| FCL/LCL PACKING DECLARATION |
| [Boxes to be marked with an X in the appropriate place.] |
| Container Number or Numerical Link (Shipping Marks/Bill Number/Booking Number): |
| Ship Name:_________________________________ Voyage Number: _________________ |
| Container Number(s): or Bill of Lading Number: or Invoice No: or other numerical link |
| ____________________________________________________________________________ |
| STRAW PACKING |
| (Straw packing includes straw, cereal, rice hulls, and other unprocessed plant materials.) |
| Q. Has Straw Packing been used in the consignment 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 consignment listed above? |
| A. YES (if yes refer to bark declaration) NO |
| Q2b. *ISPM15: Is all timber packaging marked with ISPM15 compliant stamps |
| B. YES (if yes refer to bark declaration) NO |
| Q2c. Is the timber packaging exempt from ISPM15 stamping (e.g. plywood/manufactured wood) |
| C. YES NO |
| BARK (Including ISPM15 compliant packaging) |
| (Bark is the external natural layer covering trees and branches. This material is distinct and separable from processed timber.) |
| Q. If Timber Packing is used, is it free of BARK? |
| A. YES NO |
| CLEANLINESS DECLARATION FOR FCL’S ONLY |
| I also 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 |