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

A link to the Portable Document Format (PDF) of this form is provided below. The content of the form is duplicated in HTML following the PDF link.

PDF (646 Kb) [help with PDF files]

PROTECTED B when completed

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

  • Name (surname)
    • First name
    • Middle name
  • Date of Birth (YYYY-MM-DD)
  • Permanent address of person/Entity
    • Street
    • Apt.
    • City
    • Province/State
    • Country
    • Postal/Zip Code
  • Telephone number
  • Citizenship
  • Type of identification
    • Identification number
    • Place of Issue

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

  • Name of Entity
  • Type of activity
  • Permanent address of entity
    • Street
    • City
    • Province/State
    • Country
  • Telephone number
  • Citizenship
  • Name and title of contact person of entity

Part C – Information on importation or exportation

  • Method of shipment
    • Courier
    • Mail
    • Other
  • Date of Shipment (yyyy-mm-dd)
  • Shipped to (name and address)
  • Full name of courier (if applicable)
  • Full permanent address of courier
  • Telephone number of courier
  • Name and title of contact person

Part D – Information on person transporting or shipping currency or monetary instruments

  • Name (surname)
    • First name
    • Initials
  • Date of Birth (YYYY-MM-DD)
  • Permanent address of person/Entity
    • Street
    • Apt.
    • City
    • Province/State
    • Country
    • Postal/Zip Code
  • Telephone number
  • Citizenship
  • Type of identification
    • Identification number
    • Place of Issue

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

  • Currency and coins
    • Country and name of currency
    • Amount
    • $CAD rate for conversion
    • $CAD amount when converted
  • Other monetary instruments (Specify type, issuing entity and date, serial or other identifying number in the "Country and name of currency" box)
    • Country and name of currency
    • Amount
    • $CAD rate for conversion
    • $CAD amount when converted
  • Totals:
    • Amount
    • $CAD rate for conversion
    • $CAD amount when converted

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.

  • Full name in print
  • Signature
  • Date of report

General Information

Information to be given by person described in paragraph 12(3) (a) of the Proceeds of Crime (Money Laundering) and Terrorist Financing Act (if transporting on behalf of entity or other person) or by person or entity described in paragraph 12(3) (b), (c) or (e) of the Act.

Instructions for form E677

Reporting Requirement

The Act requires every person or entity the obligation to report to a Border Services Officer for the importation or exportation of currency or monetary instruments of a 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.

Definitions

"Currency"
means current coins and bank notes issued by the Bank of Canada and coins and banks notes in the currency of countries other than Canada.
"Monetary Instruments"
means (a) securities, including stocks, bonds, debentures and treasury bills, in bearer form or in such other form as title to them passes upon delivery; and (b) negotiable instruments in bearer form, including banker's drafts, cheques, traveller's cheques and money orders, other than
  • (i) warehouse receipts or bills of lading, and
  • (ii) negotiable instruments that bear restrictive endorsements or a stamp for the purposes of clearing or are made payable to a named person and have not been endorsed.
"Courier"
means a commercial carrier that is engaged in the scheduled international transportation of shipments of goods other than goods imported as mail.

Who Must Report

  • (a) Persons leaving or entering Canada with currency or monetary instruments subject to the reporting requirement, on them or as part of their luggage, are responsible to report.
  • (b) The exporter of currency or monetary instruments subject to the reporting requirement exported by courier or as mail is responsible to report, or upon receipt of retention notice, the importer.
  • (c) The person in charge of a conveyance carrying currency or monetary instruments subject to the reporting requirement is responsible to report unless they are reported by the person in whose actual possession they are, or they are imported or exported as mail.
  • (d) The person on whose behalf the currency or monetary instruments subject to the reporting requirement are imported or exported is responsible to report in all other cases.

Reporting Forms

Reporting of currency or monetary instruments imported into or exported from Canada has to be made in writing on the Cross-Border Currency and Monetary Instruments Report - General (CBSA form E667).

In the case of currency or monetary instruments imported into or exported from Canada by courier, the person in charge of the conveyance or the courier, is required to submit a Cross-Border Currency and Monetary Instruments Report made by person in charge of conveyance: (CBSA form E668) as an attachment to the Cross-Border Currency and Monetary Instruments Report - General (CBSA form E667).

Persons importing or exporting currency or monetary instruments on their own behalf that is in their possession must complete form E677 (Individual). All other reports involving the importation or exportation of currency or monetary instruments must be reported using form E667. In all cases involving a commercial conveyance form E668 must accompany the form E667.

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 our Web site. For more information about the Proceeds of Crime (Money laundering) and Terrorist Financing Act, visit the Financial Transactions and Reports Analysis Centre of Canada Web site. 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: