Fillable SHIPPER'S DECLARATION FOR DANGEROUS GOODS (ShipMate)

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SHIPPER'S DECLARATION FOR DANGEROUS GOODS (ShipMate)

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The SHIPPER'S DECLARATION FOR DANGEROUS GOODS (ShipMate) form is 1 page long and contains:

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Country of origin: US
File type: PDF

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SHIPPER'S DECLARATION FOR DANGEROUS GOODS
Air Waybill No.
Shipper
Page ___ of ___ Pages
Consignee
Shipper's Reference No.
Two completed and signed copies of the Declaration must be handed
to the operator.
TRANSPORT DETAILS
This shipment is within the limitations
prescribed for:
(delete non-applicable)
Airport of Departure:
WARNING!
Failure to comply with the applicable Dangerous Goods
Regulations may be in breach of the applicable law,
subject to legal penalties.
Shipment type: (delete non-applicable)
PASSENGER
AND CARGO
AIRCRAFT
CARGO
AIRCRAFT
ONLY
Airport of Destination:
NON-RADIOACTIVE RADIOACTIVE
NATURE AND QUANTITY OF DANGEROUS GOODS
Dangerous Goods Identification
UN or ID
No. Proper Shipping Name
Class or
Division
(Subsidiary
Risk)
Pack-
ing
Group
Quantity and Type of Packing
Packing
Instr. Authorization
Additional Handling Information:
24 HR Emergency Contact Telephone:
Name/Title of Signatory
Place and Date
Signature
(See warning above)
ShipMate, Inc., 1-310-370-3600, www.shipmate.com
I hereby declare that the contents of this consignment are fully
and accurately described above by the proper shipping name,
and are classified, packaged, marked and labelled/placarded, and
are in all respects in proper condition for transport according to
applicable international and national governmental regulations. I
declare that all of the applicable air transport requirements have
been met.
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SHIPPER'S DECLARATION FOR DANGEROUS GOODS (ShipMate)

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Completed 1 April 2021

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