1 Export Compliance - Exemption Use Checklist Exemption Use Questionnaire Yes Was a Denied Party Search completed? These lists can be searched using the Denied Party Screening Mechanism available at [insert URL]. Is the customer its address similar to one of the parties found on one of the US Government denied parties lists, or does an embargo or sanction exist? Do you have a END-USE / END-USER certificate or statement? What form is this in: a statement on the purchase documentation, DSP-83, BIS-711, MOFCOM, other? Is product listed as ITAR-controlled on our Master List? [If Yes - Please complete Part 1. If No, move on to Part 2 of this form.]. Part 1 - Exports Under ITAR Exemptions Yes What is the USML Category [with Subparagraph #, to the degree available] of the articles being exported?
2 What Exemption are you exporting under? Does the Export include hardware? Is the hardware or data being exported identified as Significant Military Equipment in the USML? [See ITAR ]. Is the hardware or data being exported identified as Major Defense Equipment in the USML? [See ITAR ]. Is the value of the Export over the Congressional Notification threshold for this Export ? [See ITAR (b)]. Is the hardware or data being exported Classified? Is the hardware being exported a model or mock-up? If Yes - Does it contain any parts or components controlled on the USML? Have you carefully reviewed the Exemption to ensure you meet ALL of the requirements? Have you reviewed the ITAR Exemption Matrix to ensure Compliance with ALL other sections of the ITAR?
3 If this Export is under the Canadian Exemptions ( ) you must complete the following 3 questions: Have you verified the eligibility of the Canadian Party? [See ITAR ((b) and check the Canadian Registration at Have you concluded a written agreement with the Canadian Party(ies)? [Defense Services only]. Can you ensure that all necessary sale reports are filed on a semi-annual basis? If ALL green/red items in Part 1 above are Green you should complete the recordkeeping section of this form and may continue with this Export ensuring that all required documents is filed and records are maintained. If you have any Red Boxes you must contact your Export Compliance Officer. You must have documented the COMPLETE USML Category with Subparagraph to conduct this Export !)]
4 ! Has the proper Destination Control Statement ( DCS ) been placed on the Export documentation? [See ITAR (b)]. Part 2 - Exports Under EAR Exceptions Yes What is the ECCN Category [with Subparagraph #] of the items/technology being exported? (See the CCL at EAR 774]. What License Exception are you exporting under? [See EAR 740]. Does this Export include either Technical Data/Technology, or Software? Does this Export include Hardware? Is the reason for control on the above ECCN for any of the following reasons? NS (National Security). NP (Nonproliferation). Have you reviewed the Country Chart to ensure that the country to which you are exporting is eligible for this exception? [See 738 Supplement No.)
5 1]. Have you carefully reviewed the License Exception to ensure you meet ALL the requirements? If ALL green/red items in all sections OTHER than Part 1 above are Green you should complete the recordkeeping section of this form and may continue with this Export ensuring that all required documentation is filed and records are maintained. You must have documented the COMPLETE ECCN with Subparagraph to conduct this Export ?? Has the proper Destination Control Statement ( DCS ) been placed on the Export documentation? [See EAR (a) & (b)]. 1.