EmailMe Form - Importer Security Filing (10+2)

Bill of Lading Type *

Regular/Master Bill

House Bill

Vessel/Voy No. (optional)

Origin Loading Port *

U.S. Discharge Port *

Bill of Lading SCAC *

Number *

Currently has continous Bond (CBP) 301 active in place *

Yes

No

I would like to

Use ISF Appendix D Single Transaction Bonds (ISF-D Bonds)

Purchase Continous Bond

ISF-D bond is only can be used for filing ISF. It can't be used for Customs Clearance purpose. Maximum ISF can be filed using ISF-D bond is 5/year.

Continous bond can be used for both purposes and does not have limitation as ISF-D Bond

ETD Date *

MM / DD / YYYY

ETA Date *

MM / DD / YYYY

10 Data Elements

1. Importer of Record Name *

Number *

This could be your IRS#, Customs Assign# or Sosial Security Number

2. Consignee's Name

(if different with No. 1)

Number

This could be your IRS#, Customs Assign# or Sosial Security Number

3. Seller's Name
Or Owner's *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

4. Buyers' Name
Or Owner's

If Different *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

5. Ship-to Party's Name

If different *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

6. Manufacture's Name
(or Supplier's)

If different *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

7. Container Stuffing Location

If Different *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

8. Consolidator's Name
(or Stuffer's)

If different *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

9 & 10 Commodity Harmonized Tarrif Schedule Number (6 digits or 10 HTS code)

Description of Goods *

1

HTS Code *

1

2

3

4

Manufacture of

Product 1

Product 2

Product 3

Product 4

Manufacture's Name

Manufacture Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

If different from No. 6 or if you have several products with different manufacturer, please fill out below info and click which product they are associate with

Manufacture of

Product 1

Product 2

Product 3

Product 4

Manufacture's Name

Manufacture Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Manufacture of

Product 1

Product 2

Product 3

Product 4

Manufacture's Name

Manufacture Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Manufacture of

Product 1

Product 2

Product 3

Product 4

Manufacture's Name

Manufacture Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Document Signor

Name of Person Signing *

First Last

Title

Email *

Confirm

Initial *

I am with above initial here, providing the essential information for security filing of the aforementioned shipment(s). I indemnify the information providing above are 100% accurate and valid for security filing usage.

Date Time

MM / DD / YYYY