ACE eManifest (U.S.

) Request Form
Tel:1-877-763-6887 Fax:1-888-329-2236
Tel:1-905-763-6887 Fax:1-866-756-2186
SMS:1-647-968-3452
Email: emanifest@crimsonlogic.com
Please include the bills of lading and Commercial Invoice(s) for the shipment(s) on this trip. The documents must have shipper's name and address,
consignee's name and address, complete description(s), quantities and weight. Complete Page 2 is for additional shipments and Page 3 for additional
crew/passengers.
Contact Information

Contact Name: User ID: No. of Pages:

Contact Email/ Notification by Email Notification by SMS

Phone Number :
Fax Cover Sheet**
Fax Number: ($0.15 per page charge applies)

Special Instructions
For CrimsonLogic :

Manifest Information

Trip Number: No. of Shipment(s):

First Expected Port: Expected Arrival Date/Time :

(with Time Zone)

FAST Card or ACE ID

Driver Full Name: (Complete full driver's details on:
page 3 if not provided)
Same as Contact Name
Crew/ Passenger FAST Card or ACE ID
Full Name: (Complete full driver's details on:
page 3 if not provided)

Truck and Trailer Information

State/
Truck Unit No.: License Plate: Country:

State/
Trailer1 Unit No.: License Plate : Country:

State/
Trailer2 Unit No.: License Plate : Country:

Trailer Seal No.:

Check here if trip contains International Instruments of Traffic (IIT's)

EC - Empty Truck with IIT's covered by Carrier's bond MC - Shipment with IIT's covered by Carrier's bond

EI - Empty Truck with IIT's covered by Importer's bond MI - Shipment with IIT's covered by Importer's bond

Shipment Information
REGULAR/ GOODS
Shipment Type: PAPS
SECTION 321 3299 7523 3311 INTANGIBLES
ASTRAY
IN-BOND

Shipment Control Number FDA Indicator : Yes No

(PAPS NUMBER) :

Brief Cargo Description:

UNDG Contact Name & Tel. UNDG Code

(DANGEROUS GOODS): (DANGEROUS GOODS) :

Piece Count: Weight:

Check here if Forwarding to Broker NOT Required
(If this box is checked, please ensure that all documents have been forwarded
Customs Broker Name: to the Broker necessary for shipments where clearance is required.)

Broker Phone No.: Broker Fax No.:

1
 ACE eManifest (U.S.) Request Form
Tel:1-877-763-6887 Fax:1-888-329-2236
Tel:1-905-763-6887 Fax:1-866-756-2186
Email: emanifest@crimsonlogic.com

Trip Number:

Please include the bills of lading and Commercial Invoice(s) for the shipment(s) on this trip. The documents must have shipper's name and address,
consignee's name and address, complete description(s), quantities and weight. Complete this page for additional shipments.

Shipment Information
REGULAR/ GOODS
Shipment Type: PAPS
SECTION 321 3299 7523 3311 INTANGIBLES
ASTRAY
IN-BOND

Shipment Control Number FDA Indicator : Yes No

(PAPS NUMBER) :

Brief Cargo Description :

UNDG Contact Name & Tel UNDG Code

(DANGEROUS GOODS) : (DANGEROUS GOODS) :

Shipment Piece Count: Weight:

Check here if Forwarding to Broker NOT Required

Customs Broker Name: (If this box is checked, please ensure that all documents have been forwarded
to the Broker necessary for shipments where clearance is required.)

Broker Phone No.: Broker Fax No.:

Shipment Information
REGULAR/ GOODS
Shipment Type: PAPS
SECTION 321 3299 7523 3311 INTANGIBLES
ASTRAY
IN-BOND

Shipment Control Number FDA Indicator : Yes No

(PAPS NUMBER) :

Brief Cargo Description :

UNDG Contact Name & Tel UNDG Code

(DANGEROUS GOODS) : (DANGEROUS GOODS) :

Shipment Piece Count: Weight:

Check here if Forwarding to Broker NOT Required

Customs Broker Name: (If this box is checked, please ensure that all documents have been forwarded
to the Broker necessary for shipments where clearance is required.)

Broker Phone No.: Broker Fax No.:

Shipment Information
REGULAR/ GOODS
Shipment Type: PAPS
SECTION 321 3299 7523 3311 INTANGIBLES
ASTRAY
IN-BOND

Shipment Control Number FDA Indicator : Yes No

(PAPS NUMBER) :

Brief Cargo Description :

UNDG Contact Name & Tel UNDG Code

(DANGEROUS GOODS) : (DANGEROUS GOODS) :

Shipment Piece Count: Weight:

Check here if Forwarding to Broker NOT Required

(If this box is checked, please ensure that all documents have been forwarded
Customs Broker Name: to the Broker necessary for shipments where clearance is required.)

Broker Phone No.: Broker Fax No.:

2
 ACE eManifest (U.S.) Request Form
Tel:1-877-763-6887 Fax:1-888-329-2236
Tel:1-905-763-6887 Fax:1-866-756-2186
Email: emanifest@crimsonlogic.com

Trip Number:

Complete this page for additional crew & passengers only.

Crew Passenger Driver

Crew & Passenger List
Male Date of Birth
Full Name: (DD/MM/YY):
Female
Province/ State
Driver License No.: of Issuance:
FAST Card or ACE ID
Nationality: (Complete travel document :
below if not provided)

Provide at least one travel document below if ACE ID nor a FAST card is not provided.

Country
Passport No.: of Issuance:

Enhanced Driver Country

License (EDL) No.: of Issuance:

Birth Certificate No. Country

(Passengers 16 years old : of Issuance:
& under only)

Crew Passenger Driver

Crew & Passenger List
Male Date of Birth
Full Name: (DD/MM/YY):
Female
Province/ State
Driver License No.: of Issuance:
FAST Card or ACE ID
Nationality: (Complete travel document :
below if not provided)

Provide at least one travel document below if ACE ID nor a FAST card is not provided. Birth Certificate No.

Country
Passport No.: of Issuance:

Enhanced Driver Country

License (EDL) No.: of Issuance:

Birth Certificate No. Country

(Passengers 16 years old : of Issuance:
& under only)

Crew Passenger Driver

Crew & Passenger List
Male Date of Birth
Full Name: (DD/MM/YY):
Female
Province/ State
Driver License No.: of Issuance:
FAST Card or ACE ID
Nationality: (Complete travel document :
below if not provided)

Provide at least one travel document below if ACE ID nor a FAST card is not provided.

Country
Passport No.: of Issuance:

Enhanced Driver Country

License (EDL) No.: of Issuance:

Birth Certificate No. Country

(Passengers 16 years old : of Issuance:
& under only)