Form cover
Page 1 of 1

Agricultural Product Intake Form

This form is designed to gather all the information necessary to make sure your agricultural product is ready to be imported into the USA. Additionally, once we have the completed form, we will provide you a shipping quote as soon as possible.

Product Description

HS/HTS Code

Product Name

Plant Scientific Name

Product Ingredients

Intended Use of Product

Intended Use of Product

In your marketing, do you make any health and benefit claims (e.g., gluten free, organic, free trade, low in sugar, etc.)?

In your marketing, do you make any health and benefit claims (e.g., gluten free, organic, free trade, low in sugar, etc.)?

Does your product need to be refrigerated during shipping?

Does your product need to be refrigerated during shipping?

Processing

Method

Have you used the USDA's Agricultural Commodity Import Requirements (ACIR) database to check if you need additional permits to import your product?*

Have you used the USDA's Agricultural Commodity Import Requirements (ACIR) database to check if you need additional permits to import your product?*

How many facility locations are involved in your processing and packing?

Labeling

Have you designed product packaging labels or do you have finished product packaging already?

Have you designed product packaging labels or do you have finished product packaging already?

Special notes or questions about labeling, if any:

Quantity and Packaging

What is the total number of product you are shipping?

Units

Do you already have a plan for how you will pack those products for shipping?

Do you already have a plan for how you will pack those products for shipping?

Additional notes about packing, if any:

Shipping Route

From
To

Shipping Mode

Sea or Air?

Sea or Air?
Sea or Air?

Shipping Service Type

Where do you want your cargo picked up and delivered?

Where do you want your cargo picked up and delivered?
Where do you want your cargo picked up and delivered?
Where do you want your cargo picked up and delivered?
Where do you want your cargo picked up and delivered?

Factory Incoterm

Have the factory and importer agreed on an Incoterm?

Have the factory and importer agreed on an Incoterm?

Do you want cargo insurance?*

Do you want cargo insurance?*

Specific Pickup and Delivery Addresses

Pickup Address

Delivery Address

Special Shipping Requests, if any:

Miscellaneous

Are you also the importer?

Are you also the importer?