USF069
USF069
USF069
EIN USPPI FedEx Account Number (for billing EEI charges) Ultimate Consignee Address, State/Province and Postal Code Direct Consumer Government Entity
Shipment Information
Ship Date, if not today Hazardous Materials FTZ Number, if applicable Entry Number, if applicable Inbond Code, if applicable FedEx Air Waybill No. (if known)
Yes No
Equipment Number, if any Seal Number, if any Used Self-propelled Vehicle Vehicle Title Number, if any VIN Product ID, if any & select one Vehicle Title State, if any
Yes No VID PID
Description of Commodities
1st Quantity and Unit Weight License Value License Value
D/F Schedule B/HTS Number Schedule B/HTS Commodity Description ECCN, if any
(2nd Quantity and Unit, if any) (Kilograms) Exception Symbol (in U.S. Dollars) (in U.S. Dollars)
Export License/Permit Number & type, if any State Department License & type, if any DDTC Quantity, if any DDTC Unit of Measure, if any
DDTC ITAR Exemption Number, if any DDTC Registration Number, if any DDTC USML Category Code, if any DDTC Significant Military Equipment (SME) Indicator, if any DDTC Eligible Part, if any (Certification Indicator)
Yes No Yes No
Preferred Method of Communication (select and enter number or email) Alternate Email
FAX Email Phone
Shipper’s Authorization
I certify that all statements and information contained in this document are true and correct, authorize FedEx Express to act as our agent for the purpose of filing the Electronic Export Information (EEI) to the AES, and agree to the FedEx Express Export AgentFile Terms and Conditions
Description of Commodities
1st Quantity and Unit Weight License Value License Value
D/F Schedule B/HTS Number Schedule B/HTS Commodity Description ECCN, if any
(2nd Quantity and Unit, if any) (Kilograms) Exception Symbol (in U.S. Dollars) (in U.S. Dollars)
FedEx Export AgentFile® – IATA Air Waybill
For use with FedEx Express® international air cargo services
Explanation of Fields Bonded Code. If the shipment is bonded, enter one of the following codes: LVS, GBS, CIV, etc.), or enter “NLR” (No License Required) if items that are being
exported are subject to the EAR but not listed on the Commerce Control List (CCL)
• 36 = Warehouse withdrawal for IE and if items being exported are listed on the CCL but do not require a license.
FedEx can file only electronic export information for shipments tendered
• 37 = Warehouse withdrawal for T & E
to FedEx Express. U.S. Department of State Export Licenses. If exporting under a license from the U.S.
• 67 = IE from a Foreign-Trade Zone Department of State, enter the license type (e.g., DSP-5, DSP-61, etc.) and license
Please complete the form and fax it to FedEx. You will receive the AES approval
• 68 = T & E from a Foreign-Trade Zone number. In addition, the following fields must be completed:
number (ITN – Internal Transaction Number), which you will need to enter on your
air waybill or label prior to tendering the shipment to FedEx. If you need additional • DDTC Unit of Measure
FedEx® International Air Waybill Number. If using FedEx Express, enter the FedEx
assistance, please call Customer Service for FedEx Express® package shipments at International Air Waybill number. Required if shipment is on an air cargo (023 IATA) • DDTC Quantity
1.800.GoFedEx 1.800.463.3339 or call Customer Service for FedEx Express freight air waybill.
shipments at 1.800.332.0807. • DDTC Registration Number
Routed Export Transaction. FedEx cannot file routed export transactions as • DDTC USML Category Code
Charge for Filing. The current charge for EEI filing is $10. This amount is subject to an authorized agent. A routed export transaction occurs when the Foreign
change without notice. • DDTC Significant Military Equipment Indicator
Principal Party in Interest authorizes a U.S. forwarder or other agent to export the
U.S. Principal Party in Interest (USPPI). Enter the name and address of the USPPI. merchandise out of the U.S. If your export is a routed export transaction, you need Other U.S. Government Export Licenses/Permits. If exporting under a license from
The USPPI is the person in the U.S. that receives the primary benefit, monetary to check the “Yes” box and file your own EEI. NOTE: FedEx will not file routed export the Department of Commerce or Department of the Treasury, or under a permit from
or otherwise, of the export transaction. Generally, that person is the U.S. seller, transactions as an authorized agent. the Department of Justice, indicate the licensing agency (e.g., BIS, DEA, OFAC) and
manufacturer, order party, or foreign entity. Provide the USPPI’s complete name. the number assigned by the licensing agency.
Customer Reference Number. Enter your own reference number for the shipment.
EIN. Enter the nine-digit USPPI’s Internal Revenue Service Employer Identification DDTC. Directorate of Defense Trade Controls, formerly ODTC (Office of Defense
Authorized Agent. Identifies FedEx Express as the authorized agent.
Number (EIN). Trade Controls).
USPPI FedEx Account Number. For an express shipment, enter your FedEx U.S.- DDTC Unit of Measure, if any. Enter unit of measure covering the article
based payor account number for billing of the EEI agent filing charges.
Description of Commodities being shipped, as described on an export authorization or declared under
the ITAR exception.
Shipping Location Address. The address is the location from which the merchandise D/F. Enter D (domestic) for merchandise that is grown, produced, or manufactured
actually starts its journey to be exported. If the USPPI does not have a facility in the U.S. (including merchandise that has been enhanced in value or changed DDTC Quantity, if any. Enter the total number of units that corresponds to the DDTC
(processing plant, warehouse or distribution center, retail outlet, etc.) at the location from the form in which it was imported by further manufacture or processing in the Unit of Measure code.
from which the goods began their export journey, report the USPPI address from U.S.), or enter F (foreign) for merchandise that has entered the U.S. and is being
DDTC ITAR Exemption Number, if any. Enter the specific citation (exemption
which the export was directed. re-exported in the same condition as when imported.
number) under the International Traffic in Arms Regulations (ITAR 22 CFR, Parts
Ultimate Consignee. Enter the country of the designated end user or designated Schedule B/HTS Number and Commodity Description. Enter the 10-digit 120-130) that exempts the shipment requirements for a license or other written
party on the export license. For shipments to Mexico or the U.S., include the state commodity classification number as provided in Schedule B, “Statistical authorization from DDTC. If the article is being shipped under an ITAR exemption,
in the address. For shipments to Puerto Rico or the U.S., include the ZIP code in the Classification of Domestic and Foreign Commodities Exported from the United the following DDTC fields must also be completed:
address. States” (Schedule B) or the Harmonized Tariff Schedule (HTS) and the full
• DDTC Registration Number
commercial description of the commodity.
Ultimate Consignee Country. Enter the country of the designated end user or • DDTC Significant Military Equipment Indicator
designated party on the export license. ECCN. Enter the Export Control Classification Number (ECCN) if exporting under
• DDTC Eligible Party Certification Indicator
a Department of Commerce license or license exception; also enter an ECCN if
Parties to Transaction. Select “Yes” or “No” to indicate if this is a related or non- exporting items under the No License Required (NLR) provisions of the Export • DDTC Unit of Measure
related party transaction. A related party transaction is a transaction between a Administration Regulations (EAR) that are listed on the Commerce Control List
USPPI and a foreign consignee (e.g., parent company or sister company), where • DDTC Quantity
(CCL) and have a reason for control other than anti-terrorism. Enter EAR99 when
there is at least 10 percent ownership of each by the same U.S. or foreign person or exporting under the NLR provisions when items are subject to the EAR but not DDTC Registration Number, if any. Enter the number assigned by DDTC to the
business enterprise. listed on the CCL. No ECCN is required for license exception symbol TMP and for registered manufacturer or USPPI who has an authorization from DDTC (license
Ultimate Consignee Type. Select the appropriate box that identifies the ultimate items subject to International Traffic in Arms Regulations (ITAR). or exemption) to export the article.
consignee as a D) Direct Consumer, G) Government Entity, R) Reseller, or O) Other 1st Quantity and Unit. Enter the total number of units (whole numbers only) DDTC USML Category Code, if any. Enter USML category code of the article being
or Unknown. that corresponds to the schedule B or HTS commodity number for the 1st unit of exported (e.g., #09-Military Training Equipment, 11-Military Electronics, etc.).
Intermediate Consignee. If one is involved in the transaction, enter the name and measure. Enter the primary unit of measure, as prescribed under the Schedule B or
HTS commodity number or as specified on the export license if the units differ. DDTC Significant Military Equipment (SME) Indicator, if any. Select “Yes” or “No” to
address of the party in a foreign country who makes the delivery of the merchandise indicate that the articles being exported do or do not warrant special export controls
to the ultimate consignee or the parties named on the export license. 2nd Quantity and Unit. If the Schedule B requires two units of quantity to be because of their capacity for substantial military utility or capability.
Original ITN. The Original ITN is the ITN associated with a previously filed shipment reported, enter the second quantity (whole numbers only) that corresponds to the
Schedule B or HTS commodity number for the 2nd unit of measure. Also, if the DDTC Eligible Party, Certification Indicator, if any. Select “Yes” or “No” to indicate
that is subsequently replaced, divided, or canceled. Split shipments that require an that the USPPI is self-certified for the exemption and is an eligible party to
additional AES filing, shipments that are sold en route, and shipments sold while in Schedule B requires two units of measure to be reported, enter the second unit of
measure, as prescribed under the Schedule B or HTS commodity number. participate. This certification is required only when an exemption is claimed.
transit are examples of when this field can be utilized.
Weight (Kilograms). Enter the gross shipping weight for each Schedule B/HTS Preferred Method of Communication. Select the preferred method of
number, including the weight of containers. To determine kilograms, please multiply communication that is to be used if contact is necessary for additional/required
Shipment Information the weight in pounds by 0.4536. information; enter appropriate fax, phone, or email information.
Ship Date. Enter the date the shipment will be tendered to FedEx. Value (in U.S. Dollars). Enter the selling price or cost if item is not sold, including Alternate Email. Enter alternate email information, if desired.
inland freight, insurance, and other charges to the U.S. port of export, but excluding
Hazardous Materials. Select “Yes” or “No” to identify the shipment as hazardous, unconditional discounts and commissions. The value to be reported on the EEI is
as defined by the Department of Transportation. the USPPI’s price or cost if item is not sold to the Foreign Principal Party in Interest.
Shipper’s Authorization
FTZ Number. If merchandise is withdrawn from a Foreign-Trade Zone (FTZ), enter Enter one value for each Schedule B/HTS number in U.S. dollars using whole
numbers only (omit cents). Signature. Signature of the USPPI authorizing the transaction.
the unique seven-character code assigned to the location by the Foreign-Trade
Zones Board. License Value. Enter the value for a licensable commodity that will not include any Name and Title. Print/Type signature name and enter title.
Entry Number. Enter the Import Entry Number if the shipment is bonded, such as overhead, like insurance, domestic freight, or other charges (in whole U.S. dollars). Date. Date signed.
withdrawal from an FTZ or a bonded warehouse. License Exception Designation: NLR or Other. If exporting under a Department of Telephone Number. Telephone number of person signing form.
Commerce license exception, enter the correct license exception designation (e.g.,
FedEx Export AgentFile® – IATA Air Waybill
For use with FedEx Express® international air cargo services
For FedEx Use Only: Section 2. Taxes. will hold FedEx, its officers, directors, employees, and agents harmless from and
against all claims, damages, liabilities, actions, losses, costs, and expenses of any
Any fees for EEI agent filing by FedEx shall include the amount of any sales tax, nature whatsoever in any manner arising out of Grantor’s failure to comply with
SRN – Shipment Reference Number issued by FedEx Express for record excise, or other similar tax applicable to EEI agent filing. U.S. law applicable to the exportation of such shipments.
identification purposes.
ITN – Internal Transaction Number transmitted by AES back to FedEx acknowledging Section 3. Retention of Records & Reporting. Section 9. Miscellaneous.
acceptance of the submission.
Customer acknowledges and agrees that FedEx shall not provide any reports or a) Assignment.
analysis of EEIs other than what is required by applicable U.S. laws and regulations. These Terms and Conditions shall inure to the benefit of and be binding upon
FedEx will meet its obligations for recordkeeping to the extent required by Customer and FedEx and their respective successors, but neither the rights nor
FedEx Export AgentFile® Terms and Conditions applicable U.S. laws and regulations. Under no circumstances will FedEx be liable the duties of either party under these Terms and Conditions may be voluntarily
for Customer’s export recordkeeping or Customer’s export recordkeeping violations. assigned or delegated without prior written consent of the other party, except
Section 1. EEI Preparation and Filing. FedEx may assign part of its rights and delegate its duties hereunder to affiliated
Section 4. Independent Contractor Relationship. FedEx companies wholly owned by its parent company, FedEx Corporation.
a) In accordance with the FedEx Export AgentFile form, the FedEx customer
(“Customer”), as the U.S. Principal Party in Interest (USPPI), authorizes Customer and FedEx intend that an independent contractor relationship will be b) Applicable Law.
FedExCorporation (“FedEx”) to prepare and file the EEI with the U.S. created by these Terms and Conditions. Customer is interested only in the results of These Terms and Conditions shall be governed by and interpreted in accordance
Government’s Automated Export System (AES), as required by applicable U.S. the EEI filing and shall not exercise any control over the conduct or supervision of with the laws of Tennessee, and Customer agrees to submit to the jurisdiction of
laws and regulations. Such preparation and filing shall be based solely on the EEI process. FedEx shall have full responsibility for the payment of all federal, any appropriate court within Tennessee for adjudication of disputes arising from
information that the customer provides, with the exception of the following data state, and local taxes and contributions, including penalties and interest, imposed these Terms and Conditions.
elements which shall be provided by FedEx: port of export; date of export; foreign pursuant to unemployment insurance, Social Security, income tax, workers’
port of unlading; conveyance name code; carrier identification code; and mode of compensation, or any similar statute. c) Severability.
transportation code (collectively referred to as the “Carrier Data Elements”). If any provision of these Terms and Conditions is held to be invalid, illegal, or
unenforceable, the validity, legality, and enforceability of the remaining provisions
b) FedEx will act as an authorized agent for EEI filing only when shipments contain
Section 5. Disclosure of Information. shall in no way be affected or impaired.
commodities that require electronic filing of the EEI, as per applicable U.S. laws Customer and FedEx acknowledge that certain of the other party’s valuable,
and regulations, except when: the USPPI is foreign and a U.S. agent or forwarder d) Waiver.
confidential, and proprietary information may come into their possession.
has been designated to export the shipment out of the U.S. (a “routed export The failure of either party at any time to require performance by the other
Accordingly, each party agrees that all such information furnished to one party by
transaction”); the USPPI is a freight forwarder or the shipment is tendered to of any provision of these Terms and Conditions shall in no way affect that party’s
the other shall remain the exclusive property of the disclosing party, and agrees
FedEx from a freight forwarder; the EEI filing would require the Intermodal Form right to enforce such provision, nor shall the waiver of any further breach of
to hold all information it obtains from or about that party in strictest confidence,
(Commerce Form 7525-V-Alternate); the EEI filing would require the In-Transit any provision be taken or held to be a waiver of any further breach of the same
not to use such information other than for the performance of the Agreement,
Goods Form (Commerce Form 7513), or the USPPI or recipient is listed on any of provision or any other provision.
and to cause any of its employees or subcontractors to whom such information
the U.S. Government’s Restricted Party Lists. is transmitted to be bound to the same obligation of confidentiality to which it is e) Survival.
bound. Neither party shall communicate the other’s information in any form to The provisions of these Terms and Conditions, which by their nature
c) Customer certifies that all statements and information provided to FedEx for
any third party without the other party’s prior written consent. In the event of any extend beyond the expiration of earlier termination of these Terms and
EEI filing will be true and correct. Customer acknowledges and warrants that
violation of this provision, the disclosing party shall be entitled to preliminary Conditions, will survive and remain in effect until all obligations are satisfied.
if Customer is not the USPPI, Customer is authorized by the USPPI to appoint
and permanent injunctive relief, as well as an equitable accounting of all profits Specifically, the obligations concerning indemnification and disclosure of
FedEx as a sub-agent to file the USPPI’s EEI to AES. Furthermore, Customer
or benefits arising out of such violation, which remedy shall be in addition to any information shall survive.
acknowledges that civil and criminal penalties, including forfeiture and sale, may
other rights or remedies to which that party may be entitled. Notwithstanding any
be imposed for making false and fraudulent statements or for the violation of any
provision to the contrary, the parties hereby agree that FedEx may disseminate
U.S. law on exportation, including, but not limited to: 13 U.S.C. § 305, 22 U.S.C.
Customer’s confidential information to any wholly owned subsidiary, affiliate, or
§ 401, 18 U.S.C. § 1001, 19 U.S.C. § 1592(f), and 50 U.S.C. App. § 2410. Customer
parent corporation.
acknowledges and agrees that he/she is solely responsible for the accuracy of
all data provided to FedEx for preparation of the EEI, including, but not limited
to: the FedEx Export AgentFile, and all applicable data thereto; the identification Section 6. No Warranties.
of commodity types that require EEI filing; Schedule B or HTS commodity
Except as expressly set forth herein, or required by U.S. law, EEI agent filing is
numbers; and license information. Customer agrees to immediately notify
provided to and accepted by Customer without any warranty whatsoever,
FedEx of any changes, omissions, or deletions that need to be made to the EEI
including, but not limited to, any warranty as to results, fitness for a particular
record, including if the shipment for which the EEI was filed will not be exported.
purpose, or otherwise.
FedEx reserves the right to reject Customer’s request if it does not contain the
information necessary for EEI filing purposes. To the extent that a conflict exists
between the FedEx Export AgentFile form and these Terms and Conditions, the Section 7. Standard of Performance.
Terms and Conditions control. EEI agent filing shall be performed by FedEx in a good, workmanlike manner in
d) FedEx will provide Customer the appropriate EEI AES Proof of Filing (POF) accordance with the standards of the profession and such other accepted standards
Citation legend for use on shipping documents used subsequent to the EEI as may be applicable to work of this kind.
filing. Customer agrees that the Internal Transaction Number (ITN) provided by
AES is the appropriate EEI legend for shipments for which FedEx files EEIs as Section 8. Indemnification.
an authorized agent. Customer agrees to enter the ITN as the AES POF Citation
legend on the appropriate shipping documents, including the FedEx International Customer agrees to indemnify, hold harmless, and defend FedEx, its officers,
Air Waybill or FedEx Express shipping label, prior to tendering a shipment directors, employees, and agents from and against any and all claims, expenses,
to FedEx Express. Customer acknowledges that failure to provide the ITN on fines, judgments, damages, or awards (including, without limitation, U.S. or foreign
the appropriate shipping documents could result in a delay of the respective export compliance fines or penalties, customs fines or penalties, and reasonable
export shipment and could also subject Customer and the export shipment to attorney fees) arising out of or related to the preparation and filing of the EEI,
enforcement action by U.S. government agencies. except for claims arising solely from the gross negligence or willful misconduct of
FedEx. Customer further agrees to hold FedEx, its officers, directors, employees,
e) Customer agrees that, except as otherwise provided herein, the conditions and agents harmless from and against all claims, damages, liabilities, actions,
of these Terms and Conditions remain subject to the applicable Terms and losses, costs, and expenses of any nature whatsoever in any manner arising out
Conditions set forth in the FedEx Service Guide that is in effect at the time of the of Customer providing to FedEx incomplete, inaccurate, or false information or
shipment and to the Terms and Conditions of the FedEx International Air Waybill. documents. For shipments requiring a U.S. Department of State or Department
of Commerce export license, Customer agrees that he/she remains liable for and
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