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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