Cargo Import Brokers, Inc. Importer Security Filing Form (ISFF) PRE-SHIPMENT ADVICE BILL OF LADING MUST HAVE SCAC CODE TO PROCESS Purchase Order Number Master Bill of Lading No. Numero de Orden House Bill of Lading No. (if applicable) Quantity/Units Origin Vessel Name & Voyage No. Cantidad Nombre del Navio y Viaje original Number of Containers Arriving Vessel Name & Voyage No. Numero de Contenedores Nombre del Navio y Viaje a llegar Port of Loading Estimated Sailing Date Puerto de Carga Fecha de Viaje aproximada IMPORTER SECURITY FILING REQUIREMENTS Supplier / Manufacturer Ship To Name Suplidor / Fabricante Nombre a Quien Se Le Envia Address Address Dirrecion Direccion City - Province City, State - Province Ciudad Ciudad y Estado Postal Code & Country Postal Code & Country Codigo Postal y Pais Codigo Postal y Pais Container Stuffing Location Importer of Record Lugar de llenar el Contenedor Importador Address Address Dirrecion Direccion City - Province City, State, Zip Code Ciudad Ciudad, Estado y Codigo Postal Postal Code & Country Consignee Codigo Postal y Pais En Consignacion a Buyer Name Address Nombre del Comprador Direccion Address City, State, Zip Code Direcion Ciudad, Estado y Codigo Postal City, State - Province Ciudad y Estado Country of Origin Postal Code & Country Pais de Origen Codigo Postal y Pais Commodity Description HS Tariff Classification Manufacturer (or Supplier): Entity that produces or prepares shipment for export. Preferential Tariff Treatment Consolidator / Stuffer: Party who stuffs/loads the container Seller: Entity by whom the goods are sold for export. Importer: To be completed by Importer Buyer: To be completed by Importer Consignee: To be completed by Importer Ship to: To be completed by Importer Country of Origin: Where the goods were grown or produced. Container Stuffing location: Physical address where the goods are loaded. Commodity HTSUS Number: Harmonized Tariff Schedule of the USA This information is required to be submitted 24 hours prior to lading of cargo at foreign port. Failure to comply with ISF requirements will result in penalties, minimum of $5000.00. I certify that this information is true and correct to the best of my knowledge. Name: Please Type Signature: Date: We request that once a shipment is prepared overseas that you contact us in order for us to file a timely ISF filing. When CBP notifies us that the ISF has been accepted (they will send us a confirmation number) we will notify you via email and you can then notify your overseas agent that cargo can be shipped. Una vez que el embarque este listo para despacho le solicitamos nos contacte para reportar ISF a tiempo. Cuando Aduanas confirme ISF recibido y aceptado (confirmada con un numero) les notificaremos a ustedes y agentes en pais de embarque que la carga se puede despachar. SUBMIT FORM