Let’s get things right from the beginning. 
(Adobe Acrobat Reader, or the Acrobat Browser plug-in, is required to view and print some of these forms. These are available for free from the Adobe website.)
Please note: ONLY customers that have a valid, current Deringer employee contact name clearly delineated on the credit application will be accepted and processed. New customers must have an authorized Deringer representative provide verification of our service arrangement prior to any shipment(s) or entry processing. If you are looking for forms and information on becoming a new Deringer customer, click here.
Customer Information Forms
- Customer Application
- U.S. Power of Attorney (for shipments to the U.S.)
- LLC Members List POA Addendum
- Sole Signing Officer POA Addendum
- Canadian Power of Attorney (for shipments to Canada)
- Bond Application* Completion of a bond application is only necessary for customers wishing to purchase an annual, continuous bond.
- 3rd Party Billing Waiver
- ACH Debit Application, CBP Form 400
- Create/Update Importer Identity Form, CBP Form 5106
- Special Address Notification, CBP Form 4811
Customs Forms
- Deringer Invoice & Instructions (formerly Pro forma)
- ACE/ACI eManifest Request
- Census Warning Information Sheet
- Census Warning Information Sheet-Blanket
- Certificate of Registration, CBP Form 4455
- Declaration for Free Entry, CBP Form 3299
- Declaration for Free Entry of Returned American Products, CBP Form 3311
- Declaration of Owner, CBP Form 3347-Superseding Bond
- Manifest and Entry of Merchandise Free of Duty, Carrier’s Certificate and Release, CBP Form 7523
- Manifest Discrepancy Report
- ACI Highway Client Fillable Form
- Canada Customs Invoice
- Steel & Aluminum Waste and Scrap Statement
ADD/CVD Forms
- AD/CVD General Information and Research Resources
- ADD Single Shipment Statement of Non-Reimbursement & Instructions
- ADD-Blanket Statement of Non-Reimbursement & Instructions & Addendum
- AD/CVD Non-Applicability Statement – Single Shipment & Instructions
- AD/CVD Non-Applicability Statement – Blanket & Instructions & Addendum
- Aluminum Extrusion Worksheet
9801/9802 Forms for Conditional Duty Free Treatment
- Affidavit of Manufacture-single
- Affidavit of Manufacture-blanket
- Foreign Shipper Declaration/Declaration by Foreign Shipper
- 9801 Declaration by Owner, Importer, or Consignee
- 9801.00.10 – Single Waiver
- 9801.00.10 – Blanket Waiver
- 9801.00.25 Declaration by Foreign Shipper
- 9801.00.25 Declaration by Owner, Importer, or Consignee
- 9802 Declaration by Owner, Importer, or Consignee 9802.00.40 or 9802.00.50
- 9802 Repair Declaration 9802.0040 or 9802.00.50
- 9802 Declaration by Owner, Importer, or Consignee 9802.00.60
- 9802 Declaration by the Processor 9802.00.60
- 9802 Endorsement by the Importer 9802.00.80
- 9802 Declaration by the Assembler 9802.00.80
- 9802 Blanket Waiver
USMCA
Temporary Import Bond (TIB)
- TIB Application for Exportation of Articles Under Special Bond, CBP Form 3495
- TIB Application for Extension of Bond, CBP Form 3173
- TIB – Statement of Use 19 CFR 10.31
In-Bond
Export Forms
Importer Security Filing (ISF)
- Aluminum Content Statement
- Russian Diamonds Self Certification
- Ukranian Steel Content Statement
- Russian Seafood Self-Certification Single Declaration
AMS Organics
APHIS Core
- APHIS Core – Farm Machinery Imports Required Information & Importing Farm Machinery Guidance
- APHIS Core – Disclaim Declaration
DEA
EPA
- EPA Form 3520-1 (Light duty/on road)
- EPA Form 3520-21 (Heavy duty highway/off-road)
- EPA 3540-1 Notice of Arrival of Pesticides and Devices (NOA)
- EPA Pesticides & Pesticide Devices Disclaim Declaration
- TSCA Chemical Substances Import Certification Form
- TSCA Title VI – Formaldehyde Emissions for Composite Wood Products
FDA
- FDA Disclaimer
- FDA Prior Notice Form & Instructions
- FDA Template – Dietary Supplements
- FDA Template – Drugs, Intended Use
- FDA Template – Medical Devices
- FSVP Instruction Letter
Fish and Wildlife Service (FWS)
Lacey Act
- Lacey Act Disclaim Form
- Lacey Act Form & Lacey Act Continuation Form
- Lacey Act Form – Completed 2020
National Marine Fisheries Services (NMFS)
- Fisheries Cert of Origin- NOAA Form 370
- Seafood Import Monitoring Program (SIMP) of the National Marine Fisheries Service (NMFS) Resources & Guidance
- SIMP Hatchery Based Aquaculture (HBA) Form
- SIMP Small Vessel Harvest (SVH) Form
- SIMP Harvest Capture Fisheries (HCF) Form
NHTSA
Alcohol and Tobacco Tax and Trade Bureau (TTB)
Other Forms
Helpful Links:
