E667 – Cross-Border Currency or Monetary Instruments Report — General

PROTECTED B when completed

Part A – Information on person transporting the currency or monetary instruments or on the person in charge of conveyance

• Name (surname)
• First name
• Other/Middle name
• Date of Birth (YYYY-MM-DD)
• Permanent address of person
  • Street address
  • Apt.
  • City
  • Country
  • Province/State
  • Postal/Zip Code
• Telephone number
• Citizenship
• Additional Citizenship (if applicable)
• Type of identification
  • Permanent resident card
  • Passport
  • Record of landing
  • Other
• Identification number
• Jurisdiction of Issue
  • Country
  • Province/State

Part B – Information on entity on whose behalf currency or monetary instruments are being transported or shipped

• Name of Entity
• Nature of entity's principal business
• Permanent address of entity
  • Street address
  • Apt.
  • City
  • Country
  • Province/State
  • Postal/Zip Code
• Telephone number
• Full name of contact person (surname, first, middle)
• Job title of contact person
• Jurisdiction of registration or incorporation
  • Country
  • Province/State

Part C – Information on person on whose behalf currency or monetary instruments are being transported or shipped

• Name (surname)
• First name
• Other/Middle name
• Date of Birth (YYYY-MM-DD)
• Permanent address of person
  • Street address
  • Apt.
  • City
  • Country
  • Province/State
  • Postal/Zip Code
• Telephone number
• Citizenship
• Additional Citizenship (if applicable)
• Type of identification
  • Birth certificate
  • Driver's licence
  • Passport
  • Provincial health card
  • Permanent resident card
  • Record of landing
  • Other
  • Identification number
• Jurisdiction of Issue
  • Country
  • Province/State

Part D – Information on importation or exportation

• Import
• Export
• Method or shipment
  • Courier
  • Mail
  • Other, specify
• Date of Birth (YYYY-MM-DD)

Shipped to

• Name (surname) of person or name of entity
• First name of person
• Other/Middle name of person
• Permanent address
  • Street address
  • Apt.
  • City
  • Country
  • Province/State
  • Postal/Zip Code

Shipped from

• Name (surname) of person or name of entity
• First name of person
• Other/Middle name of person
• Permanent address
  • Street address
  • Apt.
  • City
  • Country
  • Province/State
  • Postal/Zip Code

Courier company (if applicable)

• Full name of courier (if applicable)
• Full permanent address of courier
  • Street address
  • Apt.
  • City
  • Country
  • Province/State
  • Postal/Zip Code
  • Telephone number of courier
• Full name of contact person (surname, first, middle)
• Job title of contact person

Intermediary (if applicable)

• Name (surname) of person or name of entity
• Date of Birth (YYYY-MM-DD)
• First name of person
• Other/Middle name of person
• Intermediary address
  • Street address
  • Apt.
  • City
  • Country
  • Province/State
  • Postal/Zip Code

Ultimate origin of currency or monetary instrument

• Name (surname) of person or name of entity
• First name of person
• Other/Middle name of person
• Nature of the entity's principal business, if applicable
• Address of person or entity
  • Street address
  • Apt.
  • City
  • Country
  • Province/State
  • Postal/Zip Code

Ultimate destination of currency or monetary instrument

• Name (surname) of person or name of entity
• First name of person
• Other/Middle name of person
• Nature of the entity's principal business, if applicable
• Address of person or entity
  • Street address
  • Apt.
  • City
  • Country
  • Province/State
  • Postal/Zip Code

Departure point of currency or monetary instrument

• City
• Country

Stop-over points (with dates)

• City
• Country
• Arrival date (YYYY-MM-DD)
• Departure date (YYYY-MM-DD)

Arrival point of currency or monetary instrument

• City
• Country
• Year-Month-Day (YYYY-MM-DD)

Part E – Information about currency or monetary instruments being imported or exported

• Currency
• Name of currency
• Country of origin
• Purpose of import/export
• Amount
• CAD rate for conversion
• CAD total amount/CAD amount when converted
• Canadian
• N/A
• Non-Canadian
• Monetary instruments type (cheques, bank drafts, money orders, and other monetary instruments)
• Issuing entity
• Date issued (YYYY-MM-DD)
• Purpose of import/export
• Value (amount and name of currency)
• Serial or other ID #
• Amount
• Name of currency
• CAD rate for conversion
• Total amount (in Canadian dollars)
• Grand totals

To be filled out by the person completing this report

I hereby declare that the information given by me in this report is true, accurate and complete.

• Name in print (surname)
• First Name
• Other / Initial
• Signature
• Date of report Year-Month-Day (YYYY-MM-DD)
• CBSA date stamp

For CBSA use only

• Name of Border Services Officer
• Badge number
• CBSA reference number (if applicable)
• All data fields completed
• Legible

Instructions

Under the law, every person or entity must report to a Border Services Officer the importation or exportation of currency or monetary instruments with a combined total value equal to or greater than $10,000 Canadian (or its equivalent in a foreign currency). Failure to report may result in the forfeiture of currency or monetary instruments or the assessment of a penalty.

“Currency” means current coins and bank notes of Canada and other countries.

“Monetary instruments” means securities and negotiable instruments in bearer form where ownership is conveyed by physical possession. It can include stocks, bonds, debentures, treasury bills, banker's drafts, cheques and money orders, other than warehouse receipts and bills of lading. It does not include securities or negotiable instruments that bear restrictive endorsements or a stamp for the purposes of clearing.

To calculate the Canadian dollar equivalent of a foreign currency, use the exchange rate published by the Bank of Canada at the time of the importation or exportation. If the Bank of Canada does not publish an exchange rate for that currency, use the exchange rate that would be used during the ordinary course of business.

Who should complete this form

You should complete this form E667 (General) if the total value of the currency or monetary instruments being imported or exported is $10,000 or more, and:

1. You are a person leaving or entering Canada transporting the currency or monetary instruments on behalf of a person or entity, and the currency or monetary instruments are in your possession or baggage; or
2. You are the exporter of the currency or monetary instruments being imported into Canada or exported from Canada, or
3. You are the importer of the currency or monetary instruments being imported into Canada and you received receipt of a retention notice, or
4. In all other cases, you are the person on whose behalf the currency or monetary instruments are being imported or exported, for example, if you are employing a courier to ship the currency or monetary instruments across the border.

If the currency or monetary instruments reported in form E667 (General) are on board a conveyance arriving in or departing from Canada are not imported or exported as mail, the person in charge of the conveyance should complete form E668 (Conveyance) as an attachment to form E667 (General). “Conveyance” means any form of vehicle or craft used for transportation.

If you are transporting currency or monetary instruments with a total value of $10,000 or more into or out of Canada on your own behalf and the currency or monetary instruments are in your possession or baggage, you should complete form E677 (Individual) instead of form E667 (General).

Part A – Do not complete Part A if the currency or monetary instruments are imported or exported as mail

Provide information on the person transporting the currency or monetary instruments in their possession or in their baggage, or information on the person in charge of the conveyance, such as the person or courier responsible for the currency or monetary instruments over the course of the shipment.

Parts B and C  – Complete either Part B OR Part C

Complete Part B if the currency or monetary instruments are imported or exported on behalf of an entity. Provide information on the entity and on an employee contact of the entity.

Complete Part C if the currency or monetary instruments are imported or exported on behalf of a person. Provide information on the person.

Part D

“Shipped to” means the person or entity to whom the currency or monetary instruments are shipped.

“Shipped from” means the person or entity from whom the currency or monetary instruments are shipped.

“Courier company” means a commercial carrier engaged in scheduled international transportation of shipments of goods, other than goods imported or exported as mail. Provide information on the courier company and information on an employee contact of the courier company. Do not complete this section if there is no courier company.

“Intermediary” means a person or entity that transports the currency or monetary instruments at any point during the shipment on behalf of the courier company. Provide information on any intermediaries and indicate the date on which the intermediary gained physical possession of the currency or monetary instruments. Do not complete these sections if there are no intermediaries.

“Ultimate origin” means the person or entity who is the ultimate owner of the currency or monetary instruments, if different from the “shipped from” address.

“Ultimate destination” means the person or entity who ultimately takes possession of the currency or monetary instruments after the shipment is delivered, if different from the “shipped to” address.

“Departure point”:

• If the currency or monetary instruments are transported out of the exporting country by land, “Departure point” means the city where the currency or monetary instruments crossed the border, or the city nearest to the location of the border crossing.
• If the currency or monetary instruments are transported out of the exporting country by aircraft or water-borne craft, “Departure point” means the last city from which the aircraft or water-borne craft departed before crossing the border of the exporting country.

“Stop-over point” means the location (city, country) of an intermediate stop or transit point during the journey of the currency or monetary instruments between the `shipped from' and `shipped to' locations.

“Arrival point”:

• If the currency or monetary instruments are transported into the importing country by land, “Arrival point” means the city where the currency or monetary instruments crossed the border, or the city nearest to the location of the border crossing.
• If the currency or monetary instruments are transported into the importing country by aircraft or water-borne craft, “Arrival point” means the first city at which the aircraft or water-borne craft arrives after crossing the border of the importing country.

Part E

Provide details for each type of currency and for each monetary instrument being imported or exported.

In the “Purpose of import/export” section, indicate the primary reason why the currency or monetary instruments are being imported or exported. For example, it could include reasons such as business/commercial activity, tourism, study, gift, investment, or banking.

In the “Grand Total” section, provide the total amount of all currency and monetary instruments in Canadian dollars.

Privacy

The information provided on this form is being collected under the authority of the Proceeds of Crime (Money Laundering) and Terrorist Financing Act and is subject to the provisions of the Access to Information Act and the Privacy Act.

Additional Information

To obtain additional information, please visit the Travelling with CAN$10,000 or more page. For more information about the Proceeds of Crime (Money laundering) and Terrorist Financing Act, visit the Financial Transactions and Reports Analysis Centre of Canada website at www.fintrac.gc.ca.  You can also call us free of charge throughout Canada by calling 1-800-461-9999. If you are calling from outside of Canada, you can contact us at (204) 983-3500 or (506) 636-5064.

Date modified:

2024-07-15