Import Clearance Form

Service Options *

Import Customs Clearance - £65.00
Priority Clearance (2hr Turnaround if sent before 5pm) - £90.00
Weekday evenings 5pm - 11pm - £115.00
Night Service 11pm - 8am - £180.00
Weekends 9am to midnight - £180.00

Authority for a Customs Clearance Agent to act as a Direct representative

Name *

First

Surname

Having authority to sign on behalf of *

UK EORI (ii)

Hereby appoint: Speedshift Logistics Ltd – trading as CargoClear (EORI no.) GB215251151000 ( iii ) to act on behalf of the firm named at A above in the capacity of a Direct representative in accordance with Articles 18 and 19 of Regulation (EU) No. 952/2013. This authorisation is applicable to all consignments arriving or departing from the UK. This Appointment applies with effect from the date of signature until revoked by the firm named at A above. The entity A named above authorises the customs agent named at B to delegate customs clearance to sub agents as a Direct Representative of the declarant in all dealings with HMRC where circumstances necessitate. The entity named in A authorises their representative, the customs agent names at B, to declare goods to HMRC using:

Deferment Account Number (if applicable)

UK VAT Number

Note: In accordance with the Union Customs Code, a Direct representative acts in the name of and on behalf of another person. In relation to import/export declarations, the importer/exporter will be liable for any customs debt arising from the declaration

Signature

Clear Signature

Position *

Phone *

Date *

Notes: i(i) Name of person signing, who must have authority to sign on behalf of the importer or exporter. ii(ii) Legal name & EORI Trader Identification No. of importer or exporter. iii(iii) Legal name & EORI Trader Identification No. of representative or agent

Your Details (Importer of record)

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email *

Confirm Email

Sub Total

£0.00

Type of shipment *

Country Shipped From *

Are the contents of the consignment solely of EU origin *

Yes - Preferential Statement on Invoice
Yes - States origin on the invoice
Yes - Shippers/Consignees Knowledge
No - Part of the consignment is of NON EU Origin
No - The whole of the consignment is non-EU

Please advise entry point into the UK *

Is the Shipment Inventory Linked?

Vehicle/Trailer Registration *

Estimated Arrival Date *

Shipment Terms *

Shippers Details

Company Name *

Shippers Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Shippers EORI

Shippers VAT

Delivery Address *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country