The Free Zone,
2315 NW 107th
Avenue, BOX
72, Doral, Florida 33172
TEL 305-597-0258 X 106 or 122 / 305-592-0266 FAX
SHIPPERS SECURITY ENDORSEMENT FORM
FOR
AIR CARGO ONLY
I certify that this cargo does not contain any unauthorized explosives, incendiaries, or hazardous materials, or live persons. I consent to a search of this cargo. I am aware that this endorsement and original signature, along with other shipping documents, will be retained on file for at least 30 days.
Shipper’s
name: ________________________________________________________________
Date:
__________________________
Signature
of Shipper or Authorized
Print
name of signatory: ____________________________________
Type of first personal identification
reviewed:_______________________________________
Matching
Photo on I.D.
Numbering appearing
on I.D.: ____________________________________________________
Type of second personal identification reviewed: ___________________________________
(If the first one was not
a Gov. issued photo I.D. ______________________________________
Matching photo on
I.D. Indicate Yes or No __________________________________________
Number appearing on
I.D. _________________________________________________________
Name of I.A.C.
employee or authorized representative who verified the I.D. _____________
IMPORTANT: Print and FAX along with PICTURE ID (clear) to 305-592-0266 and send this form via MAIL