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Certification of Origin Form (CUSMA/USMCA/T-MEC)

Canada United States Mexico AgreementCertification of Origin Form (CUSMA/USMCA/T-MEC) 2020 United Parcel Service of America, Inc. UPS, the UPS brandmark and the color brown are trademarks of United Parcel Service of America, Inc. All rights reserved1. Importer, Exporter or Producer Certification of OriginImporterExporterProducer 2. Blanket PeriodFrom: (DD/MM/YYYY)To :(DD/MM/YYYY)3. Certifier(Name, Title, Address, Country, Phone, Email)4. Exporter if different from the certifier(Name, Address [Place of export], Country, Phone, Email)5. Producer if different from the certifier or exporter(Name, Address [Place of production], Country, Phone, Email)6. Importer(Name, Address [within a CUSMA party s territory], Country, Phone, Email) 7. Description of Good(s) and HS Tariff Classification Number(s)8. OriginDescriptionHS # (6-digit level) Origin CriterionCountry of Origin9.

Canada–United States–Mexico Agreement Certification of Origin Form (CUSMA/USMCA/T-MEC) ... Indicate whether the certifier is the exporter, producer or importer. 2. Blanket Period Include the period if the certification covers multiple shipments of identical goods for a specified period of up to 12 months. 3. Certifier

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