Fillable EMANIFEST PRE-REGISTRATION FAX FORM

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EMANIFEST PRE-REGISTRATION FAX FORM

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The EMANIFEST PRE-REGISTRATION FAX FORM form is 1 page long and contains:

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  • 11 check-boxes
  • 45 other fields

Country of origin: OTHERS
File type: PDF

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TRUCK UNIT #
TRUCK PLATE
PLATE STATE/PROVINCE
VEHICLE TYPE
SEMI
BOX TRUCK
VAN
OTHER __________
VIN #
(required for ACE eManifest)
TRANSPONDER #
(if applicable)
TRAILER UNIT #
TRAILER PLATE
PLATE STATE/PROVINCE
TRAILER TYPE
DRY VAN
CONT. TEMP
FLAT BED
OTHER __________
DRIVER LAST NAME
DATE OF BIRTH
GENDER
MM / DD / YYYY
MALE
FEMALE
DRIVER FAST APPROVED?
YES
NO
DRIVERS LICENSE NUMBER
LICENSE STATE/PROV
DRIVER PHONE NUMBER (for text notifications)
PASSPORT NUMBER
PASSPORT COUNTRY
DRIVER EMAIL (for email notifications)
TEAM DRIVER LAST NAME
DATE OF BIRTH
GENDER
MM / DD / YYYY
MALE
FEMALE
TEAM DRIVER FAST APPROVED?
YES
NO
DRIVERS LICENSE NUMBER
LICENSE STATE/PROV
DRIVER PHONE NUMBER
(for text notifications)
PASSPORT NUMBER
PASSPORT COUNTRY
DRIVER EMAIL
(for email notifications)
PASSENGER LAST NAME
DATE OF BIRTH
GENDER
MM / DD / YYYY
MALE
FEMALE
PASSPORT COUNTRY
PASSENGER CITIZENSHIP COUNTRY
• Please print legibly. Trucks can be delayed and penalties assessed by CBP
and CBSA. A barcoded coversheet can be requested via fax from Clearit
USA. Call 1-844-999-9777 to request a coversheet.
• Clearit USA does not fax to brokers. Be sure to fax paperwork to
customs broker as soon as possible to avoid delays.
• If you are unsure if Clearit USA has received your fax, please call to
confirm at 1-844-999-9777.
Phone: 1-844-999-9777
Fax: 1-844-999-9111
Email: info@clearitusa.com
Fax completed form to 1-844-999-9777 or email info@clearitusa.com
EMANIFEST PRE-REGISTRATION FAX FORM
To be used when information was never entered in Clearit USA
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EMANIFEST PRE-REGISTRATION FAX FORM

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Completed 28 September 2020

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