Resources to get you moving...in compliance.

Customer Forms

To ensure a prompt on-boarding, please download and complete the appropriate documents and return to our customer service team.

Name
CBP Form 5106 - cbp-form-5106.pdf
Customs Power of Attorney - CUSTOMS POWER OF ATTORNEY v120922.pdf
Terms and Conditions - HEIZWERTHY TERMS AND CONDITIONS.pdf
Who Can Sign a POA? - WHO CAN SIGN A CUSTOMS POWER OF ATTORNEY.pdf
CBP Form 4811 - CBP Form 4811.pdf
Lacey Act Declaration - LACEY ACT DELCARATION FORM.pdf
ADD/CVD Reimbursement Statement - ADD CVD Reimbursement Statement.pdf
TSCA Form - TSCA_Certification.pdf
Commercial Invoice Template - Commercial Invoice Template.pdf
Declaration of US Returned Goods - Declaration of US Returned Goods.pdf
Continuous Bond Application - CONTINUOUS BOND APPLICATION.pdf
ISF Form - ISF FORM (FILLABLE).pdf
Vehicle Verification Form - VEHICLE VERIFICATION FORM EPA -DOT.pdf

Effective December 19, 2022

The U.S. Power of Attorney (“POA”) is a requirement of U.S. Customs and Border Protection (“CBP”) Bureau for Heizwerthy Customs &
Freight Solutions, LLC (“Heizwerthy”) to provide the customs brokerage services required by you. Heizwerthy cannot act as your
customs broker without a signed copy of this document. This customs power of attorney must be executed pursuant to the
requirements in 19 CFR 111.36(c)(3). Please return this form directly to Heizwerthy at customerservice@heizwerthy.com.