Annual Packing Declaration Form printable pdf download

Annual Packing Declaration Form

______________________________ ______________________________

Company Letterhead

(MUST be issued by the packer or supplier of the goods, and MUST include the company’s name

AND address)

ANNUAL PACKING DECLARATION

Exporter’s Name: (This information combined with the importer’s name may be used as consignment

link)

Importer’s Name:

PROHIBITED PACKAGING MATERIAL STATEMENT

(Prohibited packaging material such as straw, bamboo, peat, hay, chaff, used fruit & vegetable cartons)

Have prohibited packaging materials or bamboo products been used as packaging

or dunnage in the consignment covered by this document?

YES

TIMBER PACKAGING/DUNNAGE STATEMENT

(Timber packaging/dunnage includes: crates, cases, pallets, skids, and any other timber used as a shipping

aid.)

Has solid timber packaging/dunnage been used in consignments covered by this

Q2a

document?

A2a

YES

TREATMENT CERTIFICATION (ONLY IF TIMBER/DUNNAGE IS DECLARED IN QUESTION 2)

All timber packaging/dunnage used in the consignment has been (Please Indicate below)

Treated and Marked in compliance with ISPM 15

Treated in compliance with DAFF Treatment

Requirements

(With accompanying Treatment Certificate)

Not Treated

CONTAINER CLEANLINESS STATEMENT (for FCL/X consignments only - statement to be removed from

document when not relevant)

The container(s) covered by this document will be/is cleaned and will be/ is free from material of animal

and/or plant origin and soil

Signed: ............................................................

Printed name:..............................................

(Company Representative)

Date of Issue:…………………………….

(DD/MM/YYYY)

Annual Packing Declaration Form