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

United States-Mexico-Canada AgreementCertification of Origin Form (USMCA/CUSMA/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 Origin Importer Exporter Producer 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 USMCA Party s Territory), Country, Phone, Email) 7.

during a verification visit, documentation necessary to support this certification. ... Provide the producer’s name, address (including country), e-mail address, and telephone number, if different from the certifier or exporter ... The certification must be signed and dated by the certifier and accompanied by the following statement:

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