Sample
PLÁSTICOS INYECTADOS SALTILLO, S.A. DE C.V.
Certification of origin, USMCA / T-MEC
| No. | Element · Annex 5-A | On the certification | Check |
|---|---|---|---|
| 1 | Certifier role: importer, exporter or producer | Producer | |
| 2 | Certifier: name, title, address, phone, email | Marisol Treviño Garza, Export Manager. Blvd. I. López Zertuche 4120, Saltillo, Coah., México +52 844 555 0142 mtrevino | |
| 3 | Exporter | Plásticos Inyectados Saltillo S.A. de C.V. | |
| 4 | Producer | Same as exporter | |
| 5 | Importer | Northfield Industrial Supply, Inc. 1450 Industrial Pkwy, Columbus, OH 43219 · +1 614 555 0187 purchasing@northfield.example | |
| 6 | Description of the good and its HS tariff classification (6 digits) | Injection-molded ABS housings. HS 3926.90 | |
| 7 | Origin criterion (A, B, C or D) | B, as stated by the producer | |
| 8 | Blanket period (up to 12 months) | Jan 1, 2026 – Dec 31, 2026Ends before your 2027 shipments. | 2026 only |
| 9 | Authorized signature and date | Certification statement present. | Sign here |
Not usable as received.
8 of 9 present · Period: 2026 only · See lines 8 and 9
We asked for a 2027 period and a signature on Day 3, then called the signer on Day 5.
Their answer is in the chase log, in their words.
We record the origin criterion the producer states. Whether the good qualifies stays their call and yours. If a supplier tells us a product doesn’t qualify, we record it and tell you.