Aircraft Tail #

Registration #

Decal #

U.S. Airport of Arrival: K-

Time of Arrival:

Local:

Zulu:

Date of Arrival:

Foreign Airport of Departure:

Time of Departure:   

Local:

Date of Departure:

Direct flight or was other foreign itinerary involved?

Trim:

Make:

Model:

Colors:

Aircraft Owner/Lessee Name:

Address:

City:

State:

Country:

Zip:

Address:

Full Legal Name:

State:

Date of Birth:

City:

Nationality:

Zip:

Country:

Pilot License Number:

Nationality

Date of Birth

Crew or Passenger Check one

Full Legal Name
(Last/First)

Customs Form 178 (08/02)

DEPARTMENT OF THE TREASURY United States Customs Service

(mm/dd/yyyy)

C
C
C
C
C
C
C
C
C
P
P
P
P
P
P
P
P
P

or

or

or

or

or

or

or

or

or

Zulu:

(mm/dd/yyyy)

(mm/dd/yyyy)

(mm/dd/yyyy)

Department of the Treasury
United States Customs Service Private Aircraft Enforcement System Arrival Report.
Handbook 3000-0 5 Aircraft Information Pilot Information Crew and Passenger Information Customs Form 1 7 8 (0 8/0 2)

Form Page
1 of 1

Form Page 1 of 1

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PRIVATE AIRCRAFT ENFORCEMENT SYSTEM ARRIVAL REPORT

Handbook 3000-05