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CBP Form 6043 - Delivery Ticket Mobile App

Use the CBP Form 6043 - Delivery Ticket mobile app to replace the paper version of this form. Use a smartphone or tablet to complete this form, submit creating a PDF that can easily be emailed and is stored in the GoCanvas Cloud. You can convert your GoCanvas data to Excel.

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Take a peek inside the CBP Form 6043 - Delivery Ticket Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

  • {{data.title}}

Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico statictext

    DEPARTMENT OF HOMELAND SECURITY

  • Ico statictext

    U.

  • Ico statictext

    DELIVERY TICKET

  • Ico statictext

    CFR 4.

  • Ico textbox

    PORT

  • Ico multiline

    ENTRY NUMBER (IT, G.

  • Ico checkbox

    TRANSFER

  • Ico checkbox

    CARTAGE

  • Ico checkbox

    RELEASE

  • Ico multiline

    GOODS DELIVERED FROM (Pier, Station, Airport, etc.

  • Ico multiline

    GOODS DELIVERED TO

  • Ico date

    DATE OF ENTRY

  • Ico date

    DATE OF ARRIVAL

  • Ico multiline

    NAME AND ADDRESS OF CONSIGNEE

  • Ico textbox

    AIR WAYBILL OR BILL OF LADING NO.

  • Ico textbox

    NAME OF IMPORTING CARRIER (If Airline, Give Airline and Flt.

  • Ico textbox

    LIEN NO.

  • Ico date

    DATE OF LIEN

  • Ico textbox

    LIEN FILED BY

  • Ico statictext

    LIEN SATISFIED (19 USC 1564)

  • Ico date

    DATE

  • Ico checkbox

    ENTRY

  • Ico checkbox

    SALE

  • Ico checkbox

    DESTROYED

  • Ico integer

    TOTAL NO.

  • Ico signature

    SIGNATURE OF CONSIGNEE

  • Ico textbox

    Delivered in good condition except as noted

  • Ico textbox

    Received in good condition except as noted

  • ...and More!

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