Appendix G
C-PIQ Export Document

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Completing the export document

For CFIA only: The inspector must access the Export Document using one of the following methods:

Go to Merlin, Quick Links, Forms, Forms Management: Search for a Form, Enter Form No.: 5314, Click on Search, Open Form
Start, All Programs, Desktop eForms, Services, Distribution Center, English, Operational, Find "EXPORT_DOCUMENT_C-PIQ_5314.itp

Print Export Document on: 8.5" x 14" legal paper with pre-printed CFIA Corporate Signature and Canada Wordmark.

To be completed by the CFIA:

Note: Informed Filler will assign a unique official Export Document number for each document.

To be completed the C-PIQ Registered Establishment:

C-PIQ Establishment address;
Shipper (full name and address). Same as establishment when Shipper and Establishment are same;
Consignee (full name and address – minimum requirement of city, state/province, country).

Product Description

Marks on Packages (full description including which marks are associated with a particular lot);
Product / Type / Variety (e.g. Potatoes / Long Type; Potatoes / Round Type; Potatoes / Round Type / Yellow Fleshed)
(Note: variety is not required for potatoes);
Number and Type of Packages (quantity and description of package; e.g. 900 master container 10 x 5 lb poly bags; or 500 x 50 lb cartons);
Declared Grade (grade as declared on the packaging, or on an invoice or manifest in the case of bulk shipments);
Lot ID (the unique C-PIQ lot identification number assigned to package or pallet for traceability, and the date code);
Remarks (to be used for information not specified in any other box; e.g. Truck number; and additional space for Lot ID information too large for Lot ID box);
Product origin declaration (a Plant Protection requirement; APHIS and US Customs require a statement of origin for each shipment);
Net Weight (kg) (declaration of net weight of the shipment in kilograms (conversion 1 kg = 2.2045 lbs));
Client Account Number
US Customs Entry No. (this is a US requirement);
Name of Establishment Signatory, Signature and Date (Declaration of Establishment Signatory – Name and Signature of the C-PIQ Registered Establishment personnel authorized to request, complete and issue C-PIQ Export Documents, and the date on which the document was issued).