PACKING DECLARATION

Vessel Name:	Voyage Number:

Consignment identifier(s) or numerical link (s):

..mandatory	Commercial Invoice Number:
and / or -	Packing List number:
and / or -	Container number:
and / or -	BL number:
and / or -	Treatment Certificate number (if any):
and / or -	Other Documentation (if any):

PROHIBITED PACKAGING MATERIAL STATEMENT

(Prohibited packaging material such as straw, bamboo, peat, hay, chaff, used fruit & vegetable cartons)

Q.1	Have prohibited packaging materials or bamboo products been used as packaging or dunnage in the consignment covered by this document?
A.1

TIMBER PACKAGING/DUNNAGE STATEMENT

(Timber packaging/dunnage includes: crates, cases, pallets, skids, and any other timber used as a shipping aid.)

Q.2	Has solid timber packaging/dunnage been used in consignments covered by this document?
A.2

TREATMENT CERTIFICATION (ONLY IF TIMBER/DUNNAGE IS DECLARED IN QUESTION 2)

Q.3	All timber packaging/dunnage used in the consignment has been: (Please Indicate below)
Please select one	Treated and Marked in compliance with ISPM 15
…. Or ….
Treated in compliance with DAFF Treatment Requirements (With accompanying Treatment Certificate)
…. Or ….
Not Treated

Signed:	Printed Name:
(Company Representative)
Date of Issue: