ANNEX I
Text of image
Application for authorisation to use simplifications
Original
1. Applicant
Companies involved if different from the applicant
Reserved for customs purposes
1.a. Company's Identification number
1.b. Reference number
1.c. Contact information
1.d. Lodgement of the declarations
in own name and on own behalf
as direct representative
as indirect representative
2. Simplifications
a. Entry in the declarant's records
b. Simplified declaration
c. Centralised clearance
standard declaration
simplified declaration
EIDR
Import
free circulation
customs warehouse
inward processing
temporary admission
end use
Export
exportation
re-exportation
outward processing
Import
free circulation
customs warehouse
inward processing
temporary admission
end use
Export
exportation
re-exportation
outward processing
Import
free circulation
customs warehouse
inward processing
temporary admission
end use
Export
exportation
re-exportation
outward processing
3. Type of authorisation (to insert the code):
4.a. Authorised economic operator (AEO)
YES No.
NO
4.b. authorisation(s) for customs procedures for which simplifications will be used
5. Main accounts
5.a. Place where main accounts are held
5.b. Type of main account
6. Continuation forms
Type
Reference number
Expiry date
Text of image
Application for authorisation to use simplifications
Continuation form — IMPORT
Original
7. Records for the procedure
7.a. Place where the records are held
7.b. Type of records
7.c. Other relevant information
8. Type of goods
8.a. CN-Code
Description
8.b. Estimated total quantity
8.c. Estimated number of transactions
8.d. Estimated total customs value
8.e. Average of duty amount
9. Authorised locations of goods / Customs offices
a.
Locations
b.
Local/presentation customs offices
10. Customs office(s) for placing goods under a customs procedure
11. Supervising office (if applicable)
12. Type of simplified declaration
Single administrative document (SAD)
Electronic declaration
commercial or other administrative document
to be specified:
13. Additional information / conditions
14. I consent to the exchange of any information with the customs authorities of any other Member State involved.
Place and date
Signature and name
Explanatory notes to the different boxes of the application form
General remark:
If necessary the requested information can be presented in a separate annex to the application form, referring to the box of the form concerned.
Member States may require additional information.
1.
Enter full name and EORI number of the applicant. The applicant is the person to whom the authorisation will be issued.
1.a
Enter the company identification number.
1.b
Enter, if applicable, any internal reference number, to refer to this application in the authorisation.
1.c
Enter the relevant contact information (contact person, contact address, phone number, fax number, e-mail address)
1.d
Indicate the type of representation for lodgement of a declaration by inserting an ‘X’ in the appropriate box.
2.
Indicate which type of simplification (entry in the records, simplified declaration or centralised clearance) and which customs procedure (for import and/or export) is applied for by inserting an ‘X’ in the appropriate box.
3.
Enter the relevant code:
1
first application for an authorisation
2
application for modified or renewed authorisation (also indicate the appropriate authorisation number).
4.a
Indicate if the status of authorised economic operator is certified; if ‘YES’, enter the corresponding number.
4.b
Enter the type, reference and — if applicable — the expiry date of the relevant authorisation(s) for which the applied simplification(s) will be used; in case authorisation(s) is/are just applied for, enter the type of applied authorisation(s) and the date of application
5.
Information on main accounts, commercial, fiscal or other accounting material.
5.a
Enter the full address of the location where the main accounts are held.
5.b
Enter the type of accounts (electronic or paper-based, and type of system and software in use).
6.
Enter the number of continuation forms attached to this application.
7.
Information on records (customs-related accounts).
7.a
Enter full address of the location where the records are held.
7.b
Enter the type of records (electronic or paper-based, and type of system and software in use).
7.c
Enter, if applicable, other relevant information regarding to the records.
8.
Information about type of goods and transactions.
8.a
Enter, if applicable, the relevant CN-Code otherwise enter at least the chapter of CN and the description of the goods.
8.b
Enter the relevant information on a monthly basis.
8.c
Enter the relevant information on a monthly basis.
9.
Information on authorised locations of goods and responsible customs office.
9.a & b
Enter the full name, address and contact information.
10.
Enter the full name, address and contact information of the relevant customs offices where the goods are placed under a customs procedure.
11.
Enter, if applicable, the full name, address and contact information of the supervising office.
12.
Indicate, by inserting an ‘X’ in the appropriate box, the type of simplified declaration; in case of using commercial or other administrative documents, the type of documents in use must be specified.
