The Bis 711 form, officially titled the Statement by Ultimate Consignee and Purchaser, is a document issued by the Bureau of Industry and Security (BIS) within the U.S. Department of Commerce. Exporters and re-exporters submit this statement when applying for certain export licenses under the Export Administration Regulations (EAR). The completed document establishes a written commitment from the foreign party receiving the goods regarding their intended end-use and final destination.
The ultimate consignee and the purchaser of controlled items must complete and sign the form. In many export transactions, the ultimate consignee and purchaser are the same entity. When a separate purchasing agent or intermediary is involved, both parties provide their information independently. The completed statement is then attached to the export license application submitted to BIS by the U.S. exporter or re-exporter. Companies that regularly handle Shipper's Export Declaration paperwork will recognize similar compliance requirements.
The form collects the full legal names and mailing addresses of the ultimate consignee and purchaser, a description of the commodities or technical data being exported, and their intended end-use. It also requires the consignee to select specific disposition statements that describe how the items will be used, resold, or re-exported after delivery. These certifications confirm that the exported goods will not be diverted to unauthorized destinations or used for prohibited purposes such as weapons development. Exporters who also prepare Export Declaration Forms should coordinate the information across both documents for consistency.
U.S. exporters must retain the completed Bis 711 form for at least five years from the date of the export transaction, as required by the EAR recordkeeping provisions in Part 762. Failure to obtain or maintain this document when required can result in civil penalties, denial of export privileges, and criminal prosecution in serious cases. The statement serves as evidence that the exporter conducted proper due diligence before shipping controlled items abroad. For shipments that also require customs documentation, the Customs Form 3499 may apply to your transaction.
| Question | Answer |
|---|---|
| Form Name | Bis 711 Form (Statement by Ultimate Consignee and Purchaser) |
| Issuing Agency | Bureau of Industry and Security, U.S. Department of Commerce |
| Form Length | 1 page |
| Purpose | Certify end-use and end-user of exported items under EAR |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 min |
| Retention Period | 5 years from date of export |
| Other names | bis711, form bis 711, export form bis 711, bis 711 form, Statement by Ultimate Consignee and Purchaser |