Current LVI Form

What country are you importing into/shipping to?*

CanadaUnited States
Your Breeze Client Code*
Your client code can be found in your inbox within your 'Welcome Letter' from Breeze Customs. Please call 1 (888) 374-0688 if you cannot locate this code.
Your Name*

First NameLast Name
Your Email*
example@example.com
Vendor/Seller Information
Vendor or Seller Name*
Company Name
Vendor or Seller Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Importer Information
Importer Name*
Company Name
Importer Tax ID
Importer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Buyer Information
Buyer Company Name*
Buyer Tax ID
Buyer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Transportation Information
Carrier/Transportation Company Name*
Mode of Transportation*
Please complete the required ISF Filing for US Ocean Import(s). Download the ISF filing here. And upload when complete here.
Goods Information
Good #1*
Good #2
Good #3
Good #4
Good #5
Total Value of All Goods*
Calculate: Good #1 Total Value + Good #2 Total Value etc.
What is the Country of Origin of your goods e.g. where your goods were manufactured specifically.
If Other, please provide Country below.
Should be Empty:

Vendor/Seller Information