IMPORTER SECURITY FILING TEMPLATE

Oppenheimer Customer/Vendor Information U.S. Agent Contact

Name
E-mail
Phone#

Est Loading Date Est. Date of Arrival to First U.S. Port:

Shipment Type Container Amendment

Consignee Name or IRS# Oppenheimer Group Discharge Port

Importer Name and Address (To be completed by Oppenheimer U.S. Agent)

Name
Address Line1
Address Line2
City State
Country Postal Code
Buyer Name and Address (To be completed by Oppenheimer U.S. Agent)
Name
Address Line1
Address Line2
City State
Country Postal Code
Ship To Name and Address (To be completed by Oppenheimer U.S. Agent)
Name
Address Line1
Address Line2
City State
Country Postal Code
Manufacturers Name and Address (Exporter name)
Name
Address Line1
Address Line2
City
Country
Seller Name and Address (Same as Exporter)
Name
Address Line1
Address Line2
City
Country
Container Stuffing Location (Pack House)
Name
Address Line1
Address Line2
City
Country
Consolidator Name and Address (Use pack house if same)
Name
Address Line1
Address Line2
City
Country

Country
of Export HTS# Commodity House B/L
NG TEMPLATE
Agent Contact

Agent)

Agent)

Agent)
Ocean B/L or Master B/L