Packer/Supplier Letterhead
FCL/LCL PACKING DECLARATION
[Boxes * to be marked with an X in the appropriate place.]

Ship name: _____________________________ Voyage Number: ___________________

Container Number(s):_______________________________________________________

Numerical Link: (Invoice number/Bill Number/Shipping Marks)

_________________________________________________________________________


STRAW PACKING*
(* Straw packing includes straw, cereal, rice hulls, and other unprocessed plant materials.)

Question: Has Straw Packing been used in the consignment listed above?
YES NO *


TIMBER PACKING**
(** Timber packing includes: Crates, Cases, Dunnage, Pallets, Skids, and any other timber used as a shipping aid)

Question: Has Timber Packing been used in the consignment listed above?
YES (refer to bark declaration) NO


BARK*** (*** Bark is: the external natural layer covering trees and branches. This material is distinct and separable from processed timber)

Question: If Timber Packing is used, is it free of BARK?
YES * NO *


PLASTIC WRAPPING
Question: Plastic wrapping has been used in the container(s) listed above
YES * NO *

Question: Plastic wrapping has been slashed to allow fumigant to penetrate the goods
YES * NO *


CLEANLINESS DECLARATION FOR FCL'S ONLY
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: ____/____/____
----------Packer/Supplier Representative---------------------------------------------