Description of Notice of shipment of refused entry product
The Notice of shipment of refused entry product, issued by the United States Department of Agriculture, contains the following information:
Canadian Food Inspection Agency wordmark
Title: United States Department of Agriculture Food Safety and Inspection Service Notice of shipment of refused entry product
Inspector must provide address, at bottom, for Canadian Official.
A. Present location of product (To be completed by Inspector)
1. Establishment number
2. Date
3. Method of shipment
4. Container or vehicle number
5. Location (include city and state)
B. Destination (To be completed by Inspector)
6. Canadian establishment number
7. Location (include city and province)
C. Refused product information (To be completed by Inspector)
8. Name of product
9. Quantity
10. Weight
11. Producer's establishment number
12. Automated Import Information System lot identification number
13. Reason for rejection
14. Health certificate number
15. Custom entry number
16. Signature of inspector
D. Confirmation (To be completed by Canadian inspection official)
18. Establishment number
19. Signature of Canadian inspection official
20. Date
E. Return form to: (To be completed by Inspector)
Or fax to:
Food Safety and Inspection Service form 9135-1 (11/29/2002)
Previous editions are obsolete
Copy - retain for case file.