Shipper/Exporter's Letterhead

 

(Shipper/Exporterís 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: ___/___/___