order as Part A
Alcohol and tobacco
Value of goods – CAN$
Value of goods – CAN$
Value of goods – CAN$
exemption table
Date left Canada
Date left Canada
purchased or received abroad
purchased or received abroad
purchased or received abroad
YY - MM - DD
YY - MM - DD
(including gifts, alcohol & tobacco)
(including gifts, alcohol & tobacco)
(including gifts, alcohol & tobacco)
1.5 L of wine or 1.14 L of liquor or
24 x 355 ml cans or bottles (8.5 L) of
1
3
Y
Y
M
M
D
D
Y
Y
M
M
D
D
beer or ale. (You must be of legal age
2
4
Y
Y
M
M
D
D
Y
Y
M
M
D
D
in the province of importation.)
Signatures (age 16 and older): I certify that my declaration is true and complete.
Part D
200 cigarettes, 200 tobacco sticks,
50 cigars or cigarillos and
1
Date
Y
Y
M
M
D
D
200 grams of manufactured tobacco
2
(Special Duty may apply).
3
4
E311 (08/04)
Protected A when completed
BSF311
Do not fold Declaration Card
A580G1.FRP
(08/04)

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