Container nr(s) / LCL
Location of Goods
Sea freight charges
Motor vessel / agent
Truck / Rail / Barge / Feeder*
Custom Document can
be mailed to
* delete as appropriate
INSTRUCTION FORM CHECKLIST
The Principal shall supply Customs Support with the required records, information and data correctly and timely (prior to
the moment at which a declaration is submitted). The checklist below has been composed to indicate what information and
documents must be made available in general to Customs Support. If the declaration has been made and the Principal
possesses records, information and data other than those supplied or listed in the declaration, he/it shall inform Customs
Support of this as soon as possible.
DOCUMENTS AND RECORDS REQUIRED
Agreement Limited Fiscal Representation (if applicable)
Agreement Direct Representation for import and export clearances.
Invoice / statement of value
(copy of) the Transport Document (e.g. B/L or CMR)
Certificates of Origin/Provenance (depending on legislation)
Other certificates (depending on legislation, such as health certificates)
(copy of) Licenses (depending on legislation, such as import licenses, customs procedures with an economic im
pact license, particular destinations, exemption of customs import duties and/or other import taxes)
All other documents which refer to the transported goods.
Customs Support is entitled to request the Principal to supply the following records:
A copy of the contract of sale
All services of the companies of the Customs Support group are provided subject to the general terms and conditions of Customs Support as well as the Dutch
Forwarding Conditions of the Fenex, deposited a.o. at the registry of the court of Rotterdam on 1 July 2004, latest edition, with exception of the sections 1 and
23. The conditions contain exclusions and limitations of liability and a choice of law and jurisdiction clause ( ).
Customs Support Holland BV