Air Transport Hazardous Materials Declaration Form

Shipper:

Air Waybill No.:

Consignee:

Page No.:

Airport of Departure:

Airport of Destination:

Transport Details

UN or ID No.	Proper Shipping Name	Class or Division	Packing Group	Quantity and Type of Packing	Packing Inst.	Authorization

Additional Handling Information:

Name of Shipper/Agent:

Signature: Date:

I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name and are classified, packaged, marked and labeled/placarded and are in all respects in proper condition for transport according to applicable international and national governmental regulations.