Let’s get things right from the beginning.
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Please note: ONLY customers that have a valid, current Deringer employee contact name clearly delineated on the credit application will be accepted and processed. New customers must have an authorized Deringer representative provide verification of our service arrangement prior to any shipment(s) or entry processing. If you are looking for forms and information on becoming a new Deringer customer, click here.
Customer Information Forms
- Customer Information/Credit Application
- Power of Attorney – Importing & Exporting
- LLC Members List POA Addendum
- Sole Signing Officer POA Addendum
- Power of Attorney for Canadian Brokers
- Bond Application* Completion of a bond application is only necessary for customers wishing to purchase an annual, continuous bond.
- 3rd Party Billing Waiver
- ACH Debit Application, CBP Form 400
- Broker Known Importer Program (BKIP)
- Create/Update Importer Identity Form, CBP Form 5106
CBP created the above form using security measures that prohibit opening it in certain browsers. To access it, save the file locally to your PC (i.e., right-click, Save As). - Special Address Notification, CBP Form 4811
Customs Forms
- Proforma Invoice
- ACE/ACI eManifest Template
- Census Warning Information Sheet (download form, do not fill in browser)
- Census Warning Information Sheet-Blanket (download form, do not fill in browser)
- Certificate of Registration, CBP Form 4455
- Declaration for Free Entry, CBP Form 3299
- Declaration for Free Entry of Returned American Products, CBP Form 3311
- Declaration of Owner, CBP Form 3347-Superseding Bond
- Manifest and Entry of Merchandise Free of Duty, Carrier’s Certificate and Release, CBP Form 7523
- ACI Highway Client Fillable Form
- Canada Customs Invoice
- Aluminum Content Statement
ADD/CVD Forms
- ADD/CVD/Single Shipment Statement of Non-Reimbursement
- ADD-Blanket Statement of Non-Reimbursement & Instructions
- AD/CVD Non-Applicability Statement – Single Shipment & Instructions
- AD/CVD Non-Applicability Statement – Blanket & Instructions & Addendum
9801/9802 Forms for Conditional Duty Free Treatment
- Affidavit of Manufacture-single
- Affidavit of Manufacture-blanket
- Foreign Shipper Declaration/Declaration by Foreign Shipper
- 9801 Declaration by Owner, Importer, or Consignee
- 9801.00.10 – Single Waiver
- 9801.00.10 – Blanket Waiver
- 9802 Declaration by Owner, Importer, or Consignee 9802.00.40 or 9802.00.50
- 9802 Repair Declaration 9802.0040 or 9802.00.50
- 9802 Declaration by Owner, Importer, or Consignee 9802.00.60
- 9802 Declaration by the Processor 9802.00.60
- 9802 Endorsement by the Importer 9802.00.80
- 9802 Declaration by the Assembler 9802.00.80
- 9802 Blanket Waiver
USMCA
- USMCA Certificate (Blanket) and Addendum (download form, do not fill in browser)
- USMCA Certificate (Individual Shipment) and Addendum (download form, do not fill in browser)
Temporary Import Bond (TIB)
- TIB Application for Exportation of Articles Under Special Bond, CBP Form 3495
- TIB Application for Extension of Bond, CBP Form 3173
- TIB – Statement of Use 19 CFR 10.31
In-Bond
Export Forms
Importer Security Filing (ISF)
APHIS Core
- APHIS Core – Farm Machinery Imports Required Information & Importing Farm Machinery Guidance
- APHIS Core – Disclaim Declaration & APHIS Core Guidance Document
DEA
EPA
- EPA Form 3520-1 (Light duty/on road)
- EPA Form 3520-21 (Heavy duty highway/off-road)
- EPA 3540-1 Notice of Arrival of Pesticides and Devices (NOA)
- EPA Pesticides & Pesticide Devices Disclaim Declaration
- TSCA Chemical Substances Import Certification Form
- TSCA Title VI – Formaldehyde Emissions for Composite Wood Products
FDA
- FDA Disclaimer
- FDA Prior Notice Form & Instructions
- FDA Template – Dietary Supplements
- FDA Template – Drugs, Intended Use
- FDA Template – Medical Devices
- FSVP Instruction Letter
Fish and Wildlife Service (FWS)
Lacey Act
- Lacey Act Disclaim Form
- Lacey Act Form 2023 & Lacey Act Continuation Form – 1 – 2023
- Lacey Act Form – Completed 2020
National Marine Fisheries Services (NMFS)
- Fisheries Cert of Origin- NOAA Form 370
- Seafood Import Monitoring Program (SIMP) of the National Marine Fisheries Service (NMFS) Resources & Guidance
- Seafood Import Monitoring Program (SIMP) – Small Vessel Harvest and Harvest Capture Fisheries Form
- Seafood Import Monitoring Program (SIMP) – Hatchery Based Aquaculture Form
NHTSA
Alcohol and Tobacco Tax and Trade Bureau (TTB)
Other Forms
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