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Cash Declaration Form Template for Indonesia

A mandatory regulatory document required under Indonesian law for declaring cash and bearer negotiable instruments when entering or leaving Indonesia's territory. This form, governed by Bank Indonesia Regulation No. 20/2/PBI/2018 and related customs laws, must be completed by individuals or entities transporting cash above the specified threshold. The document serves as an official declaration to Indonesian authorities and forms part of the country's anti-money laundering and counter-terrorism financing framework.

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What is a Cash Declaration Form?

The Cash Declaration Form is a mandatory document required by Indonesian authorities for individuals or entities transporting cash or bearer negotiable instruments across Indonesian borders. This requirement is established under Bank Indonesia Regulation No. 20/2/PBI/2018 and various customs regulations. The form must be completed when the value of cash or instruments exceeds the specified threshold (currently IDR 100 million or its equivalent in foreign currencies). It collects essential information about the declarant, the source of funds, intended use, and transportation details. This document plays a crucial role in Indonesia's efforts to prevent money laundering, combat terrorism financing, and maintain financial system integrity. The form must be submitted to customs officials at points of entry or exit and may require supporting documentation depending on the circumstances.

What sections should be included in a Cash Declaration Form?

1. Declaration Header: Form title, reference number, and official logos of relevant authorities (Bank Indonesia, Customs)

2. Personal Information: Declarant's full name, nationality, passport/ID number, address in Indonesia, and contact details

3. Travel Information: Date of arrival/departure, flight/vessel number, port of entry/exit, purpose of visit

4. Cash Details: Amount of cash being transported, currency types, denomination breakdown

5. Source of Funds: Origin of the cash, purpose of carrying the cash, intended use

6. Beneficiary Information: If carrying on behalf of someone else, details of the beneficial owner

7. Declaration Statement: Legal statement confirming the truth of the declaration and understanding of regulations

8. Signature Block: Date, place, and signature of declarant

What sections are optional to include in a Cash Declaration Form?

1. Additional Currency Details: Used when declaring multiple currencies or complex denomination breakdowns

2. Business Information: Required when cash is related to business activities, including company details and registration numbers

3. Supporting Documents: Section to list attached supporting documents such as bank statements or business documents

4. Customs Agent Section: Used when a customs agent is assisting with the declaration

5. Previous Declaration Reference: Required when this declaration relates to a previous declaration

What schedules should be included in a Cash Declaration Form?

1. Currency Denomination Schedule: Detailed breakdown of cash by denomination and currency type

2. Supporting Documents Checklist: List of required and optional documents that can accompany the declaration

3. Information Sheet: Guide explaining declaration requirements and thresholds in multiple languages

4. Receipt Form: Official acknowledgment of declaration submission

Authors

Alex Denne

Advisor @ GenieAI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents

Jurisdiction

Indonesia

Publisher

GenieAI

Document Type

Declaration Form

Cost

Free to use

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