CBP Form 3499 "Application and Approval to Manipulate, Examine, Sample, or Transfer Goods"

What Is CBP Form 3499?

CBP Form 3499, Application and Approval to Manipulate, Examine, Sample, or Transfer Goods - also known as the CBP 3499 Form - is a form used as an application to carry out various operations on merchandise situated at the Customs and Border Protection (CBP) approved bonded facility. The importers, transferees, consignees, and/or owners of this merchandise are required to file this form, which is subject to approval by the port director. It is necessary for the adequate performance of the CBP. This form identifies the goods, for which action is sought and outlines what operation is to be performed. Additionally, this form can be approved as a blanket application to manage goods, which lasts for a maximum of 365 days and applies to repetitive or continuous manipulation.

The latest version of the form was released by the CBP in December 2016 with all previous editions obsolete. A printable CBP Form 3499 is available for download below.

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Download CBP Form 3499 "Application and Approval to Manipulate, Examine, Sample, or Transfer Goods"

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DEPARTMENT OF HOMELAND SECURITY
U.S. Customs and Border Protection
APPLICATION AND APPROVAL
TO MANIPULATE, EXAMINE, SAMPLE OR TRANSFER GOODS
Form Approved
OMB No. 1651-0006
19 CFR 19.8, 19.11, 158.43
Exp. 05-31-2020
1. GOODS CONSIGNED TO (Name)
2. GOODS EXPORTED FROM
3. PORT/PORT CODE AND DATE OF APPLICATION
4. LOCATION OF GOODS
5. CARRIER OR SHIP (Name)
6. BILL OF LADING OR CBP 7512 NO.
7. IS AREA BONDED?
8. ENTRY INFORMATION
Number:
YES
NO
Warehouse
Consumption
Date:
PERMISSION IS REQUESTED TO:
(Describe the complete operation to be performed under CBP supervision on the goods listed below):
FOR CBP USE ONLY
9. MARKS AND NUMBERS
11. MANIPULATED VALUE
10. DESCRIPTION
12. SIGNATURE OF APPLICANT
APPROVED
13. DATE
14. SIGNATURE AND TITLE OF APPROVING CBP OFFICER
See Page 2 of form for Paperwork Reduction Act Notice.
Customs and Border Protection Officers Report on Reverse
CBP Form 3499 (12/16)
DEPARTMENT OF HOMELAND SECURITY
U.S. Customs and Border Protection
APPLICATION AND APPROVAL
TO MANIPULATE, EXAMINE, SAMPLE OR TRANSFER GOODS
Form Approved
OMB No. 1651-0006
19 CFR 19.8, 19.11, 158.43
Exp. 05-31-2020
1. GOODS CONSIGNED TO (Name)
2. GOODS EXPORTED FROM
3. PORT/PORT CODE AND DATE OF APPLICATION
4. LOCATION OF GOODS
5. CARRIER OR SHIP (Name)
6. BILL OF LADING OR CBP 7512 NO.
7. IS AREA BONDED?
8. ENTRY INFORMATION
Number:
YES
NO
Warehouse
Consumption
Date:
PERMISSION IS REQUESTED TO:
(Describe the complete operation to be performed under CBP supervision on the goods listed below):
FOR CBP USE ONLY
9. MARKS AND NUMBERS
11. MANIPULATED VALUE
10. DESCRIPTION
12. SIGNATURE OF APPLICANT
APPROVED
13. DATE
14. SIGNATURE AND TITLE OF APPROVING CBP OFFICER
See Page 2 of form for Paperwork Reduction Act Notice.
Customs and Border Protection Officers Report on Reverse
CBP Form 3499 (12/16)
CUSTOMS AND BORDER PROTECTION OFFICER'S REPORT
Date:
MANIPULATION COMPLETED AS REQUESTED: When goods are repacked the CBP (warehouse) officer will report
hereon the marks and numbers of packages repacked and the marks and numbers of packages and the weights or
guage of same after repacking.
(CBP Officer and Title)
PAPERWORK REDUCTION ACT STATEMENT: An agency may not conduct or sponsor an information collection and a person is not
required to respond to this information unless it displays a current valid OMB control number and an expiration date. The control number for
this collection is 1651-0006. Obligation to respond is required to obtain benefits. The estimated average time to complete this application is 6
minutes. If you have any comments regarding the burden estimate you can write to PRA Clearance Officer, U.S. Customs and Border
Protection, Office of Regulations and Rulings, 90 K Street NE, Washington DC 20229.
CBP Form 3499 (12/16)
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CBP Form 3499 Instructions

Instructions for CBP Form 3499 are as follows:

  1. The application has to describe the planned manipulation, examination, sampling, or transfer of goods in sufficient detail to give all the necessary information to the port director, who then determines whether the merchandise needs to be cleaned, repacked, sorted, or otherwise changed in condition;
  2. It is allowed to perform four types of operations with the goods: to take the sample of the merchandise for analysis, to operate the goods with the hands or by mechanical means, inspect them thoroughly with the intention to determine their condition or nature, and move them to another location;
  3. Then the port director, a person who has jurisdiction of the designated place of manipulation (warehouse, pier, station, etc.), issues a permit on the form making any necessary modification in the form. Without this permit, the warehouse proprietors cannot allow any manipulation of any goods.

How to Fill out CBP Form 3499?

  1. Enter the name of the person or entity, to which the goods are consigned to;
  2. Specify the point of export;
  3. Indicate the port, the port code, and the date of the application;
  4. State the location of the goods;
  5. Enter the name of the carrier or the ship;
  6. Write down the number of the bill of lading or the CBP Form 7512, Transportation Entry and Manifest of Goods Subject to CBP Inspection and Permit;
  7. State if the area is bonded;
  8. Add the entry information - warehouse or consumption;
  9. Describe the operation to be carried out under CBP supervision;
  10. List the goods to be operated on: their marks and numbers, and a full description;
  11. Sign the form and write down the actual date.

In addition, this form contains the CBP officer's report. This warehouse officer is required to report the marks and numbers of packages when the goods are repacked. The approving CBP officer signs the form and indicates the manipulated value of the goods.

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