Dss Mexican Customs Information Sheet
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1DSS Mexican Customs Information Sheet
BURLINGTON NORTHERN SANTA FE
INTERMODAL SERVICE TO MEXICO
Trailer/Container No: ________________________________
Date: ____________________
Origin Ramp: _____________________________________
Destination Ramp: ____________________
IMC: _______________________________________________________
Phone: ____________________
Contact: ___________________________________
Fax: ____________________
Exporter:
Name: ________________________________________________________
IRS# _______________________
Address: ____________________________________________________________________________________
City: _______________________________________________ State: _____________ Zip Code: ____________
Phone: ____________________
Contact: __________________________________
Fax: __________________
Importer of record:
Name: _________________________________________________________________________________________
Address: _______________________________________________________________________________________
City: _______________________ State: ______
Zip ______RFC # (Mexican import number): ________________
Phone: ____________________
Contact: __________________________________
Fax: __________________
Ultimate Consignee: (physical delivery address for door-to-door service only)
Name: ________________________________________________________
Address: ____________________________________________________________________________________
City: _______________________________________________ State: _____________ Zip Code: ____________
Phone: ____________________
Contact: __________________________________
Fax: __________________
Mexican Broker: (Broker at Mexican Destination Ramp)
Name:_________________________________________________________________________________________
Phone: __________________
Contact: ___________________________________
Fax: ___________________
Required for In-transit documentation:
Country of Exportation: _______________________________ Country of Origin: ____________________________
Number of Bundles: _________________ Weight: ______________ Commercial Value: ______________________
Invoice No: ___________________
Seals #’s _________________ Bill of Lading # _________________________
General Commodity Description: ___________________________________________________________________
I certified that the above information is the correct description of merchandise, I also understand this information will be
used for Mexican customs clearance subject to Mexican Government Regulations. ____________________________
(Signature)
Note: Double Stack Services (DSS) will prepare the Shippers Export Declaration (required for all exports) for US Census. In order to do so they must
have Power of Attorney or written authorization from the USPPI, (Exporter). If other arrangements have been made for filing of the SED please confirm
with DSS.
This completed form must be sent via FAX or E-mail to DSS the same day that the container is delivered to the origin ramp.
Fax to:
Double Stack Services (DSS)
Fax: (915) 860-1708 Phone: (915) 633-6104
E-mail:
Attn: Southbound Clerk
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