A US Customs Declaration Form, or Form 6059B, is required to be completed and submitted at the immigration counter of Port-of-Entry (POE) by all passengers entering into the USA from another country. This form must contain declaration of any types of food, plants, animals, commercial merchandise, and cash that you are bringing into the US.
The following is a sample of a US Customs Form 6059B for reference purpose only. The appearance, color, or content of this document is subject to change by the issuing authorities.
Sample US Customs Form: Front Page

Sample US Customs Form: Back Page

Disclaimer
This sample is provided for your convenience and reference purpose only.