Packing Declaration

Vessel name:

Voyage number:

Consignment identifier or numerical link:

UNACCEPTABLE PACKING 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 consignments covered by this document?

YES

(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?

YES Timber

YES Bamboo

NO (nil timber/bamboo)

(ONLY IF TIMBER/BAMBOO PACKAGING/DUNNAGE IS DECLARED IN QUESTION 2)

Q3 All timber/bamboo packaging/dunnage used in the consignment has been:

Treated and marked in compliance with ISPM 15

Treated in compliance with Department of Agriculture Fisheries and Forestry treatment requirements (with accompanying treatment certificate)

Not treated

(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:

Date of issue: