Free Cbp 3078 Form in PDF

Free Cbp 3078 Form in PDF

The CBP Form 3078 is an Application for Identification Card issued by the U.S. Customs and Border Protection, part of the Department of Homeland Security. This form serves as a request for an identification card necessary for individuals engaged in activities requiring identification, such as licensed cartmen, lightermen, their employees, and others operating in secure areas regulated by CBP. It is designed to facilitate a background investigation to determine an applicant’s eligibility for issuance of the card, ensuring the safeguarding of U.S. borders and controlled facilities. Take the next step in securing your CBP identification by clicking the button below to fill out your form.

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The Department of Homeland Security's U.S. Customs and Border Protection (CBP) requires certain individuals to obtain an identification card, necessitating the completion of the CBP 3078 form. This document is crucial for licensed cartmen, lightermen, their employees, and others involved in activities mandating identification within secure areas under CBP's jurisdiction. Individuals must provide comprehensive personal and employment details, including full name, social security number, date of birth, and contact information, alongside specifics about physical appearance and any visible identification marks. Furthermore, it delves into personal history by inquiring about past residences, military service, employment record, criminal convictions, and any history of narcotic drug use. Applicants are also required to attach a photograph and sign the form, attesting to the truthfulness and completeness of the information provided. The form serves multiple purposes beyond identification, allowing CBP to conduct thorough background investigations to determine eligibility for the card. It outlines the legal foundations for information collection, asserting its necessity for fulfilling CBP laws and regulations. By highlighting the potential for information sharing within DHS and with other government agencies, the form emphasizes its role in broader security and investigatory processes aimed at safeguarding U.S. borders. Applicants are informed of the voluntary nature of this process, though failure to submit the required information could impede the ability to secure the identification card, thus affecting their eligibility for certain types of employment or access within areas under CBP control.

Preview - Cbp 3078 Form

DEPARTMENT OF HOMELAND SECURITY

U.S. Customs and Border Protection

APPLICATION FOR IDENTIFICATION CARD

OMB APPROVAL NO. 1651-0008 EXPIRATION DATE 11/30/2019

ESTIMATED BURDEN 17 MIN

19 U.S.C. 66, 1551, 1555, 1565, 1624, 1641;

19 CFR 112.42, 118, 122.182, 146.6

1. TYPE OF ACTIVITY REQUIRING IDENTIFICATION CARD

 

 

 

2. DATE OF THIS APPLICATION

Cartman/

Broker's

CBP

Warehouse Officer

Container Station

Foreign

CES

 

Lighterman

Employee

Security Area

or Employee

Employee

Trade Zone

Employee

 

 

 

Identification

 

 

Employee

 

 

3.NAME (Last, First, & Middle)

4. SOCIAL SECURITY NUMBER

5. LIST ANY OTHER NAMES YOU HAVE EVER BEEN KNOWN BY (Nicknames, aliases, etc.)

6. DATE OF BIRTH

7.HOME ADDRESS (Number, Street, City, State, and ZIP Code)

8. NAME AND ADDRESS OF PRESENT EMPLOYER

9. HOME PHONE NUMBER

10. BUSINESS PHONE NUMBER

11.PLACE OF BIRTH (City, County, State, and Country)

12. HEIGHT

13. WEIGHT

14. COLOR HAIR 15. COLOR EYES

16. VISIBLE SCARS OR MARKS

17. U.S. COAST GUARD PORT SECURITY CARD NUMBER

18. U.S. MERCHANT MARINE CARD NUMBER

 

 

19. HAVE YOU EVER APPLIED FOR CARD IN ITEM 17 OR ITEM

20. HAS APPLICATION FOR EITHER CARD IN ITEM 17 OR 18 BEEN

18?

 

DENIED?

 

 

 

 

YES

NO (Skip Items 20 and 21)

YES (If Yes, explain in Item 21)

NO (Skip Item 21)

 

 

 

 

21.EXPLANATION OF APPLICATION DENIAL

22.LIST ALL RESIDENCES DURING THE LAST 5 YEARS (List in reverse order, beginning with the present address)

 

DATES

Number and Street

City

State

From

 

To

 

 

 

 

 

 

PRESENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23. HAVE YOU EVER SERVED IN THE ARMED SERVICES OF THE U.S.?

24. BRANCH OF SERVICE

YES

NO (Skip Items 24-28)

 

 

 

 

 

 

25. DATES OF SERVICE

 

26. SERIAL NUMBER

27. TYPE OF DISCHARGE

 

 

 

 

28. IF DISCHARGE WAS OTHER THAN HONORABLE, EXPLAIN IN FULL DETAIL

29.HAVE YOU EVER APPLIED FOR AN IDENTIFICATION CARD WITH U.S. CUSTOMS AND BORDER PROTECTION?

YES (If Yes, explain details)

NO

CBP Form 3078 (3/19)

Page 1 of 2

30. PREVIOUS EMPLOYMENT -- LIST IN CHRONOLOGICAL ORDER, GIVING EARLIEST EMPLOYMENT FIRST (Last 10 Years)

DATES

From

To

 

 

EMPLOYER NAME AND ADDRESS

OCCUPATION

31. HAVE YOU EVER BEEN CONVICTED OF ANY CRIME OR OFFENSE (Other than traffic violations, you

YES (If YES, explain NO

may exclude any items which occurred before your 16th birthday) IN THIS COUNTRY OR ELSEWHERE?

in Item 32.)

 

 

32. EXPLANATION OF ALL CONVICTIONS (Federal, State, Military, or Foreign)

Date

Place

Charge

Court

Final Disposition

33. DO YOU NOW USE OR HAVE YOU EVER USED NARCOTIC DRUGS?

YES (If YES, explain below.)

NO 34. ATTACH PHOTOGRAPH HERE

35.

I certify that all of the statements made in this Application are

SIGNATURE (Sign in ink)

DATE

true, complete, and correct to the best of my knowledge and

 

 

CERTIFICATION

X

 

belief, and are made in good faith.

 

 

 

Paperwork Reduction Act Notice: The Paperwork Reduction Act says we must tell you why we are collecting this information, how we will use it, and whether you have to give it to us. We ask for this information to carry out U.S. Customs and Border Protection laws of the United States. This form is used by licensed cartmen or lightermen or their employees as an application to apply for a CBP identification card and is required to obtain or retain a benefit. The estimated average burden associated with this collection of information is 17 minutes per respondent or recordkeeper depending on individual circumstances. The valid OMB Control Number for this Information Collection is 1651-0008.

Pursuant to 5 U.S.C. § 552a(e)(3), this Privacy Act Statement serves to inform you of why DHS is requesting the information on this form. CBP is authorized to collect the information requested on this form pursuant to 5 U.S.C. 301, Reorganization Plan No. 1 of 1950; 19 U.S.C. 1551, 1565, 1624, 1641; and 19 CFR 112.42. CBP is requesting this information to enable CBP to conduct a background investigation and thereby determine whether the applicant meets the criteria required for the issuance of an identification card. CBP may provide information collected and contained in the applicant’s file to those employees of CBP who have a need for the records in the performance of their duties. CBP may also use this information, when deemed appropriate, in a proceeding to revoke or suspend the identification card. The information requested on this form may be shared externally as a “routine use” to other government agencies to assist the Department of Homeland Security in investigating and assessing an applicant’s eligibility for an identification card. A complete list of the routine uses can be found in the system of records notice associated with this form, “Department of Homeland Security/ALL-026 DHS Personal Identity Verification Management System.” The Department’s full list of system of records notices can be found on the Department's website at http://www.dhs.gov/system-records-notices-sorns. Providing this information to CBP is voluntary. However, failure to provide this information may result in CBP’s inability to conduct the background investigation required to issue the identification card.

CBP Form 3078 (3/19)

Page 2 of 2

Document Specs

Fact Detail
Form Name Application for Identification Card
Agency U.S. Customs and Border Protection, Department of Homeland Security
OMB Approval Number 1651-0008
Expiration Date 11/30/2019
Estimated Burden 17 minutes
Governing Laws 19 U.S.C. 66, 1551, 1555, 1565, 1624, 1641; 19 CFR 112.42, 118, 122.182, 146.6
Purpose Used by licensed cartmen, lightermen, or their employees for CBP identification card application
Privacy Act Statement Informs applicants why DHS requests information and how it will be used, pursuant to 5 U.S.C. § 552a(e)(3)

Instructions on Writing Cbp 3078

Filling out the CBP Form 3078 is essential for those seeking an identification card issued by U.S. Customs and Border Protection (CBP). This process, while detailed, is a critical step in ensuring compliance with Homeland Security regulations and facilitating smooth operations within various trade and security environments. The form requires applicants to provide personal information, employment history, and, in certain cases, to disclose any convictions or use of narcotic drugs. It's designed to help CBP conduct thorough background investigations and determine eligibility for the identification card. Here are the step-by-step instructions to accurately complete the form:

  1. First, identify the Type of Activity Requiring Identification Card from the options listed and mark the appropriate choice.
  2. Enter the Date of this Application.
  3. Provide your full name in the space provided for Name (Last, First, & Middle).
  4. Fill in your Social Security Number in the designated space.
  5. List any Other Names you have been known by, including nicknames or aliases.
  6. Enter your Date of Birth.
  7. Provide your Home Address, including Number, Street, City, State, and ZIP Code.
  8. Fill in the Name and Address of Present Employer.
  9. Include your Home Phone Number and Business Phone Number in the respective fields.
  10. Enter your Place of Birth, noting the City, County, State, and Country.
  11. Provide your physical attributes: Height, Weight, Color Hair, and Color Eyes.
  12. Indicate any Visible Scars or Marks.
  13. Fill in your U.S. Coast Guard Port Security Card Number and U.S. Merchant Marine Card Number, if applicable.
  14. Answer whether you have ever applied for the cards mentioned in items 17 or 18, and if any application was denied, provide an Explanation of Application Denial.
  15. List all Residences During the Last 5 Years in reverse order, starting with your present address.
  16. Indicate whether you have ever Served in the Armed Services of the U.S. and provide details if applicable.
  17. Answer if you have ever Applied for an Identification Card with U.S. Customs and Border Protection before and provide details if needed.
  18. List your Previous Employment in chronological order, providing details for the last 10 years.
  19. Answer if you have been Convicted of Any Crime or Offense, excluding traffic violations and incidents before your 16th birthday; explain in detail if applicable.
  20. Indicate whether you Now Use or Have Ever Used Narcotic Drugs and provide an explanation if necessary.
  21. Attach a Photograph where indicated.
  22. Finally, certify that all statements made in the application are true, complete, and correct to the best of your knowledge by signing and dating the form.

After completing these steps carefully, review the form to ensure all information is accurate and complete. Any missing or incorrect information can cause delays or prevent the issuance of the CBP identification card. Submitting this form is a declaration of accuracy and compliance with U.S. Customs and Border Protection requirements, paving the way for a smooth verification process.

Understanding Cbp 3078

What is the CBP Form 3078 used for?

CBP Form 3078 is used to apply for a U.S. Customs and Border Protection (CBP) identification card. It is required for licensed cartmen, lightermen, or their employees. This form allows CBP to perform a background check to determine if an applicant meets the necessary criteria for issuing an identification card.

How long does it take to fill out the CBP Form 3078?

The estimated time to complete the CBP Form 3078 is approximately 17 minutes. This may vary depending on the individual's circumstances and the amount of information required to be filled in.

Is it mandatory to provide all the information requested in Form 3078?

Providing the requested information is voluntary. However, failing to supply the necessary details may prevent CBP from conducting the essential background investigation for the identification card's issuance.

Can information from Form 3078 be shared with other government agencies?

Yes, the information collected may be shared with other government agencies as a "routine use." This is to assist the Department of Homeland Security in investigating and assessing the applicant's eligibility for the identification card.

What happens if I have been convicted of a crime? Should I still complete the form?

Yes, you should still complete the form. You need to disclose any convictions, excluding traffic violations and any incidents that occurred before your 16th birthday. You must explain all your convictions in detail in the provided section of the form.

What if my application for the CBP identification card has been previously denied?

If your application has been previously denied, you are required to mention that on the form and provide a detailed explanation of the denial in the designated section.

How can I certify my application is accurate?

To certify that your application is accurate, complete, and correct to the best of your knowledge, you must sign the form in ink. By signing the form, you are affirming that all statements made within the application are true and made in good faith.

Common mistakes

One common mistake when filling out the CBP 3078 form is providing incomplete or inaccurate information about previous employment. The form asks for a chronological listing of employment over the last ten years, with dates, employer names and addresses, and occupations. Omitting jobs or not giving full addresses and contact information can delay the processing of the application, as CBP uses this information to verify an applicant's employment history and conduct a comprehensive background check.

Another area where errors frequently occur is in the sections requiring personal identification details, such as Social Security Number (SSN) and date of birth. Misentered SSNs or incorrect dates can lead to significant delays in the approval process. It's paramount that each digit and detail is double-checked for accuracy, as these are key identifiers that must match up with other government records for the background investigation.

Many applicants also fail to properly list all residences within the last five years. This section is vital for the background check, and incomplete information can be seen as an attempt to withhold information. It's essential to list all addresses in reverse order, starting with the current address, along with accurate dates for each residence.

A critical mistake made by some applicants is not fully disclosing criminal convictions. The form explicitly asks if the applicant has been convicted of any crime or offense, excluding minor traffic violations and incidents before one’s 16th birthday. Failure to disclose any convictions can be seen as falsification of the application and can result in denial. Complete honesty in this section is crucial, including providing detailed explanations in the designated area.

Another common error is in the certification and signature section. Applicants sometimes forget to sign the form or provide an incomplete certification. This oversight can lead to the application being rejected outright. The signature is a critical component, as it certifies that all information provided is true and accurate to the best of the applicant's knowledge.

Lastly, many applicants overlook the importance of attaching a photograph as required. The photograph is a necessary part of the identification card application, and failure to include a compliant photo can lead to delays. Ensuring that the photo meets CBP specifications and is securely attached to the form is a simple but critical final step in the application process.

Documents used along the form

When an individual or employee applies for a U.S. Customs and Border Protection (CBP) identification card using the CBP Form 3078, it's often part of a broader documentation process. This process typically involves several other forms and documents to ensure compliance with the Department of Homeland Security's regulations and to facilitate a thorough background investigation. Identifying and understanding these supplementary documents is pivotal for those navigating the application process.

  • I-9, Employment Eligibility Verification: This form is used by employers to verify an employee's identity and eligibility to work in the United States. It requires documentation that proves the employee's legal right to work.
  • Passport or Birth Certificate: These documents serve as proof of citizenship. A passport can also be used to verify identity, while a birth certificate is primarily used for verification of citizenship.
  • Social Security Card: This card is necessary for verifying an applicant's Social Security number, a requirement on the CBP Form 3078 for background checks and identification purposes.
  • Driver’s License or State ID: A government-issued photo ID such as a driver's license or state identification card is required to verify the identity of the applicant.
  • Proof of Address: Documents such as utility bills or a lease agreement verify the applicant's current residence, as stated on the CBP Form 3078.
  • Employment History Documentation: Resumes, employment letters, or other records that provide evidence of work history support the employment information required on the CBP Form 3078.
  • Criminal History Record: Applicants might need to provide a criminal history record or a statement of no conviction to support the declarations made in the form regarding any past criminal offenses.
  • DD-214, Certificate of Release or Discharge from Active Duty: For applicants who have served in the armed forces, this document verifies military service and discharge status, pertinent to the questions about military service on the form.

Collecting and preparing these documents in advance can streamline the process of applying for a CBP identification card. Understanding the relevance of each document ensures that applicants can accurately complete the CBP Form 3078 and fulfill all supplementary requirements, facilitating a smoother verification and approval process.

Similar forms

The Form I-9, Employment Eligibility Verification, shares similarities with the CBP 3078 form. Both forms require personal information, including name, date of birth, address, and Social Security number, to verify the identity of individuals. The Form I-9, however, specifically focuses on verifying an employee's eligibility to work in the United States, ensuring they comply with employment laws. Like the CBP 3078, it's part of regulatory compliance, with each form serving a distinct purpose within the realm of personal identification and eligibility.

Another document akin to the CBP 3078 form is the Transportation Worker Identification Credential (TWIC) application. The TWIC application gathers detailed personal and work-related information to conduct background checks for individuals needing access to secure areas of maritime facilities and vessels. Both forms collect personal identification details, employment information, and require a background check to ensure security within regulated environments. The key difference lies in their specific focus areas—TWIC concentrates on maritime security, whereas CBP 3078 pertains to customs and border protection identification.

The Passport Application Form also shares several characteristics with the CBP 3078 form. Both documents require comprehensive personal information, including place of birth, date of birth, and physical descriptors, to confirm the applicant's identity. Additionally, they both ask for a photograph to visually verify the identity of the applicant. While the primary purpose of the passport application is to issue a document for international travel, the CBP 3078 form focuses on obtaining an identification card for specific customs and border protection-related activities.

The Security Clearance Application is another document similar to the CBP 3078 form. It requires an extensive background check, including previous employment history, criminal record, and personal references, to assess the trustworthiness and reliability of individuals accessing sensitive information. Like the CBP 3078 form, it aims to safeguard security by thoroughly vetting individuals, although the security clearance application targets a broader range of federal employment and national security contexts.

Lastly, the Driver’s License Application process mirrors the CBP 3078 form in several ways. Both applications gather personal details, such as address, date of birth, and Social Security number, to establish the applicant's identity. Moreover, both require a photograph for identification purposes and may include background checks to ensure the applicant meets specific criteria. The driver’s license application, however, focuses on one's ability to safely operate a vehicle and comply with road laws, contrasting with the customs and security focus of the CBP 3078 form.

Dos and Don'ts

Filling out the CBP Form 3078, an application for an identification card from U.S. Customs and Border Protection, correctly is crucial for ensuring the process goes smoothly. Here are five things you should do, as well as five things to avoid.

Do:

  • Provide accurate information: Ensure all information provided on the form is accurate and true to the best of your knowledge. Incorrect information could delay the process or result in denial of the application.
  • Include all required details: Fill out every section of the form that applies to you. If a section does not apply, mark it as N/A (Not Applicable) instead of leaving it blank.
  • Use black ink: Complete the form in black ink if filling it out by hand. This ensures readability and avoids issues with scanning or copying.
  • Attach a recent photograph: Ensure you attach a recent, passport-style photograph where indicated. This photo is crucial for identification purposes.
  • Sign and date the form: Your signature is required to certify that the information provided is accurate. Don’t forget to date the form as well.

Don't:

  • Use pencil or non-black ink: Writing in pencil or using colored inks can cause issues with document readability and official record keeping.
  • Skip sections without explanation: If a question or section does not apply to you, clearly mark it as N/A. Do not simply skip it, as this could be seen as incomplete.
  • Forget to list all previous employment: The form requires a detailed employment history. Leaving out jobs could be seen as withholding information.
  • Omit details about convictions: If applicable, provide complete details about any convictions. Excluding information can lead to issues with your application.
  • Submit without reviewing: Always double-check your application before submitting. Look for errors or missing information that could impact your application.

Misconceptions

Understanding forms, especially when it comes to the government, can sometimes feel like deciphering ancient hieroglyphics. Among these, the CBP Form 3078, vital for those needing an identification card from U.S. Customs and Border Protection, is often surrounded by misconceptions. Let’s clear up some of the most common misunderstandings:

  • It's only for CBP employees. In reality, the form is not exclusively for Customs and Border Protection employees. It’s also applicable for licensed cartmen, lightermen, or their employees, among others, needing an ID card to perform their duties within CBP regulated areas.

  • The form is complicated and time-consuming. While it appears daunting at first glance, the estimated time to complete the form is only around 17 minutes. It's designed to collect essential information quickly and efficiently.

  • Every section must be filled out by all applicants. Not all sections apply to every individual. For example, if you haven't served in the U.S. Armed Services or if you've never applied for a U.S. Coast Guard Port Security Card, there are sections you can skip, as noted within the form’s instructions.

  • Convictions or denials from other cards automatically disqualify you. While the form does ask about past convictions or denials from similar identification cards, these don’t automatically disqualify an applicant. There's room to provide explanations, and each application is reviewed on a case-by-case basis.

  • Only U.S. citizens can apply. The form does require thorough background information, including birthplace, but it does not explicitly state that only U.S. citizens are eligible, allowing a broader range of applicants involved in U.S. trade and transport operations.

  • Personal information will be shared freely without consent. Any personal information provided is protected under privacy acts and is only shared with relevant parties as necessary to verify eligibility for the identification card or for pertinent duties within CBP. There are safeguards in place to protect this sensitive information.

  • The approval process is immediate. After submitting the form, CBP undertakes a background investigation to ascertain an applicant's eligibility. This necessary step means there's a waiting period before approval, contrary to expectations for an immediate response.

Debunking these misconceptions hopefully makes the CBP Form 3078 seem less intimidating and more approachable. It’s an essential document for many working within or alongside U.S. Customs and Border Protection territories and, with the right information, fairly straightforward to manage.

Key takeaways

Filling out the CBP Form 3078 is essential for individuals seeking identification cards related to Customs and Border Protection activities. This document serves as an application that provides CBP with necessary details to conduct a background check and ensure the applicant meets the criteria for issuance. Here are key takeaways to remember while filling it out:

  • The form is used by specific individuals such as licensed cartmen, lightermen, or their employees to apply for a CBP identification card. This card is required to obtain or retain certain benefits associated with their roles.
  • Accuracy is paramount when completing the form. Applicants must ensure that all statements are true, complete, and correct to the best of their knowledge. Making false statements could result in denial of the application or further legal implications.
  • Personal information such as name, social security number, date of birth, home address, and employment details are required. This information helps CBP in identifying the applicant and conducting a thorough background check.
  • Applicants must list all residences within the last 5 years, in reverse order, beginning with the current address. This provides a comprehensive view of the applicant's recent history and stability.
  • Disclosure of past criminal convictions is required, excluding traffic violations and incidents that occurred before the applicant's 16th birthday. This information aids CBP in assessing the applicant’s character and eligibility.
  • The form requests details about past military service, including branch, dates of service, and type of discharge. This information could be relevant to the background check process.
  • An explanation section is included for applicants who have previously been denied a U.S. Coast Guard Port Security Card or U.S. Merchant Marine Card, allowing individuals to provide context or changes in their circumstances.
  • A signed certification by the applicant attests that all information provided is accurate. This legal acknowledgment is crucial for the integrity of the application process.
  • Lastly, failure to provide complete and accurate information may result in the inability of CBP to conduct the necessary background investigation, potentially leading to denial of the identification card application.

The estimated time to complete the form is 17 minutes, indicating that the process is thorough but designed to be efficient. The Paperwork Reduction Act Notice and Privacy Act Statement included in the form further highlight the importance of the information requested and the legal framework governing its collection and usage. As such, filling out the CBP Form 3078 requires attention to detail and honesty to ensure a smooth process in obtaining the necessary identification card.

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