CN 22: Postal Customs Declaration - FedEx
CN 22: Postal Customs Declaration
Shaded areas are required
DATE: MAILER ID: SHIPPER INFORMATION
FEDEX TRACKING #: (if known) IMPORTER Tax ID: RECIPIENT INFORMATION
First Name: Last Name: (if applicable) Company Name:
Address 1:
First Name: Last Name: (if applicable) Company Name:
Address 1:
Address 2:
Address 2:
City: State:
Zip: Country: (if known) Phone: (if known) Email: IMPORTER INFORMATION (if not Recipient) First Name: (if applicable) Company Name: Address 1:
City:
City: State:
Zip: Country: (if known) Phone: (if known) Email:
Last Name:
Address 2: State:
Zip:
Country:
(if known) Email: AES Exemption: (No EEI)
30.36 30.37a Other _____________________
(if known) Phone: Category of Items
Gift Merchandise Commercial Sample
SHIPMENT INFORMATION Item Detailed Description
1 2 3 4
HS Code
___________________________________________ Shipper Signature
Weight Qty Pounds Ounces
Value ($ USD)
TOTALs 0
0
$ 0.00
DISCLAIMER: Certain information contained on this form is required by law to be submitted in the form of an electronic record. As a value-added service, FedEx will assist with the reproduction and submission of the information in electronic form but shall have no responsibility for the accuracy, completeness, or content of the reproduced information nor shall FedEx be liable for any delays, fines, or other penalties or expenses that result from any inaccuracies or incompleteness of said information.
Complete all required fields. Print 3 copies, sign, and attach to your shipment
CN 22 Fillable PDF_v5_01/2020
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