Form Approved OMB 2060-0095 Approval Expires 3/31/07
United States Environmental Protection Agency
Declaration Form
Importation of Motor Vehicles and Motor Vehicle Engines Subject to Federal Air Pollution Regulations
U.S. E.P.A., Compliance & Innovative Strategies Division, 2000 Traverwood Drive, Ann Arbor, MI 48105 http://ww w.ep a.go v/otaq /imp orts
Phone (734) 214-4100; Fax (734) 214-4676.
This form must be submitted to the U.S. Customs and Border Protection (Customs) (42 USC 7522, 7601: 19 CFR 12.73) for each motor vehicle
(including motorcycles, disassembled vehicles, kit cars, light-duty vehicle/motorcycle engines) imported into the U.S., except that this form is not
required for motor vehicles that are imported by their original manufacturer and
are new and are covered by an EPA certificate of conformi ty and
bear an EPA emission control label. One form per shipment may be used, with attachments including all information required to fully describe
each vehicle or engine as below. Check the box below indicating the provisions under which you are importing this vehicle or engine. Offroad
vehicles/engines and heavy-duty engines must use form 3520-21. Note: Although only imports using codes G, I, K, L, M-3, and O require specific
written authorization from EPA, Customs may request EPA review of importer documentation and eligibility for any import using this form. A
nonconforming vehicle that is ineligible for the exemptions or exclusions listed below, must be imported through an independent commercial
importer (ICI) under codes A, C, J, or Z. For codes A, C, J, and Z, EPA does not authorize the release to the vehicle owner.
Penalties: Any person who knowingly makes any false or fraudulent statement, or omits or conceals a material fact can be fined up to $270,000 or
imprisoned for up to 5 years, or both (18 USC 1001). Any person who improperly imports a motor vehicle (including a motorcycle) or engine may be fined up
to $32,500 per vehicle or engine (42 USC 7524), and may be subject to forfeiture of the entire importation bond, if applicable (40 CFR 85.1513), and the U.S.
Customs Service may seize the vehicle or engine (19 CFR 162.21).
Description and Declaration of Motor Vehicle or Motor Vehicle Engine (Note: Heavy-duty Engines must use form 3520-21)
1. Port code: 2. Entry date: 3. Custom s entry num ber: 4. Vehicle Identification Number (VIN), or engine serial number:
5. Man ufacture da te (mo/yr): 6. Man ufacturer (m ake): 7. M odel:
8. ICI imports only, codes A, C, J, Z - EP A certificate no.,
model year and expiration da te of applicable c ertificate:
Names, Addresses, and Telephone Numbers of Relevant Parties
Certification: I certify that I have read and understand the purpose of this form, the penalties for falsely declaring information, or for providing misleading information,
or for concealing a material fact. The information I have provided is correct, and all required attachments are appended to this form. I authorize EPA Enforcement
Officers to c onduct ins pections o r testing perm itted by the Clean Air Act. I am the owner, imp orter, or agent for the owner or imp orter.
9. Importer (code B: must be
certificate holder or their agent
for shipments of new vehicles
prior to introduction into
commerce; codes A, C, J, Z:
must be ICI):
10. Owner: 11. Storage location: 12. Signature:
13. Date:
14. Nam e, com pany and phone (type or print):
U.S. conforming and “identical” vehicles
G code B - U.S. certified - unmodified vehicle bearing a U.S. EPA emission control label in engine compartment (or on motorcycle frame) in English.
G code F - U.S. certified, catalyst restoration - U.S. certified vehicle as described above, except that the catalyst, oxygen sensors or fuel filler neck
restrictor were removed or damaged. The importer attests that the catalyst and oxygen sensors and fuel filler neck restrictor, as applicable, will be re-installed
or replaced after importation. If leaded gasoline was used, the importer attests that after importation (1) the fuel tank will be drained and refilled with unleaded
gasoline, (2) the catalyst and oxygen sensors, if they were left on the vehicle during use of the leaded gasoline, will be replaced, and (3) the fuel filler neck
restrictor will be checked and replaced as necessary. No bond or EPA approval is required.
G code EE - identical in all material respects to a U.S. certified version - either 1) Canadian vehicle (proof required e.g. Canadian emission control label,
registration or title, or letter from the U.S. or Canadian manufacturer representative on letterhead verifying manufacture for sale in Canada) on EPA list of
Canadian "identical" models, or 2) vehicle from any country with letter attached to this form from the manufacturer’s U.S. representative on letterhead (not a
dealer or mechanic) stating that the vehicle is identical to a U.S. EPA certified version with respect to emissions. The importer attests that vehicle is being
imported for purposes other than resale or lease. For import of “identical” Canadian vehicles for resale, use code FF.
G code FF - Canadian “identical” models imported for resale or lease - Canadian vehicle as described above appearing on EPA list of Canadian
“identical” models, imported for resale or lease. The importer attests that the importer will satisfy applicable labeling, warranty and CAFÉ requirements as
specified by EPA.
EPA exempted vehicles
G code M - miscellaneous exemption, either 1) Canadian vehicle as described above (proof required) and the importer is either permanently emigrating to
the U.S. or will reside in the U.S. for greater than one year under a worker or student visa, or 2) Canadian vehicle received by U.S. resident through
inheritance, or 3) EPA hardship letter based on unforseen and extraordinary circumstances is attached to this form.
G code E - vehicle at least 21 years old (calendar year of manufacture subtracted from year of importation) and in original unmodified configuration is either
exempted or excluded from EPA emission requirements, depending on age. Vehicles at least 21 years old with replacement engines are not eligible for this
exemption unless they contain equivalent or newer EPA certified engines. Customs may require proof of vehicle age.
EPA Form 3520-1 (Rev . 1-06) Prev ious editions are obsolete Pg 1 of 2
