Lithium-Ion Battery Hazardous Materials Declaration
1. Shipper Information
Company Name
Address
Contact Person
Phone/Email
2. Consignee Information
Company Name
Address
Contact Person
Phone/Email
3. Battery/Cell Details
Battery Type
UN Number
Quantity
Weight (kg)
Watt-hour Rating (Wh)
4. Packaging Information
Package Type
Number of Packages
Gross Weight (kg)
5. Declaration
Shipper Name
Signature
Date