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					                                     TEMPLATE DOCUMENT
                   PACKER OR SUPPLIER TO COMPLETE ON THEIR LETTERHEAD (INCLUSIVE OF
                                       STREET ADDRESS)

                             FCL/LCL ISPM15 Container Packing Declaration

                            [Answers to be completed in the appropriate places]

Ship Name:                              Voyage Number:

Consignment identifier(s) or Numerical Link(s):
(Acceptable examples include; Bill of lading number, container number, commercial invoice numbers)

PROHIBITED PACKAGING MATERIAL STATEMENT
(Prohibited Packing Materials includes straw, bamboo, peat, hay, chaff, used fruit and vegetable
cartons/boxes and other unprocessed plant materials.)
Q. Have prohibited packaging materials or bamboo products been used as packaging or dunnage in the
consignment covered by this document?
A.       YES                                          NO

TIMBER/RECONSTITUTED WOOD PACKAGING/DUNNAGE STATEMENTS

Q. Has reconstituted wood (example, particleboard, chipboard, masonite, oriented strand board, medium
and high density fibreboard) packaging/dunnage been used in consignments covered by this document?
Note: Reconstituted wood is not considered as being “timber”.

A.       YES                                          NO

Q.      Has timber packaging/dunnage been used in consignments covered by this document?
        Note: “timber” packaging does not include packaging/dunnage of “reconstituted wood”.
         “Timber” does however include solid wood and plywood/veneer packaging/dunnage.

A.       YES                                          NO

Q.       All timber packaging/dunnage used in the consignment has been treated and marked in
compliance with ISPM 15.
 Note: ISPM 15 compliant “timber” only relates to solid timber. It does NOT relate to plywood/veneer
packaging/dunnage.

A.       YES                                          NO

BARK STATEMENT (including ISPM 15 compliant “timber” packaging/dunnage)
(Bark is the external natural growth layer covering trees and branches)


Q.      Is all “timber” packaging/dunnage used in this consignment free from bark?

A.       YES                                          NO

CONTAINER CLEANLINESS STATEMENT (Applies to FCL/FCX Containers only)


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: ________________________                      Date: _______________
INSTRUCTIONS TO COMPLETING A

PACKING DECLARATION
FOR IMPORTATIONS INTO AUSTRALIA
PLEASE COPY EXAMPLE OF PACKING DECLARATION ONTO YOUR LETTERHEAD.

INSERT THE SHIP NAME AND VOYAGE NUMBER

UNDER CONSIGNMENT IDENTIFER AND NUMERICAL LINK IT IS MANDATORY TO
INSERT AT LEAST TWO OF THE FOLLOWING:

INVOICE NUMBER
CONTAINER NUMBER
BILL OF LADING NUMBER

STRAW PACKING- IF NO STRAW USED PLEASE MARK NO

(Straw packing includes straw, cereal, rice hulls, and other unprocessed plant
materials.)TIMBER PACKING
(Timber packing includes: Crates, Cases, Dunnage, Pallets, Skids, and any other
timber used as a shipping aid.)

IF NO TIMBER USED PLEASE MARK NO - PLEASE IGNORE QUESTION FOR
BARK - NOT APPLICABLE (N/A) IF NO TIMBER USED
IF YES TO TIMBER USED PLEASE MARK YES - PLEASE ANSWER QUESTION
FOR BARK
(Bark is the external natural layer covering trees and branches. This material is
distinct and separable from processed timber.)
PLEASE ANSWER BARK QUSETION–IF ANSWERED YES TO TIMBER
PACKING

IF FREE FROM BARK (BARK NOT USED) PLEASE ANSWER YES
PLEASE SIGN, STAMP & DATE DECLARATION

Please note: if Timber packaging used then an acceptable treatment certificate must
be supplied.