USFWS Form 3-177 (Rev. 10/2017)
OMB Control No. 1018-0012
Expires 09/30/2019
U.S. FISH AND WILDLIFE SERVICE
DECLARATION FOR IMPORTATION
OR EXPORTATION OF
FISH OR WILDLIFE
1. Date of Import/Export: (mm/dd/yyyy)
2. Import/Export License Number:
3. Indicate One: _____ Import _____ Export
4. Port of Clearance: ______________________
5. Purpose Code: __________
6. Customs Document Number (s)
7. Name of Carrier:
8. Air Waybill or Bill of Lading Number:
Master: ______________________________
House: ________________________________________
9. Transportation Code: ______________
_________________ _____________________
License # State or Province
10. Bonded Location for Inspection:
11. Number of Cartons Containing Wildlife:
12. Markings on Cartons Containing Wildlife:
13a. (Indicate One) (Complete name/U.S. address/telephone number/e-mail
address)
_____ U.S. Importer
_____ U.S. Exporter
13b. Identier Number: _________________ ID Type: ________________
14a. (Indicate One) (Complete name/foreign address/telephone number/e-mail address)
_____ Foreign Importer
_____ Foreign Exporter
14b. Country Code
__ __
14c. Identier Number: _________________ ID Type: ________________
15a. Customs Broker, Shipping Agent or Freight Forwarder:
(Complete business name/address/telephone and fax number/e-mail address) 15b. Identier Number: _________________ ID Type: ________________
15c. Contact Name: ______________________________________________
Species
Code
(Ocial Use
Only)
16a. Scientic Name
------------------------------------------------------------
16b. Common Name
17a. Foreign CITES Permit
Number
-----------------------------------------
17b. U.S. CITES
Permit Number
18a Description
Code
---------------------
18b Source
Code
19a
Quantity/Unit
-------------------
19b. Total
Monetary Value
20. Country
of Species
Origin Code
(ISO Code)
44284428
21.
Venomous
Live Wildlife
Indicator
(Check if yes)
Knowingly making a false statement in a Declaration for Importation or Exportation of Fish or Wildlife
may subject the declarant to the penalty provided by 18 U.S.C. 1001 and 16 U.S.C. 3372(d)
22. I certify under penalty of perjury that the information furnished
is true and correct:
_________________________________ _________________
Signature Date
________________________________________________________________________
Type or Print Name
For Ocial Use Only
Action/Comments:
Wildlife Declared: ___Yes ___ No
Wildlife Inspected:
None/ Partial / Full
See Reverse Side of this Form for Required Notices
Address Here
Address Here
NOTICES
PRIVACY ACT STATEMENT
Authority: The information requested is authorized by the Endangered Species Act (ESA)(16 U.S.C. 1531-1544), Title 50, Parts 14, 15, 16, 17, 18,
21, 22 and the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) [TIAS 8249, 27
U.S.T. 1087], 50 CFR 23.
Purpose: The ESA makes it unlawful to import or export sh, wildlife, or plants without ling a declaration or report deemed necessary for enforcing
the ACT or upholding CITES (see 16 U.S.C. 1538 (e)).
Routine Uses: The collected information is used to provide information about imports or exports, including products and parts, to facilitate en-
forcement of the Act and other wildlife laws and regulations including the provisions of CITES. The information enables the Service to enforce any
regulations that pertain to the wildlife contained in a shipment. We also use the information as an enforcement tool and management aid to monitor
the international wildlife market and detect trends and changes to the trade of sh, wildlife, and wildlife products. More information about routine
uses can be found in the Systems of Records Notice, Permits System, FWS-20.
Disclosure: The information requested in this form is voluntary. However, submission of the requested information is required to enforce any regu-
lations that pertain to the wildlife contained in the shipment. Failure to provide the requested information may be sucient cause for the U.S. Fish &
Wildlife Service to deny the import or export of wildlife.
PAPERWORK REDUCTION ACT STATEMENT
In accordance with the Paperwork Reduction Act (44 U.S.C. 3501), the U.S. Fish and Wildlife Service collects required information about imports
or exports, including products and parts, to facilitate enforcement of the Act and other wildlife laws and regulations including the provisions of the
Convention on International Trade in Endangered Species of Wild Fauna and Flora. Information collected is also used to respond to requests made
under the Freedom of Information Act and the Privacy Act of 1974. Information requested in this form is purely voluntary. However, submission
of requested information is required in order to enforce any regulations that pertain to the wildlife contained in the shipment. Failure to provide all
requested information may be sucient cause for the U.S. Fish and Wildlife Service to deny the import or export of wildlife. According to the Paper-
work Reduction Act of 1995, an agency may not conduct or sponsor and a person is not required to respond to a collection of information unless it
displays a currently valid OMB control number. OMB has approved this collection of information and assigned Control No. 1018-0012.
ESTIMATED BURDEN STATEMENT
We estimate the public burden to complete this form to be 15 minutes by hand, or 10 minutes electronically, including time for reviewing instruc-
tions, gathering and maintaining data and completing and reviewing the form. Direct comments regarding the burden estimate or any other aspect of
the form to the Service Information Clearance Ocer, Fish and Wildlife Service, U.S. Department of the Interior, 5275 Leesburg Pike, MS: BPHC,
Falls Church, VA 22041-3803. Please do not send your completed form to this address.
USFWS Form 3-177 (Rev. 10/2017)
OMB Control No. 1018-0012
Expires 09/30/2019
U.S. FISH AND WILDLIFE SERVICE
DECLARATION FOR IMPORTATION
OR EXPORTATION OF
FISH OR WILDLIFE
Species
Code
(Ocial Use
Only)
16a. Scientic Name
------------------------------------------------------------
16b. Common Name
17a. Foreign CITES Permit
Number
-----------------------------------------
17b. U.S. CITES
Permit Number
18a Description
Code
---------------------
18b Source
Code
19a
Quantity/Unit
-------------------
19b. Total
Monetary Value
20. Country
of Species
Origin Code
(ISO Code)
44284428
21.
Venomous
Live Wildlife
Indicator
(Check if yes)
Knowingly making a false statement in a Declaration for Importation or Exportation of Fish or
Wildlife may subject the declarant to the penalty provided by 18 U.S.C. 1001 and 16 U.S.C.
3372(d)
22. I certify under penalty of perjury that the information furnished is true and
correct:
_________________________________________ _________________
Signature Date
___________________________________________________________________________________
Type or Print Name
For Ocial Use Only
See Reverse Side of this Form for Required Notices
13. Name of U.S. Importer or Exporter:
8. Air Waybill or Bill of Lading Number:
Master: ______________________________
House: ________________________________________
Page ____ of ____
CONTINUATION SHEET
FILING INSTRUCTIONS FOR DECLARATION FOR IMPORTATION OR EXPORTATION OF FISH OR WILDLIFE (USFWS FORM 3-177)
Revised Aug, 2020 Page 1 of 4
NOTE: Failure to file a declaration for importation or exportation of fish or wildlife when required by the regulations in 50 CFR Part 14 is a violation of the
Endangered Species Act of 1973 as amended (16 U.S.C. 1531 et. seq.). Regulations concerning the importation and exportation of wildlife
may be found in 50 CFR Part 14.
Form 3-177 must be filed with the appropriate wildlife inspection office, U.S. Customs and Border Protection
office or regional law enforcement office as required under 50 CFR Part 14. Do not file or forward this form to the Information Collection Clearance
Officer in Arlington, Virginia.
Instructions: We strongly encourage all filers to use the U.S. Fish and Wildlife Service electronic filing system (eDecs) to reduce paper and time. Filers may
access the internet filing system at https://eDecs.fws.gov/. Filers may also access an on-line Adobe Acrobat version of Form 3-177
(
http://www.fws.gov/le/pdf/3177_1.pdf
)
where the form can be filled in on-line and printed. Filers cannot save their completed on-line form unless they own
the Adobe Acrobat software. For filers who choose to file a paper form, you must file the original declaration, and up to 2 copies to be retained by the
Importer/Exporter or Broker. Print or type legibly. All filers are required to provide all relevant information, including supplemental documentation (as
required in 50 CFR 14).
1. Enter the date of import into, or export from, United States jurisdiction (as defined by 50 CFR 14).
2. Enter the USFWS Import/Export License Number as required in 50 CFR 14.
3. Check the appropriate box.
4. Enter the appropriate 2-letter Port code from the list below. If the Port is not listed, use the numeric code for the Region where the port is located.
*When using the numeric code, enter the name of the port. You must include a copy of your USFWS Designated Port Exception Permit in the
document package, if applicable.
Agana, GU
AG
Grand Portage, MN
GP
Phoenix, AZ
PX
Alcan,
AK
AL
Highgate Springs, VT
HS
Port Everglades, FL
PE
Anchorage,
AK
AN
Honolulu, HI
HA
Port Huron,
MI
PH
Atlanta, GA
AT
Houlton,
ME
HO
Portal,
ND
PL
Baltimore, MD
BA
Houston, TX
HN
Portland,
OR
PT
Blaine,
WA
BL
International Falls, MN
IF
Raleigh, NC
RL
Boston,
MA
BO
Jackman,
ME
JK
Raymond,
MT
RY
Brownsville,
TX
BV
Jacksonville, FL
JK
Saipan, MP
SP
Buffalo/Niagara Falls, NY
BN
Juneau,
AK
JU
San Diego/San Ysidro, CA
SY
Calais,
ME
CA
Kona, HI
KO
San Francisco,
CA
SF
Calexico,
CA
CX
Laredo,
TX
LR
San Juan,
PR
SJ
Champlain,
NY
CP
Las Vegas, NV
LV
San Luis, AZ
SL
Charleston, SC
CR
Los Angeles,
CA
LA
Sault Saint Marie, MI
SS
Chicago,
IL
CH
Louisville, KY
LO
Savannah, GA
SA
Cleveland,
OH
CL
Lukeville,
AZ
LK
Seattle,
WA
SE
Dallas/Fort Worth,
TX
DF
McAllen, TX
MC
Sumas,
WA
SU
Del Rio, TX
DR
Memphis, TN
ME
Sweetgrass,
MT
SW
Denver,
CO
DN
Miami,
FL
MI
Tampa,
FL
TP
Derby Line, VT
DL
Minneapolis/St. Paul, MN
MP
Tornillo,
TX
TN
Detroit,
MI
DE
Mobile, AL
MB
West Palm Beach
WP
Douglas,
AZ
DG
New Orleans, LA
NO
Wilmington, NC
WI
Dulles, VA
DU
New York,
NY
NY
Region 1 - Other
*01
Dunseith, ND
DS
Newark,
NJ
NW
Region 2 - Other
*02
Dutch Harbor, AK
DH
Nogales,
AZ
NG
Region 3 - Other
*03
Eastport, ID
EA
Nome,
AK
NK
Region 4 - Other
*04
El Paso,
TX
EL
Norfolk,
VA
NF
Region 5 - Other
*05
Erlanger, KY
ER
Orlando,
FL
OR
Region 6 - Other
*06
Fairbanks,
AK
FB
Oroville, WA
OV
Region 7 - Other
*07
Fernandina Beach, FL
FE
Pembina,
ND
PB
Region 8 - Other
*08
Fort Lauderdale, FL
FL
Philadelphia,
PA
PA
5. Enter the appropriate one-letter Purpose Code from the list below
M
Commercial
T
Reintroduction/introduction into the wild
Y
G
Educational
E
Scientific
S
B
Hunting trophies
H
Zoos
Z
Q
Personal
P
6. Enter the U.S. Customs and Border Protection document reference number(s) associated with the import or export, if applicable. For exports, enter any
shipper’s export declaration reference number, if applicable.
7. Enter the name of the carrier used to import or export – (airline, vessel, rail or truck company), or indicate personally owned vehicle.
8. Enter the Master and House Air Waybill number or Bill of Lading, if applicable.
9. Enter the applicable one-letter Transportation Code from the list below. For personal vehicles, also indicate the license plate number and State or
Province.
A
Ocean cargo
O
Rail
R
B
Personal accompanying baggage
P
Truck (or other commercial vehicle)
T
M
Personal vehicle
V
FILING INSTRUCTIONS FOR DECLARATION FOR IMPORTATION OR EXPORTATION OF FISH OR WILDLIFE (USFWS FORM 3-177)
Revised Aug, 2020 Page 2 of 4
10. Enter the customs bonded physical location where the shipment is available for inspection.
11. Indicate the quantity of cartons in the entire shipment that contain wildlife.
12. List any unique markings or codes on cartons that contain wildlife as required in 50 CFR Part 14.
13a. Check the appropriate box to indicate U.S. importer or exporter. Enter the complete name, address (in the United States), e-mail address, if applicable, and
telephone number of the U.S. importer or exporter.
13b. Enter an identifier number and the type of identifier (for example, DUNS number, U.S. Customs and Border Protection account number) for the
U.S. Importer or Exporter, if applicable.
14a. Enter the complete name, address (in the foreign country), and telephone number of the foreign importer or exporter. Enter the e-mail address if applicable.
14b. Enter the applicable two letter ISO (International Organization for Standardization) country code from the list below.
Afghanistan
AF
Croatia
HR
Ireland, Northern
GB
Åland Islands
AX
Cuba
CU
Isle of Man
IM
Albania
AL
Curacao
CW
Israel
IL
Algeria
DZ
Cyprus
CY
Italy
IT
Andorra
AD
Czech Republic
CZ
Ivory Coast
CI
Angola
AO
Democratic Republic of Congo
CD
Jamaica
JM
Anguilla
AI
Denmark
DK
Japan
JP
Antarctica
AQ
Djibouti
DJ
Jersey
JE
Antigua and Barbuda
AG
Dominica
DM
Jordan
JO
Argentina
AR
Dominican Republic
DO
Kazakhstan
KZ
Armenia
AM
Ecuador
EC
Kenya
KE
Aruba
AW
Egypt
EG
Kiribati
KI
Australia
AU
El Salvador
SV
Korea, Democratic People’s Republic
of (North Korea)
KP
Austria
AT
England
GB
Korea, Republic of (South Korea)
KR
Azerbaijan
AZ
Equatorial Guinea
GQ
Kuwait
KW
Bahamas
BS
Eritrea
ER
Kyrgyzstan
KG
Bahrain
BH
Estonia
EE
Lao People’s Democratic Republic
LA
Bangladesh
BD
Ethiopia
ET
Latvia
LV
Barbados
BB
Falkland Islands (Malvinas)
FK
Lebanon
LB
Belarus
BY
Faroe Islands
FO
Lesotho
LS
Belgium
BE
Fiji
FJ
Liberia
LR
Belize
BZ
Finland
FI
Libyan Arab Jamahiriya
LY
Benin
BJ
France
FR
Liechtenstein
LI
Bermuda
BM
French Guiana
GF
Lithuania
LT
Bhutan
BT
French Polynesia (Tahiti)
PF
Luxembourg
LU
Bolivia
BO
French Southern Territories
TF
Macao
MO
Bonaire, Saint Eustatius and Saba
BQ
Gabon
GA
Macedonia
MK
Bosnia and Herzegovina
BA
Gambia
GM
Madagascar
MG
Botswana
BW
Georgia
GE
Malawi
MW
Bouvet Island
BV
Germany
DE
Malaysia
MY
Brazil
BR
Ghana
GH
Maldives
MV
British Indian Ocean Territory
IO
Gibraltar
GI
Mali
ML
British Virgin Islands
VG
Great Britain
GB
Malta
MT
Brunei Darussalam
BN
Greece
GR
Marshall Islands
MH
Bulgaria
BG
Greenland
GL
Martinique
MQ
Burkina Faso
BF
Grenada
GD
Mauritania
MR
Burundi
BI
Guadeloupe
GP
Mauritius
MU
Cambodia
KH
Guatemala
GT
Mayotte
YT
Cameroon
CM
Guernsey
GG
Mexico
MX
Canada
CA
Guinea
GN
Micronesia, Federated States of
FM
Cape Verde
CV
Guinea-Bissau
GW
Moldova, Republic of
MD
Cayman Islands
KY
Guyana
GY
Monaco
MC
Central African Republic
CF
Haiti
HT
Mongolia
MN
Chad
TD
Heard and McDonald Islands
HM
Montenegro
ME
Chile
CL
High Seas
ZZ
Montserrat
MS
China, People’s Republic of
CN
Holy See (Vatican City State)
VA
Morocco
MA
Christmas Island
CX
Honduras
HN
Mozambique
MZ
Cocos (Keeling) Islands
CC
Hong Kong
HK
Myanmar
MM
Colombia
CO
Hungary
HU
Namibia
NA
Comoros
KM
Iceland
IS
Nauru
NR
Congo
CG
India
IN
Nepal
NP
Congo, Democratic Republic of
CD
Indonesia
ID
Netherlands
NL
Cook Islands
CK
Iran, Islamic Republic of
IR
Netherlands Antilles
AN
Costa Rica
CR
Iraq
IQ
Neutral Zone
NT
Cote d’Ivoire (Ivory Coast)
CI
Ireland
IE
FILING INSTRUCTIONS FOR DECLARATION FOR IMPORTATION OR EXPORTATION OF FISH OR WILDLIFE (USFWS FORM 3-177)
Revised Aug, 2020 Page 3 of 4
Country codes (continued)
New Caledonia
NC
Saint Vincent and the Grenadines
VC
Thailand
TH
New Zealand
NZ
Samoa
WS
Timor-Leste
TL
Nicaragua
NI
San Marino
SM
Togo
TG
Niger
NE
Sao Tome and Principe
ST
Tokelau
TK
Nigeria
NG
Saudi Arabia
SA
Tonga
TO
Niue
NU
Scotland
GB
Trinidad and Tobago
TT
Norfolk Island
NF
Senegal
SN
Tunisia
TN
Norway
NO
Serbia
RS
Turkey
TR
Oman
OM
Seychelles
SC
Turkmenistan
TM
Pakistan
PK
Sierra Leone
SL
Turks and Caicos Islands
TC
Palau
PW
Singapore
SG
Tuvalu
TV
Palestinian Territory, Occupied
PS
Sint Maarten
SX
Uganda
UG
Panama
PA
Slovakia
SK
Ukraine
UA
Papua New Guinea
PG
Slovenia
SI
United Arab Emirates
AE
Paraguay
PY
Solomon Islands
SB
United Kingdom
GB
Peru
PE
Somalia
SO
United States of America
US
Philippines
PH
South Africa
ZA
Unknown
XX
Pitcairn
PN
South Georgia and South Sandwich
Islands
GS
Uruguay
UY
Poland
PL
Spain
ES
Uzbekistan
UZ
Portugal
PT
Sri Lanka
LK
Vanuatu
VU
Qatar
QA
Sudan
SD
Vatican City
VA
Reunion
RE
Suriname
SR
Venezuela
VE
Romania
RO
Svalbard and Jan Mayen
SJ
Viet Nam
VN
Russian Federation
RU
Swaziland
SZ
Virgin Islands, British
VG
Rwanda
RW
Sweden
SE
Wales
GB
Saint Barthelemy
BL
Switzerland
CH
Wallis and Futuna Islands
WF
Saint Helena, Ascension and Tristan Da
Cunha
SH
Syrian Arab Republic
SY
Western Sahara
EH
Saint Kitts and Nevis
KN
Taiwan (Province of China)
TW
Western Samoa
WS
Saint Lucia
LC
Tajikistan
TJ
Yemen
YE
Saint Martin
MF
Tanzania, United Republic of
TZ
Zambia
ZM
Saint Pierre and Miquelon
PM
Zimbabwe
ZW
14c. Enter an identifier number and the type of identifier (for example, DUNS number, U.S. Customs and Border Protection account number) for
the foreign Importer or Exporter, if applicable.
15a. Enter the business name of the appropriate agent, if applicable.
15b. Enter an identifier number and the type of identifier (for example, DUNS number, U.S. Customs and Border Protection account number) for the
U.S. Customs Broker, Shipping Agent or Freight Forwarder, if applicable.
15c. Enter the contact information for the appropriate agent, including name, telephone and fax numbers, and e-mail address, if applicable
16a. List the scientific name for each species. This is a Latin name including genus and species (and sub-species, when required to determine if
the fish or wildlife is protected at the subspecies level). Use multiple species lines if a species is associated with multiple permits or
certificates, descriptions, sources, or countries of species origin.
16b. List the common name in English for each species in 16a.
17a. List the foreign CITES permit or certificate number for each species in 16a, if applicable. List one permit or certificate number per block.
Use multiple species lines if a species is listed on more than one CITES permit or certificate.
17b. List the U.S. CITES permit or certificate number for each species in 16a, if applicable. List one permit or certificate number per block.
Use multiple species lines if a species is listed on more than one CITES permit or certificate.
18a. Enter the applicable description code for each species in 16a from the list below.
Baleen
BAL*
Coral product
CPR
Bark (raw, dried, powdered, unprocessed)
BAR*
Coral rock (live rock)
ROC
Bone piece (not manufactured)
BOP*
Culture of an artificially propagated plant
CUL*
Bone product or carving
BOC
Cutting (plant, including division)
CUT
Bone (including jaw, but not skull)
BON*
Dead animal (whole animal)
BOD*
Bulb, corm or tuber
BUL
Dead specimen (live specimen that died during shipment)
DEA
Calipee (turtle cartilage for soup)
CAL*
Derivative (except those included elsewhere)
DER*
Carapace (raw or unworked)
CAP*
Dried plant
DPL*
Carving (other than bone, horn, or ivory)
CAR*
Ear (except when part of whole trophy)
EAR*
Caviar (unfertilized dead processed eggs of sturgeon or paddlefish)
CAV*
Egg (dead or blown, excluding caviar)
EGG*
Chip (timber)
CHP*
Egg (live)
EGL*
Claw (including talon)
CLA*
Eggshell (raw or worked)
ESH
Cloth
CLO*
Extract
EXT*
Coral (raw or unworked, excluding live or coral rock)
COR*
Feather
FEA*
FILING INSTRUCTIONS FOR DECLARATION FOR IMPORTATION OR EXPORTATION OF FISH OR WILDLIFE (USFWS FORM 3-177)
Revised Aug, 2020 Page 4 of 4
Description codes (continued)
Fiber (plant fiber, tennis racket string)
FIB*
Piano with ivory keys (# of pianos)
PIV
Fin (fresh, frozen, or dried fin or part)
FIN*
Plate of fur skins (include rugs if made from several skins)
PLA*
Fingerling (juvenile fish of one or two years age for the aquarium trade
operation)
FIG*
Plywood (material consisting of 3 or more sheets of wood glued
and pressed one on another and generally disposed so that the
grains are at an angle)
PLY*
Flower
FLO*
Powder
POW*
Flower pot (made of tree fern or other plant fiber)
FPT*
Root (dead)
ROO*
Foot
FOO*
Rug (made from one skin only)
RUG
Frog leg
LEG*
Sawn wood (sawn lengthwise or produced by profile-chipping;
normally exceeds 6mm in thickness)
SAW*
Fruit
FRU*
Scale (turtle, other reptile, fish, pangolin)
SCA*
Gall bladder
GAB*
Seedling
SDL
Gall
GAL*
Seed
SEE*
Garment (excluding shoe or trim)
GAR*
Shell product (from mollusc or turtle)
SPR
Genitalia (castrate and dried penis)
GEN*
Shell (mollusc, raw or unworked)
SHE*
Graft rootstock
GRS*
Shoe (including boot)
SHO
Hair
HAI*
Side (including flanks except tinga frames)
SID*
Hair product (including paint brush)
HAP
Skeleton (substantially whole)
SKE*
Horn carving (including horn or antler product)
HOC
Skin piece (raw or tanned, including scraps)
SKP*
Horn piece (not manufactured)
HOP*
Skin (substantially whole, raw or tanned, including tinga frames).
SKI*
Horn (substantially whole, including antler)
HOR*
Skull (except when part of whole trophy)
SKU*
Ivory carving
IVC
Soup
SOU*
Ivory jewelry
IJW
Specimen (scientific or museum, including blood, tissue,
histological preparation)
SPE*
Ivory piano key (# of keys)
KEY
Stem (plant)
STE*
Ivory piece (not manufactured, includes scraps)
IVP*
Swim bladder (hydrostatic organ including isinglass, sturgeon glue)
SWI*
Jewelry (other than ivory)
JWL
Tail
TAI*
Leather product (small manufactured, including belt, handbag,
wallet, watch band)
LPS*
Teeth (excluding tusk)
TEE*
Leather product (large manufactured, including briefcase, furniture,
suitcase)
LPL*
Timber (raw except log and sawn wood)
TIM*
Leaves
LVS*
Trim (shoe, garment, or decorative)
TRI
Live rock (coral rock)
ROC
Trophy (all the parts of one animal, if they are exported together;
e.g. horns, skull, cape, backskin, tail and feet constitute one trophy)
TRO*
Live specimen
LIV*
Tusk (substantially whole, worked or not)
TUS*
Log (all wood in the rough, whether or not stripped of bark or
sapwood, or roughly squared, for processing into sawn wood,
pulpwood or veneer)
LOG*
Unspecified
UNS
Meat
MEA*
Veneer (thin layers of wood of uniform thickness, usually less than
6mm)
VEN*
Medicinal part or product
MED*
Wax (including ambergris)
WAX*
Musk
MUS*
Wing
WNG
Nest (including product)
NES
Wood product (including furniture, rainsticks)
WPR
Oil
OIL*
*CITES recognized description code
18b. Enter the appropriate one-letter wildlife source code for each species in 16a from the list below.
Plants that are artificially propagated, parts and derivatives
A
Pre-convention specimens
O
Animals bred in captivity (from parents that mated in captivity)
C
Specimens originating from a ranching operation
R
CITES Appendix I animals or plants commercially bred or
propagated in CITES registered facilities
D
Source unknown (lack of information must be justified)
U
Animals born in captivity (from parents that mated in the wild) or
animals that do not qualify as captive-bred under CITES
F
Specimens taken from the wild
W
Confiscated or seized specimens
I
Introduction from the sea
X
19a. Enter the quantity of items containing wildlife, and unit of measure for each species in 16a from the list below. Multiply pairs by two.
Number (individual units)
NO
Meters
MT
Grams
GM
Centimeters
CM
Square meters
M2
Milligrams
MG
Square centimeters
C2
Cubic meters
M3
Kilograms
KG
Cubic centimeters
C3
Liters
LT
Milliliters
ML
19b. Indicate the total value of items containing wildlife in U.S. dollars (rounded to the nearest dollar) for each species in 16a.
20. Enter the two-letter ISO (International Organization for Standardization) code for the country where the animal was taken from the wild or where the
animal was born.
21. Indicate whether each species of live wildlife identified in 16a is venomous.
22. Click the “Submit Now” button to submit your eDec. Clicking the “Submit Now” button and accepting the terms displayed is equivalent to
signing the form.
Knowingly making a false statement may subject the declarant to the penalty provided by 18 U.S.C. 1001 and 16 U.S.C. 3372(d).