ACI eManifest for Canada Carrier: Conveyance Reference Number: (Trip Number. Must be different than PARS)
Driver Name: Truck License Plate: Trailer License Plate: Sublocation/Warehouse: (for in-bond/failed PARS)
Port of Entry: Estimated Time of Arrival: Driver Cell Phone:
Cargo Control Number(s): (CCN may be PARS. Must add barcodes if this sheet is used at border)
CBSA Release Stamp
Phone: 1‐800‐596‐5176 or 1‐519‐967‐9072
1‐866‐964‐1717 or 1‐866‐415‐0747
Fax:
or 519‐967‐8814
Email:
[email protected]
Tips and Directions A barcode is required so attach PARS stickers to this form Hand this to the CBSA Officer when you arrive at the border A printed version of this can be requested if you have access to a fax machine or a printer by calling BorderConnect Fax BorderConnect and your customs broker as soon as possible to avoid delays If you took possession of shipment(s) in different city than attached paperwork, list City of Loading and City of Acceptance Attach all invoices to your fax or email
If you use this form at the border attach PARS barcode. Please write large and legibly. www.borderconnect.com
ACI Fax E-Manifest: Trip Form Fax all completed forms and paperwork to 1-866-415-0747 Port of Arrival:
Step 1: Trip Information Trip Number: Estimated Date of Arrival: Estimated Time of Arrival: Total Shipments on Truck:
□am □pm □Yes □No
Dunnage?
□Abbotsford, BC □Boissevain, MB □Cornwall, ON □Coutts, AB □Emerson, MB
□Fort Erie, ON □ Kingsgate, BC □ Lacolle, QC □ Lansdowne, ON □ Niagara Falls, ON □ North Portal, SK
Step 2: Contact/Notification Information
Step 4: Driver Information
Driver’s Cell Phone (required): Dispatch Phone: Notify Options: □I’ll call BorderConnect at 1-800-596-5176
First Name:
□Phone/Voicemail: □Email:
Truck Number: Trailer Number: Seals (optional):
Team Driver Information □ N/A Last Name:
Passenger Information □N/A First Name:
Last Name:
□No Trailer
Driver Not Pre-Registered?
Truck Not Pre-Registered? Fill This Out Truck Number: Vehicle Type: VIN Number: DOT Number: License Plate:
□Other:
Last Name:
First Name:
Step 3: Truck/Trailer Information
□ Pacific Highway, BC □ Prescott, ON □ Sarnia, ON □ Sault Ste Marie, ON □Windsor, ON
Fast Card Number: 4270 OR If Driver is not FAST Approved:
□Semi □Box Truck □Van □Other:
Gender: □ Male□ Female Date of Birth:
State/Province:
Citizenship:
Driver’s License Number: Driver’s License State/Province:
Trailer Not Pre-Registered? Fill This Out Trailer Number: Trailer Type: License Plate:
State/Province:
Passport Number: Passport Country:
Driver Not Pre-Registered? Fast Card Number: 4270 OR If Driver is not FAST Approved:
Tips & Directions: • • • • • •
Please print legibly. Truck can be delayed and penalties assessed by CBSA for inaccurate ACI e-Manifests. Fax e-Manifest at least 2 hours in advance of arrival. Always ensure e-Manifest and broker’s entries are setup before arrival. Fax brokers as soon as possible. Many customs brokers require 4 hours advance notification to process shipments. If you are unsure what information is pre-registered with BorderConnect, please call 1-800-596-5176 or complete all information fully. Ensure Conveyance Reference Number and Cargo Control Number start with your 4 digit Carrier Code. The Carrier Code is how BorderConnect uniquely identifies you and your company. If you need help filling out your manifest, call your dispatch or BorderConnect at 1-800-596-5176.
Sign and Date: I certify that this manifest is correct and billable to:
Date: Name: Signature:
Gender: □ Male□ Female Date of Birth:
Citizenship:
Driver’s License Number: Driver’s License State/Province: Passport Number: Passport Country:
Passenger Not Pre-Registered? Fill This Out Gender: □ Male □ Female Date of Birth: Passport Number: Passport Country:
Citizenship:
ACI Fax E-Manifest: Shipment Form Fax all completed forms and paperwork to 1-866-415-0747 Shipment Information
□PARS (Please attach brokerage invoice)
Cargo Control Number: Note: Don’t forget to fax your paperwork to the customs broker. BorderConnect does not fax customs brokers, but will provide entry numbers.
Shipper Information Name: Address: City: Zip/Postal Code:
Shipment Type:
State/Province:
□ In-Bond (Please attach bond paperwork) □CSA - Include Importer CSA Business Number: _____________________________
Consignee Information Name: Address: City: State/Province: Zip/Postal Code:
Commodity Information Description 1.
Quantity and Type
Weight □ lbs □ kgs □ lbs □ kgs
2.
Tips & Directions
Notes & Instructions
• • • •
Shipment Information
Shipment Type: □ PARS (Please attach brokerage invoice)
Cargo Control Number: Note: Don’t forget to fax your paperwork to the customs broker. BorderConnect does not fax customs brokers, but will provide entry numbers.
Shipper Information Name: Address: City: Zip/Postal Code:
Enter physical addresses locations (do not use P.O. boxes). Please attach broker’s paperwork. BorderConnect does not fax customs brokers. For quantity and weight, specify unit of measure (ex 10lbs, 200 pieces). We may require additional information. Ensure additional paperwork is attached and write type if non PARS in Notes area (ex. CSA, In Bond).
State/Province:
□ In-Bond (Please attach bond paperwork) □CSA - Include Importer CSA Business Number: _____________________________
Consignee Information Name: Address: City: State/Province: Zip/Postal Code:
Commodity Information Description 1.
Quantity and Type
□ lbs □ kgs □ lbs □ kgs
2.
Notes & Instructions
Weight
Tips & Directions • • • •
Enter physical addresses locations (do not use P.O. boxes). Please attach broker’s paperwork. BorderConnect does not fax customs brokers. For quantity and weight, specify unit of measure (ex 10lbs, 200 pieces). We may require additional information. Ensure additional paperwork is attached and write type if non PARS in Notes area (ex. CSA, In Bond).
