Henry E. Kloch & Co.

U.S. Customs Brokers and International Freight Forwarders

Los Angeles: (562) 923-2172 Chicago: (630) 654-1933

Importer Security Filing Worksheet

Please include postal codes with all addresses. All information must be provided at least 72 hours prior to lading. Please allow for weekends and holidays.

Beginning January 2010, do not load the container on the vessel until you receive confirmation from Henry E. Kloch & Co. or the importer that the ISF has been filed with CBP and accepted.

* indicates required fields

Contact Name:
*Email Address:
*Importer and IR#:
Consignee and IR# (if different from importer):

*Manufacturer/Supplier Name:
*Address:


Seller's Name:
Address:


Ship To Name (if different from importer):
Address:


Container Stuffing Location Name (if different from importer):
Address:


Consolidator's Name (if used):
Address:


*Export Date:
Import Date:

*AMS Master Bill of Lading #:
AMS House Bill of Lading # (if used):
Exporting Vessel:
*Country of Origin:

Attach Copy of Commerical Invoice (preferred):
OR
HTS#s (comma separated):