Please produce this declaration on Packer or Exporter letterhead
NEW ZEALAND SEA CONTAINER QUARANTINE DECLARATION
truncated formVessel Name:      
Voyage Number:      
Container Number or Numbers:      
Cleanliness, Restricted Packaging and Wood Packaging Declaration
1. Cleanliness
At the time of packing, the container/s were inspected internally and externally, and are clean and free from contamination with live organisms, material of plant or animal origin, soil and water                        Yes         No
2. Restricted Packaging Materials
Has any soil, peat, moss, used sacking material, used tyres, hay, straw, chaff or any packing material contaminated with the above been used within the container/s listed above?                                                    Yes         No
3. Wood Packaging
Has any wood packaging been used within the container/s such as cases, crates, pallets or wood used to separate, brace, protect or secure cargo in transit?                                                                                                        Yes         No
3a. If yes to question 3, has the wood been ISPM 15 treated and marked or is the packaging made from material exempt from these requirements (such as Plywood or Medium Density Fibreboard)?                                                  Yes         No
Certification is not required for ISPM 15 treated and marked wood packaging.
3b. If no to 3a, has the wood been otherwise treated and certified as per the Import Health Standard?                                                    Yes         No
    How was the wood treated?                                                                               
                          Please attach the original treatment certificate
I CERTIFY THAT THE ABOVE IS TRUE AND CORRECT
Signed:
Name:        
Position in Company:      
Date:      
FAILURE TO SUPPLY THIS INFORMATION, OR SUPPLYING ERRONEOUS INFORMATION, MAY RESULT IN SIGNIFICANT DELAYS AND INCREASED COSTS DURING THE ARRIVAL PROCESS IN NEW ZEALAND.
(August 2010)

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