Importer Security Filing

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Name:
Email:
Phone#:
Estimated Sailing/Export Date:(MMDDYY)
Transship: Transship Date:(MMDDYY)
Reference#:
Doc Received: (MMDDYY)(For Internal Use Only)
Doc Received by (For Internal Use Only)
Vessel:
Voyage:
SCAC Code: Template?
Bill of Lading & Type:
Regular Bill House Bill
Name of Importer:
Importer of Record:
(Leave Importer of Record field blank if same as Name of Importer)
Name of Consignee:

Click on AutoFill Checkbox if Manufacturer/Supplier Info is same as Seller Info
[ Seller Info ]
Name:
DUNS#:

Address:
City:
State:
Province:
Postal/Zip Code:
* More than 1 Seller Info
=>
Auto
Fill

[ Manufacturer/Supplier Info ]
Name:
DUNS#:

Address:
City:
State:
Province:
Postal/Zip Code:
 

Click on AutoFill Checkbox if Ship to Party Info is same as Buyer Info
[ Buyer Info ]
Name:
DUNS#:

Address:
City:
State:
Province:
Postal/Zip Code:
* More than 1 Buyer Info
=>
Auto
Fill

[ Ship to Party Info ]
Name:
DUNS#:

Address:
City:
State:
Province:
Postal/Zip Code:
* More than 1 Ship to Party Info


Click on AutoFill Checkbox if Consolidator Info is same as Container Stuffing Location Info
[ Container Stuffing Location ]
Name:
DUNS#:

Address:
City:
State:
Province:
Postal/Zip Code:
* More than 1 Container Stuffing Location
=>
Auto
Fill

[ Consolidator ]
Name:
DUNS#:

Address:
City:
State:
Province:
Postal/Zip Code:
* More than 1 Consolidator

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