1. U.S. PRINCIPAL PARTY IN INTEREST (USPPI) (Complete name and address)
6.
ULTIMATE CONSIGNEE (name, address, phone, email)
9.
FORWARDING AGENT (Complete name and address)
8.
INTERMEDIATE CONSIGNEE (Complete name
and address)
ZIP CODE
2. USPPI EIN (IRS) NO.
4
DATE
3
PARTIES TO TRANSACTION
Related Non-related
5.
USPPI REFERENCE NO.
NOTE: The Shipper or his Authorized Agent hereby authorizes the above named Company, in his
name and on his behalf to act as its true and lawful agent, to prepare any export documents, to sign and
accept any documents relating to said shipment and forward this shipment in accordance with
the conditions of carriage and the tariffs of the carriers employed. The shipper guarantees
payment of all collect charges in the event the consignee
refuses payment. Hereunder the sole
responsibility of the Company is to use reasonable care in the selection of carriers, forwarders,
agents and others to whom it may entrust the shipment.
SHIPPER’S INSTRUCTIONS IN CASE OF INABILITY
TO DELIVER CONSIGNMENT AS ASSIGNED
Abandon Return to Shipper
Deliver To:
Are goods considered donated/charity under Flexport.Org
No Yes
SHIPPER REQUESTS INSURANCE: No Yes $ ________________________
36.
I certify that all statements made and all information contained herein are true and correct. I understand that civil and
criminal penalties, including forfeiture and sale, may be imposed for making false or fraudulent statements herein, failing
to provide the requested information or for violation of U.S. laws on exportation (13 U.S.C. Sec. 305; 22 U.S.C. Sec. 401;
18 U.S.C. Sec. 1001; 50 U.S.C. App. 2410).
Signature
Title
Date
Telephone No. (Include Area Code)
40.
AUTHENTICATION (When required)
E-mail address
These commodities, technology or software were exported from the United
States in accordance with the Export Administration Regulations.
Diversion contrary to U.S. Law is prohibited.
35.
Duly authorized officer or employee Printed Name
34.
Domestic
or Foreign
(D/F)
Quantity in
Schedule B /HTS
Units
SHIPPING
WEIGHT
(Kg)
Export License No., License Exception
Symbol, DDTC Exemption No., DDTC ACM
No. or NLR (No License Required)
VALUE
(at Port of Export
in U.S. Dollars)
23.
Schedule B / HTS Number and Commercial
Commodity Description. For Vehicles: VIN/Year,
Make, Model & Vehicle Title No Required
24.
29.
30.
22.
13
20.
14.
17.
16.
19.
HAZARDOUS MATERIALS
21.
ROUTED EXPORT TRANSACTION
AIR
OCEAN
Yes No
Yes No
11.
POINT (STATE) OF ORIGIN OR FTZ NO.
PREPAID COLLECT C.O.D. $______________________
12.
COUNTRY OF ULTIMATE DESTINATION
Service
Consolidate Direct
15.
18. ENTRY NUMBER
IN BOND NUMBER
SHIP VIA
DDTC Registration Number ____________________________
DDTC Eligible Party Certification Indication Yes No
W W W . FLEXPORT. C O M
Ultimate Consignee Type
7.
Direct Consumer
Government Entity
Reseller
Other/Unknown
Freight Location (name, address, phone, email)
UN#:
TIB/Carnet?
Yes
No
Instructions to Forwarder:
25
DDTC Quantity
and DDTC Unit of
Measure
ECCN,
EAR99 or USML
Category No.
S
M
E
Y/
N
License Value by
item (if applicable in
U.S. Dollars)
Per TSA Regulations, Flexport, Inc must refuse to transport by air or offer for transport to
another IAC, aircraft operator, foreign air carrier, all-cargo aircraft operator, all-cargo
foreign air carrier, all-cargo twelve-five aircraft operator, or all-cargo twelve-five foreign
air carrier any cargo accepted directly from a shipper if the shipper does not consent to a
search or inspection of the cargo. By signing this document, shipper grants consent to
screen cargo
27
31.
32.
Check here if there are any remaining non-licensable Schedule B/HTS Numbers that are valued $2500.00 or less and that do not otherwise
require AES filing
Enter full amount of insurance requested. Please note insurance may require payment of additional fee. Flexport, Inc.
Terms and Conditions of contract as posted on www.Flexport.com applies.
26.
28
33.
37.
38.
39.
41. 42.
44.
43.
10.
SHIPPERS LETTER OF INSTRUCTIONS (SLI)
SLI v.12192019
Check here to validate Electronic Signature. Electronic signatures must be typed in all capital letters
in Box 37 in order to be valid. By checking this box, I certify that I am a duly authorized officer or
employee of the USPPI, that all statements made and all information contained herein are true and
correct, and that I understand that civil and criminal penalties, including forfeiture and sale, may be
imposed for making false or fraudulent statements herein, failing to provide the requested
information, or for violation of U.S. laws on exportation (13 U.S.C. Sec. 305; 22 U.S.C. Sec. 401; 18
U.S.C. Sec. 1001; 50 U.S.C. App. 2410.
SAVE
Reset Form
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signature
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INSTRUCTIONS FOR COMPLETING THE SHIPPER’S LETTER OF INSTRUCTION (SLI)
1. U.S. Principal Party In Interest (USPPI) -Provide the name and address of the U.S. exporter
(U.S. principal party in interest). The USPPI is the person in the United States that receives the
primary benefit, monetary or otherwise, of the export transaction. Generally that person is the U.S.
seller, manufacturer, order party. In general, the Freight Forwarder cannot be the USPPI. When a
foreign entity is in the United States at the time the items are purchased or obtained for export the
foreign entity is the USPPI for filing purposes. (see 15 CFR § 30.3). Enter the USPPI address to be
used for documentation (a P.O. Box is not allowed). If the cargo begins its journey to the port of
export from a different address, please report that address in box number 13.
2. USPPI Employer Identification Number (EIN) - FTR 15 CFR 30.6(a)(1)(iii) - Report your 9
digit (numeric) company EIN. This must be the EIN of the party reported as the USPPI. If your
company utilizes a 2-character suffice (alpha-numeric) that you want reported, please include those
character(Example 951234567AB). When a foreign entity is in the United States at
the time
the
items are purchased or obtained for export, the foreign entity is the USPPI for filing
purposes. In
such
situations, the foreign entity shall report a DUNS, border crossing number, passport
number, or
any
number assigned by CBP.. If the USPPI does not have an EIN, the USPPI must obtain an EIN for
reporting to the AES. Use of another company's or individual's EIN or other identification number is
prohibited.
3. Parties to Transaction - Indicate if this is a related or non-related party transaction as stated in FTR 15
CFR 30.6(a)(10). Check “related” if you own 10% of the ultimate consignee or if they own 10% of
your company. Otherwise check “Non-Related”.
4. Date of Exportation - Enter the date the merchandise is scheduled to leave the United States for all
methods of transportation.
5. USPPI Reference Number - Enter the reference number for the USPPI. Enter your shipment internal
control / reference number the number that you want the forwarder to refer to in any
communication.
6.
8.
7.
10.
9.
11.
12.
13.
14.
15.
16.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
32.
DDTC Registration Number - For Department of State, DDTC licensed transactions: Enter
your Directorate of Defense Trade Controls (DDTC) Registration Number (also referred to as the
Registration Code.) DDTC Registration Numbers must always be shown in exactly six characters.
Examples of acceptable registration number formats: M-1234 or M12345.
33.
DDTC Eligible Party - Certification by the U.S. exporter that the exporter is an eligible party to
participate in defense trade. See 22 CFR 120.1(c). This certification is required only when an ITAR
exemption is claimed.
17.
Ultimate Consignee Name and Address - Enter the name and address (including country)
of the foreign party who will be receiving the export shipment at destination. This party
may be the FPPI and/or the end user, but it will not be the party at destination that is
acting as agent (intermediate consignee) hired to deliver the items to the ultimate consignee.
For items subject to licensing under ITAR, enter the name and address of the Foreign End
User.
Ultimate Consignee Type - Select one from the list provided. Do not select "Other/Unknown"
unless the ultimate consignee truly does not fit into any of the other categories.
Direct Consumer - a non-government institution, enterprise, or company that will consume or
use the exported good as a consumable, for its own internal processes, as an input to the production
of another good or as machinery or equipment that is part of a manufacturing process or a provision
of services and will not resell or distribute the good.
Government Entity - A government-owned or government-controlled agency, institution,
enterprise or company.
• Reseller - A non-government reseller, retailer, wholesaler, distributor, distribution center or
trading company.
• Other/Unknown - An entity that is not a Direct Consumer, Government Entity or Reseller, as
defined above, or whose ultimate consignee
Intermediate Consignee - Enter the intermediate consignee name and address (if applicable) including
country.
Forwarding Agent - Enter the name and address of the forwarding or other agent authorized by a
principal party in interest.
Freight Charges - Please check if the freight charges are prepaid to the shipper, collect to
the consignee or of a COD (Cash on Delivery) is required and the amount of COD if applicable.
Point of Origin or FTZ Number- Enter the 7 character Foreign Trade Zone identifier if the goods are
removed from the FTZ and not entered for consumption.
Country of Ultimate Destination - Enter the country in which the merchandise is to be
consumed, further processed, or manufactured; the final country of destination as known to the
exporter at the time of shipment; or the country of ultimate destination for the end user as sh
own on
the export license. Two-digit (alpha character) International Standards Organization (ISO) codes may
also be used.
Freight Location - If different from the USPPI name, enter the company name and
physical address (PO box is not allowed) where the cargo is picked up.
Ship Via - Indicate if this shipment is to be transported via Air or Ocean services.
In Bond Number - If the cargo is moving in bond, enter the bond type code here. Otherwise,
enter "70"'not in bond'.
TIB/Carnet? Check "Y" if the shipment is moving on TIB/Carnet or check "N" if it is not. EEI filing is
required for all transactions over $2500.00 by Schedule B/HTS and for licensed transactions even
when being transported on a Carnet. .
28.
29.
Duly authorized officer or employee -Insert the name of the individual in your (USPPI)
company that is authorized to act in this capacity on your behalf, and who is authorized to speak to
CBP or other US Government Agency who might have reason to reach out to them on the
transaction.Sign For electronic signature validation, type in UPPERCASE letters.
30.
Certification to truth and accuracy of information provided.
31.
Report Domestic ( D) and Foreign (F) origin goods separately. In other words, If you have a
single Schedule B and part of the value is domestic, part foreign, you must report the Schedule B
twice, once with the domestic value and once with the foreign value.
Schedule B Number - Enter all of the 10 digit Schedule B or HTSUSA numbers that apply to
your shipment here. Report a commercial / generic commodity description that will allow CBP and
other government agencies to recognize the product, to identify that it falls into the Schedule B
classification, and in the case of licensed cargo, to identify that the product is clearly the product
described on the license. For Used Self Propelled Vehicles (as described in the CBP regulations part
192.1 and listed on AESTIR Appendix U, filing is required for all values (even those $2500.00 or
less) 72 hours prior to export.
Quantity - Report the quantity for each Schedule B in Schedule B Units. For example, you may be
shipping 5 cartons, but if the Schedule B unit is doz., you must report the number of dozens being
shipping for that Schedule B. If the Schedule B unit is kgs., you must report the weight in kilos for
that Schedule B. Some commodities have a second Schedule B unit (secondary). If that is the case,
you must also report that secondary quantity.
DDTC Quantity and UOM - Department of State/DDTC controlled transactions require
additional reporting. The DDTC Unit of Measure (UOM) is separate and distinct from
the Schedule B UOM. Refer to the license for the DDTC UOM. Report the quantity being
shipped in terms of the DDTC units of measure.
Shipping Weight (kilograms) - 15 CFR 30.6(a)(16): The shipping weight is the weight in
kilograms, which includes the weight of the commodity, as well as the weight of normal packaging,
such as boxes, crates, barrels, etc. The shipping weight is required for exports by air, vessel, rail, and
truck, and required for exports of household goods transported by all methods.
Export Control Classification Number (ECCN) - Report the 5-character ECCN or EAR99 if your
product is not on the Commerce Control List (CCL), or for products controlled under the
International Traffic in Arms Regulations (ITAR), report the 2-digit U.S. Munitions List 2 category
code. Note: A product is only EAR99 if it is not controlled under the ITAR and is not on the
Commerce Control List: Commerce Control List-Alphabetical Index.
SME Indicator - Place a “Y” in this column for ITAR items designated Significant Military
Equipment (“SME”). If the ITAR item is not SME, place an “N”. Note: SME items on the USML
are designated with an asterisk (*).
License No./License Exception Symbol/Authorization - On each Schedule B line, enter the license
number, license exception code, DDTC exemption number, or “No License
Required” (NLR) code. If the license determination applies to all lines, clearly indicate that on the
form. **Note: EAR99 products are not always “NLR” and all products that qualify for
“NLR” are not necessarily EAR99.
Value (U.S. dollars) - For each Schedule B, report the value in U.S. Dollars including
U.S. inland freight and insurance to the port of export. If you commercial invoice value
includes international transportation cost, deduct that to get the value at the port of
Export.
License Value by Item (if applicable in U.S. Dollars) - required for all licensed shipments:
Enter the license value for each line item being shipped under the license.
34.
If your shipment includes Schedule B / HTS items of “$2500.00 or less” that you have not
listed on the SLI and that do not otherwise require AES filing, please check this
box.**Note: Examples that require AES filing for all values: Licensed cargo, "600 Series"
a-x, Used Self-Propelled Vehicles. (You must check the requirements for your
commodity).
35.
36
37.Signature: Duly authorized officer or employee as listed in box 35 must Sign -
38.Title - enter the title of the duly authorized officer or employee as listed in box 35.
39.Date - enter date of signature
40.Authentication (when required)
41.Telephone number of duly authorized officer or employee as listed in box 35.
42.Email Address of duly authorized officer or employee as listed in box 35.
43.Shippers instructions in case of inability to deliver consignment as assigned.
44.Shipper requests insurance. If shipper requires all risk insurance coverage, the Yes box
must be checked and the amount of insurance requested must be entered. Insurance
approval may require written approval and may require payment of an additional fee.
Flexport, Inc. Terms and Conditions of contract as posted on www.Flexport.com applies.
Service Requested: Check if shipment will be consolidated or moved directly.
Entry Number - Enter the Import Entry Number FTR 15 CFR 30.6(b)(13): The entry number
must be reported for goods that are entered in lieu of being transported under bond for which
the importer of record is a foreign entity or, for re-exports of goods withdrawn from a FTZ for
which a NAFTA deferred duty claim (entry type 08) could have been made, but that the
importer elected to enter for consumption under CBP entry type 06. For goods imported into
the United States for export to a third country of ultimate destination, where the importer of
record on the entry is a foreign entity, the USPPI will be the authorized agent designated by
the foreign importer for service of process. The USPPI, in this circumstance, is required to
report the import entry number.
Hazardous Materials - Check the appropriate "Yes" or "No" indicator that identifies the shipment as
hazardous as defined by the Department of Transportation, IATA or IMO. Enter the United Nations
(UN) Classification number.
Instructions to Forwarder: Enter any special instructions for the freight forwarder.
Routed Export Transaction - Check the appropriate "Yes" or "No" indicator that identifies the
transaction as a routed export transaction. Check yes if it is a routed export transaction where the
foreign principal party in interest controls the export of the merchandise out of the United States.
SLI v.12192019