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U.S. Customs Form: CBP Form 339V - Annual User Fee Decal Request - Vessel

U.S. Customs Form: CBP Form 339V - Annual User Fee Decal Request - Vessel

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Published by: Customs Forms on Mar 18, 2010
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10/23/2012

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Calendar Year Applying For:
DEPARTMENT OF HOMELAND SECURITY
U.S. Customs and Border Protection
ANNUAL USER FEE DECAL REQUEST - VESSEL
Agency Use OnlyPort Code: Cash Receipt No: Date Received:Date Issued: Issued By: Mail Date:
Si usted no habla o escribe ingles y necesita ayuda en español para llenar este documento, llame a la oficina de las Aduanas deEstados Unidos de (317) 298-1245. Este servicio es gratuito.
 
SECTION 1. CONTACT INFORMATION
Account No.:
If a decal has been purchased in the past, but the account number is unknown, please call (317-298-1245).
Required Information:Primary Contact
Contact Name (Please Print):Applicant Phone Number:Applicant FAX Number:Email Address (if available):
Optional Information:Secondary Contact
 Contact Name (Please Print):Applicant Phone Number:Applicant FAX Number:Ship To Address:Please complete the address section below if your 
Ship To Address
is not your physicaladdress; or if the
Ship To Address
is a P.O. Box and you need expedited shipping.Email Address (if available):
SECTION 2. CHOOSE A SHIPMENT/PAYMENT OPTION
Shipping Methods: All countries not listed below will be shipped via 1st Class U.S. Mail free of charge. NOTE: If no shipping method belowis selected, your order will be shipped via 1st Class U.S. Mail at no cost. Allow 4-8 weeks for delivery. EXPEDITED PACKAGES CANNOTBE DELIVERED TO A P.O. BOX. You MUST provide a street address in Section 1 above.
OPTIONAL SHIPPING METHODS: (Excludes application processing time)United States $6.00 Expedited - Next Business Day (Street address only)Canada $12.00 Expedited - Approx. 3 Business Days (Street address only)Mexico $8.00 U.S. International Registered Mail - (Allow up to 8 weeks for delivery)
DO NOT SEND CASH:
(Credit card and ACH applicants may apply online. See instructions page under SUBMITTING
 
APPLICATION.)
Vessel Decal (Class Code 904) = $27.50
Make check or money order, drawn through U.S. Bank in U.S. dollars ($), payable toU.S. Customs and Border Protection. If paying by check, DO NOT email form, please mail the application to the address listed in the
 
instructions.
METHOD OF PAYMENT:
Check Money Order Visa MasterCard Discover American Express
Credit CardAccount#ExpirationDate:
Submission of application certifies that all information provided is accurate. The applicant is responsible for ensuring that duplicatedecals are not requested
. All transactions are final. No refunds or credits will be approved.
CBP Form 339V (06/09)Company NameAddressCityState/Province CodeCountry CodeZip CodeCompany NameAddressCityState/Province CodeZip CodeCountry CodeAmount for Decal(s) ($27.50 xPlus Optional Shipping: + $Total Amount Authorized: = $SIGNATURE: DATE:
Signature authorizes decal payment and any optional shipping requested
# of decals): $(street address only)
OMB No. 1651-0052Exp. 09/30/2012
 
SECTION 3: VESSEL INFORMATIONAgency Use Only
Decal Number:
A.
Model Year Manufacturer Vessel NameREQUIRED INFORMATION
Agency Use Only
Decal Number:
B.
Model Year Manufacturer Vessel Name
 YOU CAN BUY DECALS ON-LINE AThttps://dtops.cbp.dhs.govFOR DECAL QUESTIONS: Call (317) 298-1245 or SEND E-MAIL TOdecals@dhs.gov
Submisson of application certifies that all information provided is accurate.The applicant is responsible for ensuring that duplicate decals are not requested.
ALL TRANSACTIONS ARE FINALNo refunds or credits will be approved
CBP Form 339V (06/09)Name on "Ship To" Line:Total Number of Decal(s) requested (includes all pages):REQUIRED INFORMATION
Identification Information (Ordered by Preference - A minimum of one is required)
Please make sure to distinguish between the number one and letter L, zero and the letter O, etc.U.S. Coast Guard IDLocal Registration Number Hull ID Number (HIN)Hull ID Number (HIN)Local Registration Number U.S. Coast Guard ID
Identification Information (Ordered by Preference - A minimum of one is required)
Please make sure to distinguish between the number one and letter L, zero and the letter O, etc.
 
ACCOUNT NUMBER - Your account number is located on therenewal form that was sent to you. If you have purchased in thepast but do not know your account number, please call(317) 298-1245. If you do not have that form, or have notpurchased a decal before, we will process your application andassign a new account number.
INSTRUCTIONS
Si usted no habla o escribe ingles y necesita ayuda en españolpara llenar este documento, llame a la oficina de las Aduanasde Estados Unidos de (317) 298-1245. Este servicio esgratuito.
INQUIRIES
Decal related questions should be directed to (317) 298-1245,Monday through Friday 8:00a.m. to 4:00 p.m. EST or sendyour questions via emaildecals@dhs.gov
SECTION 1: Contact Information
SHIP TO ADDRESS - This is the address you would like tohave your order shipped. Using an address in the UnitedStates allows for a quicker, more secure shipping method for your decal order. For example, if your business and residenceare both located outside the United States, you may still haveyour decal order shipped to an address within the UnitedStates.PRIMARY CONTACT
(Required)
- Provide a contact nameand email address for the decal purchase request. It isimportant to include a telephone and fax number so that youcan be reached if there is a problem with your application. If there is a problem, and we cannot reach you by phone, we willreturn the application and payment to the address on the form.SECONDARDY CONTACT
(Optional)
- Provide a contactname and email address for the decal purchase request. It isimportant to include a telephone and fax number so that youcan be reached if there is a problem with your application. If there is a problem, and we cannot reach you by phone, we willreturn the application and payment to the address on the form.If paying by check or money order, funds are required to bedrawn through a U.S. bank in U.S. dollars. For checks,processing time takes an extra 15 days.
We cannot accept acheck or money order in U.S. currency, which is drawnthrough a non-U.S. bank.
If the amount is not exact, either too low or too high, the
 
application and payment will bereturned.
 
United States - Expedited delivery is available to U.S.addresses. (Expedited packages cannot be delivered to aP.O. Box.) An additional $6.00 is charged for this option.Canada - Expedited delivery is available to Canadianaddresses. (Expedited packages cannot be delivered to aP.O. Box.) An additional $12.00 is charged for this option;please allow 4-8 weeks for first class mail.Mexico - U.S. International registered mail is optional for addresses in Mexico and mandates a signature for thepackage, ensuring a safer delivery. Allow 4-8 weeks for delivery. An additional $8.00 is charged for registered mail.As an alternative you may use a U.S. address to ensure faster delivery.
SUBMITTING APPLICATION
Please mail your completed CBP Form 339V withyour payment to:U.S. Customs and Border ProtectionAttn: DTOPS Program Administrator 6650 Telecom Drive, Suite 100Indianapolis, IN 46278
NO REFUNDS will be granted for orders submitted morethan once. If applying by fax, verify that your applicationwas NOT received before re-sending.
If paying by credit card or ACH, you may register andpurchase decals online by accessinghttps://dtops.cbp.dhs.govREQUIRED INFORMATION
The company or owner name, ship to address, phone number,contact name, manufacturer, model year and vessel name, andone vessel identification number are required information. Adecal will not be issued when any of the required information ismissing. Please check your application before mailing to ensurethat the amount of the payment matches the number and typesof decal(s) that you have requested. Incomplete applicationsand applications that do not balance with the payment will bereturned via first class mail.Page 2 - Please write the name that appears on the "Ship To"line of section 1 to prevent pages from getting lost or misplaced.NUMBER OF DECALS - Enter the total number of decals to bepurchased, which will be used for order verification purposes.The following vessel information is required. If more than twodecals are being purchased, this page may be photocopied or the information typed on a separate piece of paper.Model Year - Year in which the vessel was madeManufacturer - Name of manufacturer Identification Information - ordered preference - a minimum of one is required. Please make sure to distinguish between oneand the letter L, zero and the letter O, etc.UNUSED decalItemized receipt that was returned to you with the decal.New application (CBP 339V form) for the vessel that willbe assigned the replacement decal.Signed statement with a brief explanation of thecircumstances that require the exchange, with a contactname and telephone number.
SECTION 3: Vessel Information
Vessel NameBecause a decal is assigned to a specific conveyance, it cannotbe transferred. CBP will exchange an
UNUSED
decal for adifferent conveyance if a written request is postmarked no later than 30 calendar days from which it was issued*. The followingdocumentation must be submitted for decal exchanges:ExchangesU.S. Coast Guard ID:
 Also known as the
 
documentation number that is provided by the Coast Guard.
Local Registration: Usually a number on the licenseissued by a state.HIN: The hull identification number or serial number.
SECTION 2: Shipment/Payment Option

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