FCL/LCL PACKING DECLARATION

(Boxes               to be marked with an X in the appropriate place.)

Container Number or Numerical Link (Shipping Marks/Invoice Number/Bill Number):

Ship Name:_________________________________      Voyage Number: _________________

Container Number(s): or Bill of Lading Number: or Invoice No: or other numerical link

____________________________________________________________________________

Certification DE-NS2-490659-L4: __________________________________________

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

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