Cbp 3078 Template

Cbp 3078 Template

The CBP Form 3078 is an application used by individuals seeking an identification card from U.S. Customs and Border Protection. This form is essential for licensed cartmen, lightermen, or their employees, allowing them to apply for or retain their identification card. If you need to fill out this form, click the button below.

Table of Contents

The CBP Form 3078 is an essential document for individuals seeking an identification card from U.S. Customs and Border Protection (CBP). This application is primarily used by licensed cartmen, lightermen, and their employees. It gathers important personal information, including your name, social security number, and employment details. The form also requires information about your physical characteristics, such as height, weight, hair color, and any visible scars or marks. Additionally, you will need to disclose your criminal history, if any, and provide a photograph. Completing this form accurately is crucial, as it helps CBP conduct a thorough background investigation to determine your eligibility for the identification card. It’s important to note that while providing this information is voluntary, not doing so may hinder the processing of your application. Understanding the requirements and implications of the CBP Form 3078 can help ensure a smoother application process.

Cbp 3078 Sample

1. TYPE OF ACTIVITY REQUIRING IDENTIFICATION CARD
2. DATE OF THIS APPLICATION
3. NAME (Last, First, & Middle)
4. SOCIAL SECURITY NUMBER
6. DATE OF BIRTH
5. LIST ANY OTHER NAMES YOU HAVE EVER BEEN KNOWN BY (Nicknames, aliases, etc.)
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
19. HAVE YOU EVER APPLIED FOR CARD IN ITEM 17 OR ITEM
18?
18. U.S. MERCHANT MARINE CARD NUMBER
20. HAS APPLICATION FOR EITHER CARD IN ITEM 17 OR 18 BEEN
DENIED?
21. EXPLANATION OF APPLICATION DENIAL
22. LIST ALL RESIDENCES DURING THE LAST 5 YEARS (List in reverse order, beginning with the present address)
DATES
From To
Number and Street City State
23. HAVE YOU EVER SERVED IN THE ARMED SERVICES OF THE U.S.?
24. BRANCH OF SERVICE
25. DATES OF SERVICE 26. SERIAL NUMBER
27. TYPE OF DISCHARGE
28. IF DISCHARGE WAS OTHER THAN HONORABLE, EXPLAIN IN FULL DETAIL
PRESENT
29. HAVE YOU EVER APPLIED FOR AN IDENTIFICATION CARD WITH
U.S. CUSTOMS AND BORDER PROTECTION?
YES NO
(Skip Items 20 and 21)
YES NO
(Skip Item 21)(If Yes, explain in Item 21)
YES NO
(Skip Items 24-28)
YES NO
(If Yes, explain details)
Cartman/
Lighterman
Broker's
Employee
CBP
Security Area
Identification
Warehouse Officer
or Employee
Container Station
Employee
Foreign
Trade Zone
Employee
CES
Employee
DEPARTMENT OF HOMELAND SECURITY
U.S. Customs and Border Protection
APPLICATION FOR IDENTIFICATION CARD
19 U.S.C. 66, 1551, 1555, 1565, 1624, 1641;
19 CFR 112.42, 118, 122.182, 146.6
OMB APPROVAL NO. 1651-0008
EXPIRATION DATE 11/30/2019
ESTIMATED BURDEN 17 MIN
Page 1 of 2CBP Form 3078 (3/19)
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
may exclude any items which occurred before your 16th birthday) IN THIS COUNTRY OR ELSEWHERE?
NO
32. EXPLANATION OF ALL CONVICTIONS (Federal, State, Military, or Foreign)
Date Place Charge Court
Final Disposition
34. ATTACH PHOTOGRAPH HERE
33. DO YOU NOW USE OR HAVE YOU EVER USED NARCOTIC DRUGS?
NO
YES (If YES, explain
below.)
35.
CERTIFICATION
I certify that all of the statements made in this Application are
true, complete, and correct to the best of my knowledge and
belief, and are made in good faith.
SIGNATURE (Sign in ink) DATE
X
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.
YES (If YES, explain
in Item 32.)
Page 2 of 2CBP Form 3078 (3/19)
▼ Cbp 3078 PDF Form

Document Attributes

Fact Name Details
Form Purpose The CBP Form 3078 is used to apply for an identification card issued by U.S. Customs and Border Protection.
OMB Approval This form has an OMB approval number of 1651-0008.
Expiration Date The current expiration date for this form was November 30, 2019.
Estimated Burden Completing this form typically takes about 17 minutes, depending on individual circumstances.
Governing Laws The form is governed by several laws, including 19 U.S.C. sections 66, 1551, 1555, 1565, 1624, and 1641, as well as 19 CFR sections 112.42, 118, 122.182, and 146.6.
Applicant Information Applicants must provide personal details such as name, Social Security number, date of birth, and address.
Background Check Information collected is used to conduct a background investigation to determine eligibility for the identification card.
Previous Employment Applicants are required to list their previous employment for the last ten years in chronological order.
Criminal History The form includes questions about any criminal convictions, excluding minor traffic violations.
Voluntary Information Providing information on this form is voluntary, but failure to do so may hinder the background investigation process.

Cbp 3078: Usage Instruction

Filling out the CBP 3078 form is a straightforward process. Once you complete the form, you will submit it to U.S. Customs and Border Protection as part of your application for an identification card. Make sure to provide accurate and complete information to avoid any delays in processing.

  1. Type of Activity: Indicate the type of activity requiring the identification card by checking the appropriate box.
  2. Date of Application: Write the date you are filling out the application.
  3. Name: Fill in your last name, first name, and middle name.
  4. Social Security Number: Enter your Social Security Number.
  5. Other Names: List any nicknames or aliases you have ever used.
  6. Date of Birth: Provide your date of birth.
  7. Home Address: Write your complete home address, including number, street, city, state, and ZIP code.
  8. Employer Information: Fill in the name and address of your current employer.
  9. Home Phone Number: Enter your home phone number.
  10. Business Phone Number: Provide your business phone number.
  11. Place of Birth: Indicate your place of birth, including city, county, state, and country.
  12. Height: Write your height.
  13. Weight: Fill in your weight.
  14. Hair Color: Indicate your hair color.
  15. Eye Color: Provide your eye color.
  16. Visible Scars or Marks: List any visible scars or marks.
  17. Coast Guard Port Security Card Number: Enter your U.S. Coast Guard Port Security Card number, if applicable.
  18. Merchant Marine Card Number: Fill in your U.S. Merchant Marine Card number, if applicable.
  19. Previous Applications: Answer whether you have ever applied for the cards mentioned above.
  20. Application Denial: If you answered yes to the previous question, explain any denials.
  21. Residences: List all addresses where you have lived in the last five years, starting with your current address.
  22. Military Service: Indicate whether you have served in the U.S. Armed Services.
  23. Branch of Service: If applicable, specify the branch of service.
  24. Dates of Service: Provide the dates you served.
  25. Serial Number: Enter your military serial number, if applicable.
  26. Type of Discharge: Indicate your type of discharge.
  27. Convictions: Answer whether you have ever been convicted of a crime (other than traffic violations).
  28. Conviction Explanation: If you answered yes, explain the details of your convictions.
  29. Narcotic Drug Use: Indicate whether you currently use or have ever used narcotic drugs.
  30. Photograph: Attach a recent photograph in the designated area.
  31. Certification: Sign and date the application to certify that the information is true and complete.

Frequently Asked Questions

  1. What is the CBP Form 3078?

    The CBP Form 3078 is an application for an identification card issued by U.S. Customs and Border Protection (CBP). This card is essential for individuals working in certain roles, such as licensed cartmen or lightermen and their employees, to perform their duties legally.

  2. Who needs to fill out the CBP Form 3078?

    Individuals who work as licensed cartmen, lightermen, or in related roles, including their employees, must complete this form. It is required for those who need to obtain or retain a CBP identification card to access specific areas or perform particular functions related to customs and border protection.

  3. What information is required on the form?

    The form requests various personal details, including:

    • Name and Social Security Number
    • Date of Birth and Place of Birth
    • Employment History and Current Employer
    • Criminal History and Drug Use

    Providing accurate information is crucial, as it will be used for background checks.

  4. How long does it take to complete the form?

    On average, applicants can expect to spend about 17 minutes filling out the CBP Form 3078. However, the time may vary based on individual circumstances and the complexity of the applicant's background.

  5. What happens after I submit the form?

    Once submitted, CBP will conduct a background investigation based on the information provided. This process helps determine if the applicant meets the criteria for the identification card. Applicants may be contacted for additional information or clarification if necessary.

  6. Can I be denied the identification card?

    Yes, the identification card can be denied. If your application is denied, you will need to provide an explanation in the designated section of the form. Factors such as criminal history or failure to meet eligibility criteria can lead to denial.

  7. Is there a fee associated with the application?

    There is no fee specified for submitting the CBP Form 3078. However, it is essential to check for any updates or changes regarding fees on the official CBP website or through direct communication with CBP.

  8. How is my personal information protected?

    CBP is committed to protecting your personal information. The details collected on this form are used strictly for background investigations and eligibility assessments. Information may be shared with other government agencies as necessary, but it is handled in accordance with privacy regulations.

  9. What if I have more questions about the form?

    If you have further questions or need assistance with the CBP Form 3078, it is advisable to contact CBP directly or visit their official website. They provide resources and contact information to help applicants navigate the process.

  10. Where can I find the form?

    The CBP Form 3078 is available on the U.S. Customs and Border Protection website. You can download the form, print it, and complete it before submission. Ensure you have the most current version of the form to avoid any issues.

Common mistakes

Filling out the CBP 3078 form can be straightforward, but some common mistakes can lead to delays or issues with your application. One frequent error is providing incomplete information. Each section of the form is important. Omitting details like your social security number or home address can result in your application being rejected or delayed.

Another mistake is failing to double-check for accuracy. Simple typos or incorrect information can cause problems. For example, if you list the wrong date of birth or misspell your name, this could lead to complications in processing your application. It is essential to review your entries carefully before submitting the form.

Some applicants also forget to include all required documents. The form may require attachments, such as a photograph or additional identification. Not providing these can hinder the processing of your application. Make sure to read the instructions thoroughly to ensure you include everything needed.

Additionally, people often overlook the signature requirement. Failing to sign the form or not signing in the correct area can invalidate your application. It is a simple step, but it can easily be missed, leading to unnecessary delays.

Lastly, many individuals do not provide a complete employment history. This section is crucial for background checks. Listing only your current job or leaving gaps in your employment history can raise red flags. Be sure to provide a comprehensive account of your work history for the last ten years.

Documents used along the form

The CBP Form 3078 is an essential document for individuals seeking an identification card from U.S. Customs and Border Protection. Alongside this form, several other documents and forms may be necessary to ensure a smooth application process. Below is a list of commonly used forms and documents that often accompany the CBP Form 3078.

  • CBP Form 3078A: This is a supplemental application form that may be required for specific types of applicants, providing additional details related to their identification needs.
  • Form I-9: This employment eligibility verification form is used to confirm an individual's identity and eligibility to work in the United States. Employers must complete this form for all new hires.
  • Passport: A valid passport serves as proof of identity and citizenship, which is often required for identification card applications.
  • Driver's License: A state-issued driver's license can also serve as a form of identification, verifying both identity and residence.
  • Social Security Card: This document is necessary to verify an individual's social security number, which is a key part of the identification process.
  • Background Check Authorization: Applicants may need to provide consent for a background check, allowing CBP to review any criminal history or other relevant information.
  • Employment Verification Letter: A letter from an employer confirming the applicant's employment status may be required to support the application.
  • Photograph: A recent passport-sized photograph is typically required to be attached to the application, providing a visual identification of the applicant.
  • Military Records: For applicants with military service, providing discharge papers or service records may be necessary to verify their service history.

Being prepared with these additional documents can help streamline the application process for the CBP Form 3078. Ensuring all required information is accurate and complete will contribute to a more efficient review by U.S. Customs and Border Protection.

Similar forms

The CBP Form 3078 is an application for an identification card issued by U.S. Customs and Border Protection. Several other documents serve similar purposes in various contexts. Below is a list of six documents that share similarities with the CBP Form 3078:

  • Form I-9: Employment Eligibility Verification - This form is used by employers to verify the identity and employment authorization of individuals hired for employment in the United States. Like the CBP Form 3078, it requires personal information, including name, address, and date of birth.
  • Form DS-11: Application for a U.S. Passport - Individuals complete this form to apply for a passport. It collects similar personal data, such as name, date of birth, and place of birth, and also requires proof of identity.
  • Form N-400: Application for Naturalization - This form is submitted by individuals seeking U.S. citizenship. It requires detailed personal information, including addresses and employment history, paralleling the information requested in the CBP Form 3078.
  • Form 1040: U.S. Individual Income Tax Return - While primarily for tax purposes, this form also gathers extensive personal information, including social security number and address, similar to the data collected on the CBP Form 3078.
  • Form SS-5: Application for a Social Security Card - This application is used to request a Social Security card and requires personal details such as name, date of birth, and place of birth, akin to the information requested on the CBP Form 3078.
  • Form 8862: Information to Claim Earned Income Credit After Disallowance - This form is used to claim the Earned Income Credit after it has been previously denied. It also requires personal information and details regarding prior claims, similar to the verification process in the CBP Form 3078.

Dos and Don'ts

When filling out the CBP Form 3078, it is essential to approach the process with care and attention to detail. Here are seven important do's and don'ts to keep in mind:

  • Do provide accurate and complete information.
  • Do double-check all entries before submitting the form.
  • Do include any other names you have been known by, as this may be crucial for identification.
  • Do attach a recent photograph as specified in the instructions.
  • Don't leave any required fields blank; incomplete forms can lead to delays.
  • Don't provide false information, as this can result in serious consequences.
  • Don't forget to sign and date the application, as an unsigned form will not be processed.

By following these guidelines, you can help ensure that your application is processed smoothly and efficiently. Taking the time to be thorough and honest will contribute positively to your experience with the CBP identification card application process.

Misconceptions

Understanding the CBP Form 3078 is crucial for those applying for an identification card with U.S. Customs and Border Protection. However, several misconceptions can lead to confusion. Here are five common misunderstandings:

  • Misconception 1: The form is only for U.S. citizens.

    • This is not true. The CBP Form 3078 can be used by both U.S. citizens and lawful permanent residents who need an identification card for their work-related activities.

  • Misconception 2: Completing the form guarantees approval.

    • Submitting the form does not ensure that you will receive the identification card. Approval depends on meeting all eligibility criteria and passing the required background checks.

  • Misconception 3: You can skip questions if you think they are irrelevant.

    • Every question on the form is important. Omitting information can lead to delays or even denial of your application. It's best to answer all questions as completely as possible.

  • Misconception 4: The form does not require a photograph.

    • Applicants must attach a recent photograph to the form. This is a necessary part of the identification process and cannot be overlooked.

  • Misconception 5: You can submit the form online.

    • Currently, the CBP Form 3078 must be submitted in paper format. Make sure to follow the submission guidelines carefully to avoid any issues.

Key takeaways

Key Takeaways for Filling Out and Using the CBP 3078 Form

  • The CBP 3078 form is essential for individuals applying for a U.S. Customs and Border Protection identification card.
  • Complete all sections accurately, including personal details like your name, address, and social security number.
  • Be prepared to provide information on any previous names, residences over the last five years, and employment history for the last ten years.
  • Answer questions about criminal history and drug use honestly, as this information is crucial for the background investigation.
  • Attach a recent photograph and ensure that your signature is included, certifying that all information is true to the best of your knowledge.