WRITTEN AUTHORIZATION TO PREPARE OR TRANSMIT
SHIPPER’S EXPORT INFORMATION

 
SAMPLE FORMAT: Written Authorization
 
I , authorize
             Exporter (U.S. Principal Party in Interest)
   
, to act as forwarding agent for
(Forwarding Agent)
 
export control and customs purposes and to sign any Shipper’s Export Declaration (SED), or transmit such export information electronically, which may be required by law or regulation in connection with the exportation or transportation of any merchandise on behalf of said U.S. Principal Party in Interest. The U.S. Principal Party in Interest certifies that necessary and proper documentation to accurately complete the SED or transmit the information electronically is and will be provided to the said Forwarding Agent. The U.S. Principal Party in Interest further understands that civil and criminal penalties may be imposed for making false or fraudulent statements or for the violation of any United States laws or regulations on exportation and agrees to be bound by all statements of said agent based upon information or documentation provided by exporter to said agent.
 
Signature:    
  (U.S. Principal Party in Interest)
Capacity:
Date: