You are on page 1of 1

IMPORTERS SECURITY FILING

PART I — SHIPMENT DETAIL


1. COMMERICAL INV#: 2. PO NUMBER: √ 3. ORIGIN PORT √ 4. 1st US DESTINATION PORT : 5. FINAL DESTINATION PORT :

√ 6. ESTIMATED SAILING DATE: √ 7. ESTIMATED ARRIVAL DATE:

Ö 8. HBL SCAC & NUMBER 9. MBL SCAC & NUMBER (if HBL not issued)

Ö 10. DATE LOADED ON VESSEL

PART II — SUPPLY CHAIN


√ 11. SELLER’S NAME & ADDRESS √ 12. SHIP TO NAME & ADDRESS

√ 13. BUYER’S NAME & ADDRESS √ 14. MANUFACTURER (SUPPLIER) NAME & ADDRESS:
mark X if same as shipper mark X if multiple manufacturers

√ 15. CONTAINER STUFFING LOCATION NAME AND ADDRESS √ 16. CONSOLIDATOR NAME & ADDRESS :
mark X if same as seller mark X if same as seller

√ 17. IMPORTER NAME & IRS#: √ 18. CONSIGNEE NAME & IRS# : mark X if same as importer

PART III—INVOICE INFORMATION


√ 19. HARMONIZED TARIFF CODE: √ 20. COUNTRY OF ORIGIN:

You might also like