U.S.

Shipper's Letter of Instruction (SLI)

Reference # Contact Name: Contact Phone:
1 U.S. PRINCIPAL PARTY IN INTEREST (USPPI) 2 ULTIMATE CONSIGNEE
Name EIN Name & Address Consignee Type
Select
Address / Cargo Location State of Origin
(if different from address)

Select Country Of Ultimate Destination

FPPI Name (If different from Ultimate Consignee) (If different from address)

3 OTHER: REQUIRED
Routed Export 4 OTHER: CONDITIONAL
Related Parties? Transaction? Hazardous Materials? Intermediate Consignee Name & Address
Yes No Yes No Yes No FTZ Identifier
5 LICENSE DETERMINATION Entry Number
NLR DDTC NRC Multiple Used Vehicle(s)
(see Commodity line items below) Sold En Route
BIS OFAC OTHER
License Number or CFR DDTC Registration DDTC Eligible Party 6 SPECIAL INSTRUCTIONS
Citation Number Certification
Yes No

7 COMMODITY INFORMATION
ECCN or
Schedule B or USML Export Value
Line Origin Commodity Description HTS Category Quantity / UOM Gross Weight (USD)
Select
1 Select
Lic #/CFR: SME: DDTC Qty/UOM: License Value:
Select
2 Select
Lic #/CFR: SME: DDTC Qty/UOM: License Value:
Select
3 Select
Lic #/CFR: SME: DDTC Qty/UOM: License Value:
Select
4 Select
Lic #/CFR: SME: DDTC Qty/UOM: License Value:
Select
5 Select
Lic #/CFR: SME: DDTC Qty/UOM: License Value:
Select
6 Select
Lic #/CFR: SME: DDTC Qty/UOM: License Value:

8 TRANSPORTATION
Method of
Transportation Date of Export Inbond Code Mode Charges
Select 70 - No Inbond Consol Direct Prepaid Collect
Freight
Transportation Reference Number Exporting Carrier
Service Type Origin Cost
Port of Export Port of Unlading Vessel Name Port to Port Port to Door Duty
Door to Port Door to Door Tax
9 INSURANCE (optional) Customs

Insurance Requested? Yes No Ocean Documentation Type

Amount of Insurance Original Bill of Lading Sea Waybill
OR
Declared Value for Carriage In Case of Inability to Deliver
Abandon Return to Shipper Deliver to.. (specify in special instructions)

10 AUTHORIZATION
As a duly authorized representative of the USPPI/shipper I certify that all statements made and information contained herein are true and correct and that:
• For shipments in which Expeditors has been selected by the USPPI to act as • For air cargo shipments in which Expeditors is responsible for
authorized agent: USPPI hereby authorizes Expeditors International of Washington, transportation (Agreement for Consent to Search): As required by
Inc. to act as agent and attorney in fact with authority to prepare and file any TSA regulations, shipper agrees with Expeditors International of
Electronic Export Information (EEI) and to perform any act required by law, regulation Washington, Inc., to, and hereby does, consent to search or
or custom in connection with the exportation of the above referenced shipment. inspection, including screening of its cargo pursuant to 49 CFR
1548.9(b).

Signature: Title: Date:

©2014 Expeditors International of Washington, Inc.