CBP Form 4455 - Forms - US Customs and Border Protection-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the certificate number in the designated field at the top of the form. This is essential for tracking your submission.
3. Fill in the name, address, and ZIP code where you want the certified form mailed, if applicable. Ensure accuracy to avoid delays.
4. Select the purpose of exportation by checking one of the options: alteration, repair, use abroad, replacement, processing, or other. If selecting 'other', specify your reason.
5. List each article being exported in the provided table. Include details such as number of packages, kind of packages, and a brief description for clarity.
6. Sign and date the form in the designated area as either the owner or agent. This confirms your declaration regarding the articles exported.
7. After examination by a CBP officer, ensure their signature is obtained along with the date and port information.
8. If claiming duty-free entry upon return, have an importer sign and date that section as well.

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