(Shipper/Exporter’s letterhead must be
used)
FCL / LCL PACKING DECLARATION
( BOX
TO BE MARKED WITH AN X IN THE APPROPRIATE PLACE)
Ship name:
___________________________Voyage Number: _______________
Container Number(s):
_______________________________________________ OR
House Bill of Lading:
__________________________________________________
STRAW PACKING *
(
Straw packing includes straw, cereal,
rice hulls, and other unprocessed plant materials)
Q. Has Straw Packing been used in the
container(s) listed above ?
A. YES
NO
TIMBER PACKING **
(** Timber packing includes: Crates, Cases,
Dunnage, Pallets, Skids and any other timber used as a shipping aid)
Q. Has Timber Packing been used in the
container(s) listed above ?
A. YES
NO
BARK ***
(*** Bark is: the external natural
layer convering trees and branches. This material is distinct and
separable from processed timber)
Q. Is Timber Packing free of BARK CONTAMINATION ?
A. YES
NO
CLEANLILNESS DECLARATION
I declare that the above container(s) has/have been cleaned and
is/are free from material of animal and/or plant origin and soil.
Signed: ______________________________________ Date: ___/___/___