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PS 2976-A

Customs Declaration and Dispatch Note CP 72 (9/2012)

Download and Print the PS 2976-A

Request may not be processed if the form is incomplete or illegible.

INSTRUCTIONS FOR COMPLETING THIS FORM (Remove this page prior to completing form.)

Please print this form in English using blue or black ink, pressing firmly so all information transfers to all copies.

Complete the declaration fully and legibly; otherwise, delay and inconvenience may result for the addressee.

A false or misleading declaration may lead to a fine or seizure of the item and additional penalties.

You may add a translation of the contents in a language accepted in the destination country.

Your goods may be subject to restrictions. It is your responsibility to comply with import and export regulations and restrictions (e.g., quarantine, pharmaceutical, etc.), and to determine what documents (e.g., commercial invoice, certificate of origin, health certificate, license, authorization for goods subject to quarantine such as plant, animal, or food products, etc.), if any, are required
in the destination country. Check the country listings at pe.usps.com/text/imm/immctry.htm, as well as the UPU List of Prohibited Items available at www.upu.int/customs/en/country_list_en.pdf.

FROM (Sender information) and TO (Addressee information) sections:

Enter both the sender’s and addressee’s full name and full address in the blocks provided. Incomplete names (e.g., initials) or incomplete address entries may result in delayed handling by Customs and/or the delivery office. Provide the telephone/fax number or email address of the sender, as such information will
facilitate customs clearance and delivery.

Block 1: Enter a detailed description of each article — e.g., “men’s cotton shirts.” General descriptions — e.g., “samples,” “food products,” or “toiletries” — are not acceptable. If there is insufficient space on the form to list all articles, use additional forms as needed. Indicate on the first form (to the right of the barcode) the following: “Additional forms enclosed.”

Important: Obliterate the tracking number and barcode on subsequent forms and place all the forms into PS Form 2976-E (plastic envelope).

Blocks 2–4: Enter the quantity, net weight (in pounds and ounces), and value (in U.S. dollars) of each article.

Block 5: Check the box specifying the category of the item. If the international shipment contains dangerous goods that are approved for mailing, check the box for “Dangerous Goods.” Mailability information for international shipments is available in Publication 52, Hazardous, Restricted, and Perishable Mail (chapter 6), and in International Mail Manual (IMM®) Part 135.

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