Export Control Determination Request

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY

  • Requested By:

  • Items Will be Shipped To:

  • Item Details

  • Provide a detailed description of the item. (Depending on the item, characteristics may include brand, model number, software version, quantity, material properties, electrical properties,dimensions, concentration, etc.). Provide the cash value of each item.
  • (Returned to US in X months, used and disposed of overseas)
  • This field is for validation purposes and should be left unchanged.