Customs Letter Request Form

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CUSTOMS LETTER REQUEST FORM
The purpose of a Customs letter is to facilitate re-entry to the United States of University of
Washington/State of Washington owned equipment. This is for reasons of national security and to
avoid any unnecessary duty charges by proving prior purchase and government ownership.
You must allow 3 working days for processing and campus mail time for a customs letter.
You can fax this form back to EIO to expedite your request but the official letter cannot be faxed
back - the traveler must carry the original letter with the equipment.
__________________________________________________________________________________
Name and telephone of person requesting letter (not the traveler):
Name: ____________________________________ Phone #: ________________________
Box # to send letter to: 35__________________
or, Pick-up Date: _________________
Name and title of person traveling with equipment and department name:
Name: ________________________________ Dept: _______________________________
Date of departure and estimated date of return:
Leaving: _____/_____/_____
Returning: _____/_____/_____
City and country (or countries) equipment will be used in:
___________________________________________________________________________
UW Tag Number, Description & Serial Number of each item (**Dell equipment: Look for
the "service tag number"):
UW Tag #
Description
Serial Number
1.
2.
3.
4.
Person in department authorizing use of equipment overseas (Director/higher- NOT traveler):
Printed Name: _______________________________ Title: _________________________
Signature: __________________________________________________________________
You can FAX this form to Heidi Gustafson @ 206-685-9151 or mail to Box 354615.

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