FCL LCL ANNUAL PACKING DECLARATION [Boxes to be marked in the appropriate place]

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1 (MUST be issued by the packer or supplier of the goods, and MUST include the company s name AND address) FCL LCL ANNUAL PACKING DECLARATION [Boxes to be marked in the appropriate place] Exporter s Name: (This information combined with the importer s name may be used as consignment link) Importer s Name: PROHIBITED PACKAGING MATERIAL STATEMENT (Prohibited packaging material such as straw, bamboo, peat, hay, chaff, used fruit & vegetable cartons) Have prohibited packaging materials or bamboo products been used as packaging Q1 or dunnage in the consignment covered by this document? A1 YES NO TIMBER PACKAGING/DUNNAGE STATEMENT (Timber packaging/dunnage includes: crates, cases, pallets, skids, and any other timber used as a shipping aid.) Q2a Has timber packaging/dunnage been used in consignments covered by this document? A2a YES NO ISPM 15 STATEMENT All timber packaging/dunnage used in the consignment has been treated and marked in Q2b compliance with ISPM15 A2b YES NO N/A BARK STATEMENT (Bark is the external natural layer covering trees and branches. This statement is only required if timber/packaging dunnage is declared using the timber or ISPM 15 statements. A bark statement is required for all timber packaging/dunnage including ISPM 15 compliant packaging/dunnage.) Q3 Is all timber packaging/dunnage used in this consignment free from bark? A3 YES NO N/A CONTAINER CLEANLINESS STATEMENT (for FCL/X consignments only - statement to be removed from document when not relevant) The container(s) covered by this document has/have been cleaned and is/are free from material of animal and/or plant origin and soil. Signed:... Printed name:... Date of Issue:.

2 (MUST be issued by the packer or supplier of the goods and MUST include the company s name AND address) FCL LCL PACKING DECLARATION [Boxes to be marked in the appropriate place] Vessel Name: Voyage Number:.. Consignment identifier or numerical link PROHIBITED PACKAGING MATERIAL STATEMENT (Prohibited packaging material such as straw, bamboo, peat, hay, chaff, used fruit & vegetable cartons) Have prohibited packaging materials or bamboo products been used as packaging or Q1 dunnage in the consignment covered by this document? A1 YES NO TIMBER PACKAGING/DUNNAGE STATEMENT (Timber packaging/dunnage includes: crates, cases, pallets, skids, and any other timber used as a shipping aid.) Q2a Has timber packaging/dunnage been used in consignments covered by this document? A2a YES NO ISPM 15 STATEMENT All timber packaging/dunnage used in the consignment has been treated and marked in Q2b compliance with ISPM15 A2b YES NO N/A BARK STATEMENT (Bark is the external natural layer covering trees and branches. This statement is only required if timber/packaging dunnage is declared using the timber or ISPM 15 statements. A bark statement is required for all timber packaging/dunnage including ISPM 15 compliant packaging/dunnage.) Q3 Is all timber packaging/dunnage used in this consignment free from bark? A3 YES NO N/A CONTAINER CLEANLINESS STATEMENT (for FCL/X consignments only - statement to be removed from document when not relevant) The container(s) covered by this document has/have been cleaned and is/are free from material of animal and/or plant origin and soil. Signed:... Printed name:... Date of issue:...

3 (MUST be issued by the packer or supplier of the goods, and MUST include the company s name AND address) CONTAINER CLEANLINESS DECLARATION Vessel name:... Voyage number:... Consignment identifier(s) or numerical link(s)..... Container Cleanliness Statement The container(s) covered by this document has/have been cleaned and is/are free from material of animal and/or plant origin and soil. Signed:... Printed name:... Date of issue:... Note: Container Cleanliness Statements are acceptable on the following documents Cleanliness declaration (as an individual document) Packing declarations Packing list Invoice

4 (MUST be issued by the treatment provider, and MUST include the company s name and physical address) FUMIGATION CERTIFICATE Note: Where AQIS has arrangements with overseas governments and/or treatment providers the certificates must comply with the requirements of that arrangement. This is to certify that the goods described below have been treated in accordance with the statements made below. Unique identifiable link to the consignment:... Description of goods/packaging treated:. (such as pallets, crates, etc if packaging was also treated.) Quantity/volume of goods/packaging treated: Name of fumigant:... Dose rate:... g/m³ or lbs/cu ft Date treatment started: Date treatment finished: (If the start and finish dates are the same, only include the date treatment finished) Duration of treatment:... hours Minimum temperature:... C or F Minimum pressure (if applicable): For Methyl Bromide Only: Plastic wrap declaration Certificates from non-afas treatment providers must contain one of the following statements: Plastic wrapping has not been used in this consignment; or This consignment has been fumigated before application of plastic wrapping; or Plastic wrapping used in this consignment conforms to the AQIS wrapping and perforation standard as found in the AQIS Methyl Bromide Fumigation Standard. Additional statements as required by the import conditions for the relevant goods/packaging (if applicable)..... Signature:... Printed name: Date of Issue:... Note: Fumigation certificates issued by treatment providers operating under the Australian Fumigation Accreditation Scheme (AFAS) have different requirements. Refer to the AQIS Methyl Bromide Fumigation Standard on the AQIS website at

5 (MUST be issued by the treatment provider, and MUST include the company s name and physical address) KILN DRYING TREATMENT CERTIFICATE Note: Where AQIS has arrangements with overseas governments and /or treatment providers the certificates must comply with the requirements of that arrangement. This is to certify that the goods described below have been treated in accordance with the statements made below. Unique identifiable link to the consignment:... Description of goods/packaging being treated: (such as pallets, crates, etc if packaging was also treated) Quantity/volume of goods/packaging treated:.. Date of treatment:.. Temperature:... C or F Duration of heating/drying:... (hours) Timber thickness:... mm or inches Kiln drying treatment certificates must also contain: A statement to reflect that the temperature was measured at the core of the product. A statement that the required temperature was maintained for no less than the minimum duration. Additional statements as required by the import conditions for the relevant goods/packaging (if applicable) Signature:... Printed name:. Date of Issue...

6 (MUST be issued by the treatment provider, and MUST include the company s name and physical address) GAMMA IRRADIATION TREATMENT CERTIFICATE Note: Where AQIS has arrangements with overseas governments and/or treatment providers the certificates must comply with the requirements of that arrangement. This is to certify that the goods described below, have been treated in accordance with the statements made below. Unique identifiable link to the consignment: Description of goods/packaging treated:.. (such as pallets, crates, etc if packaging was also treated.) Quantity/volume of goods/packaging treated: Date of treatment:.. Dose rate:. kgray or Mrad Additional statements as required by the import conditions for the relevant goods/packaging (if applicable) Signature:... Printed name:.. (Company representative) Date of issue:...

7 (MUST be issued by the treatment provider, and MUST include the company s name and physical address) PERMANENT PRESERVATIVE TREATMENT CERTIFICATE This is to certify that the timber described below was treated with an AQIS approved preservative in accordance with AQIS requirements. Unique identifiable link to the consignment:... Description of goods/packaging treated:. (such as pallets, crates, etc if packaging is treated.) Quantity/volume of goods/packaging treated: Date of treatment:.. Name of AQIS approved preservative.... Chemical composition of preservative (e.g. CCA)..... Loading of preservative expressed as... % mass/mass based on the oven dried mass of the treated wood; or mass per volume (net dry salt retention). Plywood and veneers only: Veneer thickness mm or inches Additional statements as required by the import conditions for the relevant goods/packaging (if applicable)..... Signature:... Printed name: (Company representative) Date of issue:...

8 (MUST be issued by the treatment provider, and MUST include the company s name and physical address) PERMANENT PRESERVATIVE TREATMENT CERTIFICATE This is to certify that the timber described below was treated in accordance with AQIS requirements to Australian Standard AS/NZS1604. Unique identifiable link to the consignment:... Description of goods/packaging treated:. (such as pallets, crates, etc if packaging is treated.) Quantity/volume of goods/packaging treated: Date of treatment:.. Chemical composition of preservative (e.g. CCA)..... Loading of preservative expressed as... % mass/mass based on the oven dried mass of the treated wood. Plywood and veneers only: Veneer thickness mm or inches Additional statements as required by the import conditions for the relevant goods/packaging (if applicable)..... Signature:... Printed name: (Company representative) Date of issue:...

9 (MUST be issued by the manufacturer, and MUST include the company s name and address) NEWLY MANUFACTURED PLYWOOD/VENEER DECLARATION Note: Where AQIS has arrangements with overseas governments and/or companies the certificates must comply with the requirements of that arrangement. This is to certify that the goods described below, have been manufactured in accordance with the statements made below. Unique identifiable link to the consignment: Description of goods/packaging:.. (such as pallets, crates, etc if used as packaging.) Quantity/volume of goods/packaging: Date of manufacture:.. Country of manufacture:. Note: Plywood/veneer manufactured in Fiji, Indonesia, Malaysia, Philippines, Singapore, Thailand, Vanuatu and Western Samoa must be exported within 21 days of manufacture. Plywood/veneer from all other countries must be exported within 90 days of manufacture. Statement: The.. (insert name of plywood or veneer) in this consignment was manufactured in (insert name of country) on (insert date of manufacture) and has not been pre-used. Additional statements as required by the import conditions for the relevant goods/packaging (if applicable)... Signature:... Printed name. (Company representative) Date of issue:...

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