FSIS Form 9540-1: Import Inspection Application

Country of Origin: enter the name of the country that issued the inspection certificate for the export of the product.

Inspection Certificate Number: enter the serial number, including dashes/slashes, from the foreign country inspection contained on the inspection certificate.

Exporting Establishment Number: enter the official number of the foreign facility that the product was exported from the inspection certificate.

Enter the name of the port of entry and the associated CBP port code designation where the entry is filed with U.S. Customs and Border Protection (CBP).

When the entry is filed at the Port of Philadelphia for merchandise unladed at Long Beach, CA, enter “Philadelphia, PA - 1101” as the U.S. Port of Entry and Port Code.

For merchandise unladed at Long Beach, CA, enter “Los Angeles/Long Beach, CA - 1104” as the U.S. Port of Unlading and Port Code.

This is the official number assigned by FSIS to the establishment where the product will move for FSIS import inspection.

Enter the name and address of the FSIS establishment where the product is to be moved for FSIS import inspection.

Enter the name (first/last), business name and address of the customs broker or applicant, as applicable (including zip code). The name of a responsible person is required, in addition to the name of the business.

Enter the email address for refused entry notifications and communication with the applicant.

Enter the name (first/last), business name and address, including zip code, of the company or person to which the product is consigned.

Enter the name (first/last), business name and address (including zip code) of the importer of record as declared to Customs when the entry is filed. NOTE: a responsible person's name is required, in addition to the name of the business.

Enter the applicable bill of lading numbers for this application.

Lot No.: enter the lot number of each line item of product identified on the foreign inspection certificate. Start with 1 and continue with 2, 3, etc. NOTE: Blocks 13 through 32 repeat for each lot on an inspection certificate.

FSIS expects that each line item on the inspection certificate is one (1) lot on the form 9540-1.

Shipping/Identification Mark: enter the unique number from the inspection certificate that links the product in the lot to the inspection certificate. Include slashes/dashes as appropriate.

Enter each applicable 11 digit custom entry number associated with the shipment. For locations where the custom entry number is not 11 characters long, enter enough zeros at the beginning to make an eleven digit number.

Enter the range of production dates from the inspection certificate for each lot when applicable.

Enter the net weight of each lot in pounds from the inspection certificate.

Enter the type of shipping unit.

Enter the number of shipping units from the inspection certificate.

Enter the type of immediate container packaging.

Enter the number of immediate containers contained in a shipping unit. When the amount is not standard in each shipping container, enter an average/approximate number.

Enter the conveyance seal number(s) from the inspection certificate (egg products, red meat carcass shipments, etc).

Enter the foreign establishment number (Processing Est. No.) from the inspection certificate of the foreign plant that produced the product (e.g., last processed the product).

Enter each country, other than the exporting country, from which product was sourced to produce the product in this lot.

Enter each establishment (Source Est. No.), other than an establishment in the exporting country, from which product was sourced to produce the product in this lot.

Enter the 10 number Harmonized Tariff Schedule code(s) for the product(s) in the lot.

Enter the process category from the inspection certificate.

Enter the product category from the inspection certificate.

Enter the product group from the inspection certificate.

Enter one of the following species that the product predominantly contains: Beef, Veal, Goat, Lamb, Mutton, Pork, Horse, Equine other than horse, Chicken, Duck, Goose, Guinea, Squab, Turkey, Emu, Ostrich, or Rhea.

Enter the less predominant additional species from the inspection certificate, when applicable.

Enter the name or description of the product from the inspection certificate.

Supplemental Product Code: enter the GTIN, Intended Use Code, UPC, or other product code that is used in commerce for the product.

Estimated Date of Arrival: enter the date that the product is expected to arrive at the FSIS establishment for import inspection.

Printed Name of Customs Broker or Applicant: enter actual name of person signing this application.

Enter the date the application is completed.

Under bond filed with the director of Customs and Border Protection and subject to penalties prescribed in laws enacted by Congress and regulations issued there under by the Secretary of Homeland Security, hold the food product intact until it has been inspected and passed by a food inspector from the Food Safety and Inspection Service or has been other wise disposed of under the supervision of a U.S. Customs and Border Protection Officer or a FSIS inspector.