Non-Commercial Value Courier Declaration Form

Non-Commercial Value Courier Declaration Form
Please complete this form to declare your non-commercial items for courier shipment. This form is required to ensure proper handling and compliance with courier policies.
Sender's Full Name
First NameLast Name
Sender's Email Address
example@example.com
Sender's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Sender's Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Recipient's Full Name
First NameLast Name
Recipient's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Recipient's Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Description of Items Being Shipped
Quantity of Items
Declared Value of Items (for customs purposes)
Purpose of Shipment
Other (please specify)
Shipment Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Courier Service (if known)
Additional Notes or Instructions (optional)
Should be Empty: