Please fax the completed form to 1.866.879.9037
Export of shipments tendered in conjunction with this form may be delayed until approval is received from AES with the ITN.
*Shipments requiring State Department license must utilize the FedEx International Controlled Export service option. 10/2017 gsh
U.S. Principal Party in Interest Complete Name
EIN USPPI FedEx Account Number (for billing EEI charges)
Shipping Location Address
Ultimate Consignee Address, State/Province and Postal Code
Ultimate Consignee Name
Intermediate Consignee (complete name and address, if any) Original ITN
Ultimate Consignee Country
Ultimate Consignee Type
Parties to Transaction
Ship Date, if not today FTZ Number, if applicable Entry Number, if applicable Inbond Code, if applicable
FedEx Air Waybill No. (if known)
Hazardous Materials
Equipment Number, if any Seal Number, if any Used Self-propelled Vehicle Vehicle Title Number, if any VIN Product ID, if any & select one Vehicle Title State, if any
Routed Export Transaction Customer Reference Number (optional) Authorized Agent
FedEx Express Global Trade Services
3690 Hacks Cross Road, Building I, 3rd Floor
Memphis, TN 38125, USA
I certify that all statements and information contained in this document are true and correct, authorize FedEx Express to act as our agent for the purpose of filing the Electronic Export Information (EEI) to the AES, and agree to the FedEx Express Export AgentFile Terms and Conditions
Signature Title Date Telephone No. (Include Area Code)Name
Preferred Method of Communication (select and enter number or email) Alternate Email
DDTC ITAR Exemption Number, if any DDTC Registration Number, if any
State Department License & type, if anyExport License/Permit Number & type, if any
DDTC USML Category Code, if any
DDTC Quantity, if any
DDTC Significant Military Equipment (SME) Indicator, if any DDTC Eligible Part, if any (Certification Indicator)
DDTC Unit of Measure, if any
( FedEx Express does not file routed
export transactions as an agent)
D/F Schedule B/HTS Number Schedule B/HTS Commodity Description ECCN, if any
Value
(in U.S. Dollars)
License Value
(in U.S. Dollars)
Weight
(Kilograms)
1st Quantity and Unit
(2nd Quantity and Unit, if any)
For FedEx Use Only: SRN ITN
U.S. Principal Party in Interest (USPPI)
Shipment Information
Ultimate Consignee
Description of Commodities
Shipper’s Authorization
VID PID
Yes No
Yes No
FAX Email Phone
Yes No
Yes No Yes No
Government Entity
Non-Related
Direct Consumer
Related
Other or UnknownReseller
FedEx Export AgentFile
®
FedEx Express
For use FedEx Express
®
packages and freight
License
Exception Symbol
D/F
Description of Commodities
Schedule B/HTS Number Schedule B/HTS Commodity Description ECCN, if any
Value
(in U.S. Dollars)
License Value
(in U.S. Dollars)
Weight
(Kilograms)
1st Quantity and Unit
(2nd Quantity and Unit, if any)
FedEx Export AgentFile
®
FedEx Express
For use FedEx Express
®
packages and freight
License
Exception Symbol
Explanation of Fields
FedEx can file only electronic export information for shipments tendered
to FedEx Express.
Please complete the form and fax it to FedEx. You will receive the AES approval
number (ITN – Internal Transaction Number), which you will need to enter on your
air waybill or label prior to tendering the shipment to FedEx. If you need additional
assistance, please call Customer Service for FedEx Express
®
package shipments at
1.800.GoFedEx 1.800.463.3339 or call Customer Service for FedEx Express freight
shipments at 1.800.332.0807.
Charge for Filing. The current charge for EEI filing is $10. This amount is subject to
change without notice.
U.S. Principal Party in Interest (USPPI). Enter the name and address of the USPPI.
The USPPI is the person in the U.S. that receives the primary benefit, monetary
or otherwise, of the export transaction. Generally, that person is the U.S. seller,
manufacturer, order party, or foreign entity. Provide the USPPI’s complete name.
EIN. Enter the nine-digit USPPI’s Internal Revenue Service Employer Identification
Number (EIN).
USPPI FedEx Account Number. For an express shipment, enter your FedEx U.S.-
based payor account number for billing of the EEI agent filing charges.
Shipping Location Address. The address is the location from which the merchandise
actually starts its journey to be exported. If the USPPI does not have a facility
(processing plant, warehouse or distribution center, retail outlet, etc.) at the location
from which the goods began their export journey, report the USPPI address from
which the export was directed.
Ultimate Consignee. Enter the country of the designated end user or designated
party on the export license. For shipments to Mexico or the U.S., include the state
in the address. For shipments to Puerto Rico or the U.S., include the ZIP code in the
address.
Ultimate Consignee Country. Enter the country of the designated end user or
designated party on the export license.
Parties to Transaction. Select “Yes” or “No” to indicate if this is a related or non-
related party transaction. A related party transaction is a transaction between a
USPPI and a foreign consignee (e.g., parent company or sister company), where
there is at least 10 percent ownership of each by the same U.S. or foreign person or
business enterprise.
Ultimate Consignee Type. Select the appropriate box that identifies the ultimate
consignee as a D) Direct Consumer, G) Government Entity, R) Reseller, or O) Other
or Unknown.
Intermediate Consignee. If one is involved in the transaction, enter the name and
address of the party in a foreign country who makes the delivery of the merchandise
to the ultimate consignee or the parties named on the export license.
Original ITN. The Original ITN is the ITN associated with a previously filed shipment
that is subsequently replaced, divided, or canceled. Split shipments that require an
additional AES filing, shipments that are sold en route, and shipments sold while in
transit are examples of when this field can be utilized.
Shipment Information
Ship Date. Enter the date the shipment will be tendered to FedEx.
Hazardous Materials. Select “Yes” or “No” to identify the shipment as hazardous,
as defined by the Department of Transportation.
FTZ Number. If merchandise is withdrawn from a Foreign-Trade Zone (FTZ), enter
the unique seven-character code assigned to the location by the Foreign-Trade
Zones Board.
Entry Number. Enter the Import Entry Number if the shipment is bonded, such as
withdrawal from an FTZ or a bonded warehouse.
Bonded Code. If the shipment is bonded, enter one of the following codes:
36 = Warehouse withdrawal for IE
37 = Warehouse withdrawal for T & E
67 = IE from a Foreign-Trade Zone
68 = T & E from a Foreign-Trade Zone
FedEx
®
International Air Waybill Number. If using FedEx Express, enter the FedEx
International Air Waybill number. Required if shipment is on an air cargo (023 IATA)
air waybill.
Routed Export Transaction. FedEx cannot file routed export transactions as
an authorized agent. A routed export transaction occurs when the Foreign
Principal Party in Interest authorizes a U.S. forwarder or other agent to export the
merchandise out of the U.S. If your export is a routed export transaction, you need
to check the “Yes” box and file your own EEI. NOTE: FedEx will not file routed export
transactions as an authorized agent.
Customer Reference Number. Enter your own reference number for the shipment.
Authorized Agent. Identifies FedEx Express as the authorized agent.
Description of Commodities
D/F. Enter D (domestic) for merchandise that is grown, produced, or manufactured
in the U.S. (including merchandise that has been enhanced in value or changed
from the form in which it was imported by further manufacture or processing in the
U.S.), or enter F (foreign) for merchandise that has entered the U.S. and is being
re-exported in the same condition as when imported.
Schedule B/HTS Number and Commodity Description. Enter the 10-digit
commodity classification number as provided in Schedule B, “Statistical
Classification of Domestic and Foreign Commodities Exported from the United
States” (Schedule B) or the Harmonized Tariff Schedule (HTS) and the full
commercial description of the commodity.
ECCN. Enter the Export Control Classification Number (ECCN) if exporting under
a Department of Commerce license or license exception; also enter an ECCN if
exporting items under the No License Required (NLR) provisions of the Export
Administration Regulations (EAR) that are listed on the Commerce Control List
(CCL) and have a reason for control other than anti-terrorism. Enter EAR99 when
exporting under the NLR provisions when items are subject to the EAR but not
listed on the CCL. No ECCN is required for license exception symbol TMP and for
items subject to International Traffic in Arms Regulations (ITAR).
1st Quantity and Unit. Enter the total number of units (whole numbers only)
that corresponds to the schedule B or HTS commodity number for the 1st unit of
measure. Enter the primary unit of measure, as prescribed under the Schedule B or
HTS commodity number or as specified on the export license if the units differ.
2nd Quantity and Unit. If the Schedule B requires two units of quantity to be
reported, enter the second quantity (whole numbers only) that corresponds to the
Schedule B or HTS commodity number for the 2nd unit of measure. Also, if the
Schedule B requires two units of measure to be reported, enter the second unit of
measure, as prescribed under the Schedule B or HTS commodity number.
Weight (Kilograms). Enter the gross shipping weight for each Schedule B/HTS
number, including the weight of containers. To determine kilograms, please multiply
the weight in pounds by 0.4536.
Value (in U.S. Dollars). Enter the selling price or cost if item is not sold, including
inland freight, insurance, and other charges to the U.S. port of export, but excluding
unconditional discounts and commissions. The value to be reported on the EEI is
the USPPI’s price or cost if item is not sold to the Foreign Principal Party in Interest.
Enter one value for each Schedule B/HTS number in U.S. dollars using whole
numbers only (omit cents).
License Value. Enter the value for a licensable commodity that will not include any
overhead, like insurance, domestic freight, or other charges (in whole U.S. dollars).
License Exception Designation: NLR or Other. If exporting under a Department of
Commerce license exception, enter the correct license exception designation (e.g.,
LVS, GBS, CIV, etc.), or enter “NLR” (No License Required) if items that are being
exported are subject to the EAR but not listed on the Commerce Control List (CCL)
and if items being exported are listed on the CCL but do not require a license.
U.S. Department of State Export Licenses. If exporting under a license from the U.S.
Department of State, enter the license type (e.g., DSP-5, DSP-61, etc.) and license
number. In addition, the following fields must be completed:
DDTC Unit of Measure
DDTC Quantity
DDTC Registration Number
DDTC USML Category Code
DDTC Significant Military Equipment Indicator
Other U.S. Government Export Licenses/Permits. If exporting under a license from
the Department of Commerce or Department of the Treasury, or under a permit from
the Department of Justice, indicate the licensing agency (e.g., BIS, DEA, OFAC) and
the number assigned by the licensing agency.
DDTC. Directorate of Defense Trade Controls, formerly ODTC (Office of Defense
Trade Controls).
DDTC Unit of Measure, if any. Enter unit of measure covering the article
being shipped, as described on an export authorization or declared under
the ITAR exception.
DDTC Quantity, if any. Enter the total number of units that corresponds to the DDTC
Unit of Measure code.
DDTC ITAR Exemption Number, if any. Enter the specific citation (exemption
number) under the International Traffic in Arms Regulations (ITAR 22 CFR, Parts
120-130) that exempts the shipment requirements for a license or other written
authorization from DDTC. If the article is being shipped under an ITAR exemption,
the following DDTC fields must also be completed:
DDTC Registration Number
DDTC Significant Military Equipment Indicator
DDTC Eligible Party Certification Indicator
DDTC Unit of Measure
DDTC Quantity
DDTC Registration Number, if any. Enter the number assigned by DDTC to the
registered manufacturer or USPPI who has an authorization from DDTC (license
or exemption) to export the article.
DDTC USML Category Code, if any. Enter USML category code of the article being
exported (e.g., #09-Military Training Equipment, 11-Military Electronics, etc.).
DDTC Significant Military Equipment (SME) Indicator, if any. Select “Yes” or “No” to
indicate that the articles being exported do or do not warrant special export controls
because of their capacity for substantial military utility or capability.
DDTC Eligible Party, Certification Indicator, if any. Select “Yes” or “No” to indicate
that the USPPI is self-certified for the exemption and is an eligible party to
participate. This certification is required only when an exemption is claimed.
Preferred Method of Communication. Select the preferred method of
communication that is to be used if contact is necessary for additional/required
information; enter appropriate fax, phone, or email information.
Alternate Email. Enter alternate email information, if desired.
Shipper’s Authorization
Signature. Signature of the USPPI authorizing the transaction.
Name and Title. Print/Type signature name and enter title.
Date. Date signed.
Telephone Number. Telephone number of person signing form.
FedEx Export AgentFile
®
– FedEx Express
For use FedEx Express
®
packages and freight
FedEx Export AgentFile
®
– FedEx Express
For FedEx Use Only:
SRN – Shipment Reference Number issued by FedEx Express for record
identification purposes.
ITN – Internal Transaction Number transmitted by AES back to FedEx acknowledging
acceptance of the submission.
FedEx Export AgentFile
®
Terms and Conditions
Section 1. EEI Preparation and Filing.
a) In accordance with the FedEx Export AgentFile form, the FedEx customer
(“Customer”), as the U.S. Principal Party in Interest (USPPI), authorizes
FedExCorporation (“FedEx”) to prepare and file the EEI with the U.S.
Government’s Automated Export System (AES), as required by applicable U.S.
laws and regulations. Such preparation and filing shall be based solely on
information that the customer provides, with the exception of the following data
elements which shall be provided by FedEx: port of export; date of export; foreign
port of unlading; conveyance name code; carrier identification code; and mode of
transportation code (collectively referred to as the “Carrier Data Elements”).
b) FedEx will act as an authorized agent for EEI filing only when shipments contain
commodities that require electronic filing of the EEI, as per applicable U.S. laws
and regulations, except when: the USPPI is foreign and a U.S. agent or forwarder
has been designated to export the shipment out of the U.S. (a “routed export
transaction”); the USPPI is a freight forwarder or the shipment is tendered to
FedEx from a freight forwarder; the EEI filing would require the Intermodal Form
(Commerce Form 7525-V-Alternate); the EEI filing would require the In-Transit
Goods Form (Commerce Form 7513), or the USPPI or recipient is listed on any of
the U.S. Government’s Restricted Party Lists.
c) Customer certifies that all statements and information provided to FedEx for
EEI filing will be true and correct. Customer acknowledges and warrants that
if Customer is not the USPPI, Customer is authorized by the USPPI to appoint
FedEx as a sub-agent to file the USPPI’s EEI to AES. Furthermore, Customer
acknowledges that civil and criminal penalties, including forfeiture and sale, may
be imposed for making false and fraudulent statements or for the violation of any
U.S. law on exportation, including, but not limited to: 13 U.S.C. § 305, 22 U.S.C.
§ 401, 18 U.S.C. § 1001, 19 U.S.C. § 1592(f), and 50 U.S.C. App. § 2410. Customer
acknowledges and agrees that he/she is solely responsible for the accuracy of
all data provided to FedEx for preparation of the EEI, including, but not limited
to: the FedEx Export AgentFile, and all applicable data thereto; the identification
of commodity types that require EEI filing; Schedule B or HTS commodity
numbers; and license information. Customer agrees to immediately notify
FedEx of any changes, omissions, or deletions that need to be made to the EEI
record, including if the shipment for which the EEI was filed will not be exported.
FedEx reserves the right to reject Customer’s request if it does not contain the
information necessary for EEI filing purposes. To the extent that a conflict exists
between the FedEx Export AgentFile form and these Terms and Conditions, the
Terms and Conditions control.
d) FedEx will provide Customer the appropriate EEI AES Proof of Filing (POF)
Citation legend for use on shipping documents used subsequent to the EEI
filing. Customer agrees that the Internal Transaction Number (ITN) provided by
AES is the appropriate EEI legend for shipments for which FedEx files EEIs as
an authorized agent. Customer agrees to enter the ITN as the AES POF Citation
legend on the appropriate shipping documents, including the FedEx International
Air Waybill or FedEx Express shipping label, prior to tendering a shipment
to FedEx Express. Customer acknowledges that failure to provide the ITN on
the appropriate shipping documents could result in a delay of the respective
export shipment and could also subject Customer and the export shipment to
enforcement action by U.S. government agencies.
e) Customer agrees that, except as otherwise provided herein, the conditions
of these Terms and Conditions remain subject to the applicable Terms and
Conditions set forth in the FedEx Service Guide that is in effect at the time of the
shipment and to the Terms and Conditions of the FedEx International Air Waybill.
Section 2. Taxes.
Any fees for EEI agent filing by FedEx shall include the amount of any sales tax,
excise, or other similar tax applicable to EEI agent filing.
Section 3. Retention of Records & Reporting.
Customer acknowledges and agrees that FedEx shall not provide any reports or
analysis of EEIs other than what is required by applicable U.S. laws and regulations.
FedEx will meet its obligations for recordkeeping to the extent required by
applicable U.S. laws and regulations. Under no circumstances will FedEx be liable
for Customers export recordkeeping or Customers export recordkeeping violations.
Section 4. Independent Contractor Relationship.
Customer and FedEx intend that an independent contractor relationship will be
created by these Terms and Conditions. Customer is interested only in the results of
the EEI filing and shall not exercise any control over the conduct or supervision of
the EEI process. FedEx shall have full responsibility for the payment of all federal,
state, and local taxes and contributions, including penalties and interest, imposed
pursuant to unemployment insurance, Social Security, income tax, workers’
compensation, or any similar statute.
Section 5. Disclosure of Information.
Customer and FedEx acknowledge that certain of the other party’s valuable,
confidential, and proprietary information may come into their possession.
Accordingly, each party agrees that all such information furnished to one party by
the other shall remain the exclusive property of the disclosing party, and agrees
to hold all information it obtains from or about that party in strictest confidence,
not to use such information other than for the performance of the Agreement,
and to cause any of its employees or subcontractors to whom such information
is transmitted to be bound to the same obligation of confidentiality to which it is
bound. Neither party shall communicate the other’s information in any form to
any third party without the other party’s prior written consent. In the event of any
violation of this provision, the disclosing party shall be entitled to preliminary
and permanent injunctive relief, as well as an equitable accounting of all profits
or benefits arising out of such violation, which remedy shall be in addition to any
other rights or remedies to which that party may be entitled. Notwithstanding any
provision to the contrary, the parties hereby agree that FedEx may disseminate
Customers confidential information to any wholly owned subsidiary, affiliate, or
parent corporation.
Section 6. No Warranties.
Except as expressly set forth herein, or required by U.S. law, EEI agent filing is
provided to and accepted by Customer without any warranty whatsoever, including,
but not limited to, any warranty as to results, fitness for a particular purpose, or
otherwise.
Section 7. Standard of Performance.
EEI agent filing shall be performed by FedEx in a good, workmanlike manner in
accordance with the standards of the profession and such other accepted standards
as may be applicable to work of this kind.
Section 8. Indemnification.
Customer agrees to indemnify, hold harmless, and defend FedEx, its officers,
directors, employees, and agents from and against any and all claims, expenses,
fines, judgments, damages, or awards (including, without limitation, U.S. or foreign
export compliance fines or penalties, customs fines or penalties, and reasonable
attorney fees) arising out of or related to the preparation and filing of the EEI,
except for claims arising solely from the gross negligence or willful misconduct of
FedEx. Customer further agrees to hold FedEx, its officers, directors, employees,
and agents harmless from and against all claims, damages, liabilities, actions,
losses, costs, and expenses of any nature whatsoever in any manner arising out
of Customer providing to FedEx incomplete, inaccurate, or false information or
documents. For shipments requiring a U.S. Department of State or Department
of Commerce export license, Customer agrees that he/she remains liable for and
will hold FedEx, its officers, directors, employees, and agents harmless from and
against all claims, damages, liabilities, actions, losses, costs, and expenses of any
nature whatsoever in any manner arising out of Grantor’s failure to comply with
U.S. law applicable to the exportation of such shipments.
Section 9. Miscellaneous.
a) Assignment.
These Terms and Conditions shall inure to the benefit of and be binding upon
Customer and FedEx and their respective successors, but neither the rights nor
the duties of either party under these Terms and Conditions may be voluntarily
assigned or delegated without prior written consent of the other party, except
FedEx may assign part of its rights and delegate its duties hereunder to affiliated
FedEx companies wholly owned by its parent company, FedEx Corporation.
b) Applicable Law.
These Terms and Conditions shall be governed by and interpreted in accordance
with the laws of Tennessee, and Customer agrees to submit to the jurisdiction of
any appropriate court within Tennessee for adjudication of disputes arising from
these Terms and Conditions.
c) Severability.
If any provision of these Terms and Conditions is held to be invalid, illegal, or
unenforceable, the validity, legality, and enforceability of the remaining provisions
shall in no way be affected or impaired.
d) Waiver.
The failure of either party at any time to require performance by the other
of any provision of these Terms and Conditions shall in no way affect that party’s
right to enforce such provision, nor shall the waiver of any further breach of
any provision be taken or held to be a waiver of any further breach of the same
provision or any other provision.
e) Survival.
The provisions of these Terms and Conditions, which by their nature
extend beyond the expiration of earlier termination of these Terms and
Conditions, will survive and remain in effect until all obligations are satisfied.
Specifically, the obligations concerning indemnification and disclosure of
information shall survive.
For use FedEx Express
®
packages and freight
©2017 FedEx. All rights reserved. 0027624PM
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