Company letterhead
(MUST be issued by the packer or supplier of the goods and MUST include the company’s name AND
address)
PACKING DECLARATION
Vessel name: SWAN RIVER BRIDGE Voyage number: 974S
Consignment identifier or numerical link AWS/PGUFRE0410
UNACCEPTABLE PACKAGING MATERIAL STATEMENT
(Packaging material such as straw, peat, hay, chaff, used fruit & vegetable cartons are not permitted)
Q1 Have unacceptable packaging materials been used as packaging or dunnage in the consignment
covered by this document?
A1 YES NO x
TIMBER/BAMBOO PACKAGING/DUNNAGE STATEMENT
(Timber/bamboo packaging/dunnage includes: crates, cases, pallets, skids, and any other timber or bamboo used as a
shipping aid)
Q2 Has timber/bamboo packaging/dunnage been used in consignments covered by this document?
NO TIMBER
A2 YES TIMBER .. ………YES BAMBOO x
. NO BAMBOO
TREATMENT CERTIFICATION (ONLY IF TIMBER/BAMBOO PACKAGING/DUNNAGE IS DECLARED IN QUESTION 2)
Q3 All timber/bamboo packaging/dunnage used in the consignment has been (Please Indicate below)
Treated and marked in compliance with ISPM 15
(Note: ISPM 15 is only applicable to timber packaging)
Or
Treated in compliance with Department of Agriculture
and Water Resources treatment requirements
(With accompanying treatment certificate)
Or
Not treated
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:..............................................
(Company representative)
Date of issue:
01/07/2020
Version current as at: January 1, 2018