Appendix 6: USDA-PPQ FORM 540 Certificate (used to establish vehicle cleanliness)

This certificate is used to establish vehicle cleanliness. Some of the information found on this certificate is:

• Date issued
• Void after (limited to 5 days)
• Name of consignor
• Shipping point
• Name & address of consignee
• Vehicle license No. & state
• Description of commodity: quantity, article and remarks
• Additional statement
• Signature of issuing inspector