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Get Cbp Form 6059b English

OVED OMB NO.1651-0009 Each arriving traveler or responsible family member must provide the following information (only ONE written declaration per family is required). The term "family" is defined as "members of a family residing in the same household who are related by blood, marriage, domestic relationship, or adoption." 1 Family Name Middle First (Given) 2 Birth date Month Day Year 3 Number of Family members traveling with you 4 (a) U.S. Street Address (hotel name/destination) (b) City.

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