Form 3-177, 3-177a 3-177, 3-177a Declaration for Importation or Exportation of Fish or Wi

USFWS Form 3-177
USFWS
Form 3-177
(Revised
12/06)
OMB(Revised
Control12/03)
No. 1018-0012
O.M.B.Date:
No. 1018-0012
Expiration
XX/XX/XXXX

1. Date of Import/Export: (mm/dd/yyyy)
___ ___ / ___ ___ / ___ ___ ___ ___

Page ____ of _____

U.S. FISH AND WILDLIFE SERVICE
DECLARATION FOR IMPORTATION
OR EXPORTATION OF
FISH OR WILDLIFE

7. Name of Carrier:
8. Air Waybill or Bill of Lading Number:
Master:

2. Import/Export License Number:

House:

3. Indicate One:
† Import † Export
4. Port of Clearance:

9. Transportation Code: __________
______________
License #

______________
State or Province

_______ ________

10. Bonded Location for Inspection:
5. Purpose Code: ________
6. Customs Document Number (s)

11. Number of Cartons Containing Wildlife:
12. Markings on Cartons Containing
Wildlife:

13a. (Indicate One) (Complete name/U.S. address/telephone number/e-mail address)
† U.S. Importer
† U.S. Exporter

14a. (Indicate One)
(Complete name/foreign address/telephone number/e-mail address)
† Foreign Importer
† Foreign Exporter
14b. Country Code
____ ____

13b. Identifier Number: __________________ ID Type: __________________

14c. Identifier Number: ____________________ ID Type: ____________________

15a. Customs Broker, Shipping Agent or Freight Forwarder:
(Complete business name/address/telephone and fax number/e-mail address)

15b. Identifier Number: __________________ ID Type: ________________

15c. Contact Name: _______________________________________________
Species
Code
(Official Use
Only)

16a. Scientific Name

17a. Foreign CITES Permit
Number

18a. Description
Code

19a.
Quantity/Unit

20. Country
of Species
Origin Code

16b. Common Name

17b. U.S. CITES
Permit Number

18b. Source
Code

19b. Total
Monetary Value

(ISO Code)

21.
Venomous
Live Wildlife
Indicator ;
(Check if yes)

†
†
†
†
Knowingly making a false statement in a Declaration for Importation or Exportation of Fish or Wildlife
may subject the declarant to the penalty provided by 18 U.S.C. 1001 and 16 U.S.C. 3372(d)

22. I certify under penalty of perjury that the information furnished
is true and correct:

For Official Use Only

_______________________________ ____________

Action/Comments:

Signature

Date

______________________________________________________
Type or Print Name

Wildlife Declared:

Yes

No

Wildlife Inspected:
None / Partial / Full
See Reverse Side of this Form for Privacy Act

USFWS Form 3-177
(Revised 12/06)
OMB. Control No. 1018-0012
Expiration Date: XX/XX/XXXX

Page ____ of _____

U.S. FISH AND WILDLIFE SERVICE
DECLARATION FOR IMPORTATION
OR EXPORTATION OF
FISH OR WILDLIFE

13. Name of U.S. Importer or Exporter:
8. Air Waybill or Bill of Lading Number:
Master:

2. I/E License Number:
CONTINUATION SHEET

House:
Species
Code
(Official Use
Only)

16a. Scientific Name

17a. Foreign CITES Permit Number

16b. Common Name

17b. U.S. CITES
Permit Number

18a. Description
Code
18b. Source
Code

19a.
Quantity /Unit
19b. Total
Monetary Value

20.
Country of
Species
Origin

21.
Venomous
Live Wildlife
Indicator ;

(ISO Code)

(Check if yes)

†
†
†
†
†
†
†
†
†
Knowingly making a false statement in a Declaration for Importation or Exportation of Fish or
Wildlife may subject the declarant to the penalty provided by 18 U.S.C. 1001 and 16 U.S.C.
3372(d).

22. I certify under penalty of perjury that the information furnished is true
and correct:
______________________________________________ ____________
Signature

Date

For Official Use Only

____________________________________________________________
Type or Print Name

See Reverse Side of this Form for Privacy Act Notice

NOTICE
In accordance with the Privacy Act (5 U.S.C. 522a) and the Paperwork reduction Act (44 U.S.C. 3501), please be advised that:
1. The gathering of information on the importation and exportation of wildlife (any wild animal, including without
limitation any wild mammal, bird, reptile, amphibian, fish, mollusk, crustacean, arthropod, coelenterate, or other
invertebrate, whether or not bred, hatched, or born in captivity, and including any part, product, egg, or offspring thereof)
is authorized by the Endangered Species Act of 1973 (16 U.S.C. 1531-1543) and Title 50, Parts 14 and 17, of the Code of
Federal Regulations.
2. The disclosure of the requested information is required to provide information about imports or exports, including parts
and products, to facilitate enforcement of the Act and other wildlife laws and regulations including the provisions of the
Convention on International Trade in Endangered Species of Wild Fauna and Flora.
3. Failure to provide all of the requested information is sufficient cause for the U.S. Fish and Wildlife Service to deny you
permission to import or export wildlife.
4. In the event there is indicated a violation of a statute, regulation, rule, order, or license, whether civil, criminal, or
regulatory in nature, the requested information may be transferred to the appropriate Federal, State, local, or foreign agency
charged with investigating or prosecuting such violations.
5. In the event of litigation involving records or the subject matter of the records, the requested information may be
transferred to the U.S. Department of Justice.
6. The requested information may be subject to disclosure under provisions of the Freedom of Information Act (5 U.S.C.
552). The U.S. Fish and Wildlife Service will retain information from Form 3-177 for a minimum of 5 years.
7. You are not required to respond to a collection of information unless it displays a currently valid OMB control number.
8. This information collection has been approved by OMB and assigned control number 1018-0012.
We estimate that it will take you about 15 minutes by hand or 10 minutes electronically to complete this form. Comments on this
form should be mailed to the Information Collection Clearance Officer, Mail Stop 222-ARLSQ, , U.S. Fish and Wildlife Service,
4401 North Fairfax Drive, Arlington, Virginia 22203.

FILING INSTRUCTIONS FOR DECLARATION FOR IMPORTATION OR EXPORTATION OF FISH OR WILDLIFE (USFWS FORM 3-177)
NOTE: Failure to file a declaration for importation or exportation of fish or wildlife when required by the regulations in 50 CFR 14 is a violation of
the Endangered Species Act of 1973 as amended (16 U.S.C. 1531 et. seq.). Regulations concerning the importation and exportation of wildlife may
be found in 50 CFR Part 14.
Instructions: We strongly encourage all filers to use the U.S. Fish and Wildlife Service electronic filing system to reduce paper and time. Filers may
access the internet filing system at http://www.fws.gov/le/. Filers may also access an on-line Adobe Acrobat version of Form 3-177
(http://www.fws.gov/le/ImpExp/Info_Importers_Exporters.htm) where the form can be filled in on-line and printed. Filers cannot save their
completed on-line form unless they own the Adobe Acrobat software. For filers who choose to file a paper form, you must file the original
declaration, and up to 2 copies to be retained by the Importer/Exporter or Broker. Print or type legibly. All filers are required to provide all relevant
information, including supplemental documentation (as required in 50 CFR 14).
1. Enter the date of import into, or export from, United States jurisdiction (as defined by 50 CFR 14).
2. Enter the USFWS Import/Export License Number as required in 50 CFR 14.
3. Check the appropriate box.
4. Enter the appropriate 2-letter Port code from the list below. If the Port is not listed, use the numeric code for the Region where the port is located.
You must include a copy of your USFWS Designated Port Exception Permit in the document package, if applicable.
Agana, GU .....................................................AG Fairbanks, AK............................................. FB Philadelphia, PA........................................... PA
Alcan, AK...................................................... AL Grand Portage, MN ....................................GP
Phoenix, AZ…………………………..……PX
Anchorage, AK.............................................. AN Highgate Springs, VT................................ .HS Port Huron, MI............................................. PH
Atlanta, GA ....................................................AT Honolulu, HI.............................................. HA Portal, ND..................................................... PL
Baltimore, MD ...............................................BA Houlton, ME.............................................. HO
Portland, OR................................................. PT
Blaine, WA.................................................... BL
Houston, TX ..............................................HN
Raymond, MT.............................................. RY
Boston, MA................................................... BO
International Falls, MN............................... IF
Saipan, MP………………………...…..……SP
Brownsville, TX............................................ BV
Jackman, ME............................................... JK San Diego/San Ysidro, CA………….......... SY
Buffalo/Niagara Falls, NY …………............ BN Juneau, AK.................................................. JU San Francisco, CA........................................ SF
Calais, ME..................................................... CA
Laredo, TX................................................. LR
San Juan, PR.................................................. SJ
Calexico, CA................................................. CX
Las Vegas………………………...……….LV San Luis, AZ………………………….…….SL
Champlain, NY.............................................. CP
Los Angeles, CA........................................ LA Sault Saint Marie, MI................................... SS
Chicago, IL.................................................... CH Louisville, KY…………………...………..LO Seattle, WA................................................... SE
Cleveland, OH................................................ CL Lukeville, AZ............................................. LK
Sumas, WA.................................................. SU
Dallas/Fort Worth, TX................................... DF McAllen, TX…………..................………MC
Sweetgrass, MT........................................... SW
Del Rio, TX ...................................................DR
Memphis, TN……………….…………….ME Tampa, FL.................................................... TP
Denver, CO.................................................... DN Miami, FL................................................... MI Tulsa, OK…………………………..………TU
Derby Line, VT...............................................DL Minneapolis/St. Paul, MN......................... MP
Region 1 - Other ........................................... 01
Detroit, MI..................................................... DE
New Orleans, LA .......................................NO Region 2 - Other ........................................... 02
Douglas, AZ.................................................. DG
New York, NY........................................... NY Region 3 - Other ........................................... 03
Dulles, VA……………………………..……DU Newark, NJ............................................... NW
Region 4 - Other ........................................... 04
Dunseith, ND .................................................DS
Nogales, AZ............................................... NG Region 5 - Other …..……………................. 05
Eastport, ID ....................................................EA Norfolk, VA............................................... NF
Region 6 - Other ........................................... 06
El Paso, TX.................................................... EL
Pembina, ND.............................................. PB
Region 7 - Other ........................................... 07
5. Enter the appropriate one-letter Purpose Code from the list below.
Personal........................................................... P Commercial …………………........................ T
Zoos................................................................ Z
Educational..................................................... E
Breeding in captivity or artificial
Hunting trophies............................................. H
propagation ………………………………….B Botanical gardens........................................... G

Biomedical research....................................... M
Scientific......................................................... S
Circuses/traveling exhibitions …………....... Q
Reintroduction/introduction into the wild...... Y

6. Enter the U.S. Customs and Border Protection document reference number(s) associated with the import or export, if applicable. For exports,
enter any shipper’s export declaration reference number, if applicable.
7. Enter the name of the carrier used to import or export – (airline, vessel, rail or truck company), or indicate personally owned vehicle.
8. Enter the Master and House Air Waybill number or Bill of Lading, if applicable.
9. Enter the applicable one-letter Transportation Code from the list below. For personal vehicles, also indicate the license number and State or
Province.
Air cargo......................................................... A Ocean cargo.................................................... O Rail................................................................. R
Border crossing on foot.................................. B
Personal accompanying baggage ………....... P
Truck (commercial) ……............................... T
Mail................................................................ M Personal vehicle ………..................................V
10. Enter the customs bonded physical location where the shipment is available for inspection.
11. Indicate the quantity of cartons in the entire shipment that contain wildlife.

Page 1 of 4

FILING INSTRUCTIONS FOR DECLARATION FOR IMPORTATION OR EXPORTATION OF FISH OR WILDLIFE (USFWS FORM 3-177)

12. List any unique markings or codes on cartons that contain wildlife as required in 50 CFR Part 14.
13a. Check the appropriate box to indicate U.S. importer or exporter. Enter the complete name, address (in the United States), e-mail address, if
applicable, and telephone number of the U.S. importer or exporter.
13b. Enter an identifier number and the type of identifier (for example, DUNS number, U.S. Customs and Border Protection account number) for the
U.S. Importer or Exporter, if applicable.
14a. Enter the complete name, address (in the foreign country), and telephone number of the foreign importer or exporter. Enter the e-mail address if
applicable.
14b. Enter the applicable two letter ISO (International Organization for Standardization) country code from the list below.
Afghanistan.................................................. AF
Cuba............................................................ CU
Jamaica......................................................... JM
Åland Islands............................................... AX
Curacao (Netherlands Antilles) ………….. AN
Japan.............................................................. JP
Albania......................................................... AL Cyprus.......................................................... CY Jordan............................................................ JO
Algeria.......................................................... DZ Czech Republic............................................ CZ
Kazakhstan................................................... KZ
Andorra........................................................ AD Democratic Republic of Congo………...….CD
Kenya........................................................... KE
Angola......................................................... AO
Denmark...................................................... DK
Kiribati.......................................................... KI
Anguilla........................................................ AI
Djibouti......................................................... DJ
Korea, Democratic People’s Republic of….KP
Antarctica.................................................... AQ
Dominica..................................................... DM Korea, Republic of....................................... KR
Antigua and Barbuda................................... AG Dominican Republic.................................... DO Kuwait........................................................ KW
Argentina..................................................... AR
Ecuador........................................................ EC
Kyrgyzstan................................................... KG
Armenia...................................................... AM
Egypt............................................................ EG Lao People’s Democratic Republic……......LA
Aruba.......................................................... AW
El Salvador................................................... SV Latvia........................................................... LV
Ascension Islands........................................ GB
England……………………………....…….GB Lebanon ........................................................LB
Australia...................................................... AU
Equatorial Guinea........................................ GQ Lesotho......................................................... LS
Austria.......................................................... AT Eritrea........................................................... ER Liberia.......................................................... LR
Azerbaijan.................................................... AZ Estonia.......................................................... EE Libyan Arab Jamahiriya............................... LY
Azores........................................................... PT Ethiopia........................................................ ET
Liechenstein…………………………………LI
Bahamas....................................................... BS
Falkland Islands (Malvinas)......................... FK Lithuania....................................................... LT
Bahrain......................................................... BH Faroe Islands................................................ FO
Luxembourg................................................. LU
Bangladesh................................................... BD Fiji................................................................. FJ
Macao……….............................................. MO
Barbados...................................................... BB
Finland........................................................... FI
Macedonia...……...…................................. MK
Belarus......................................................... BY
France........................................................... FR
Madagascar……..………........................... MG
Belgium........................................................ BE French Guiana.............................................. GF
Malawi....................................................... MW
Belize............................................................ BZ French Polynesia (Tahiti).............................. PF Malaysia...................................................... MY
Benin............................................................. BJ
French Southern Territories …………….….TF Maldives...................................................... MV
Bermuda...................................................... BM Gabon.......................................................... GA
Mali............................................................. ML
Bhutan.......................................................... BT
Gambia........................................................ GM Malta............................................................ MT
Bolivia.......................................................... BO Georgia......................................................... GE Marshall Islands.......................................... MH
Bosnia and Herzegovina............................. BA
Germany....................................................... DE Martinique................................................... MQ
Botswana..................................................... BW Ghana........................................................... GH Mauritania................................................... MR
Bouvet Island............................................... BV Gibraltar........................................................ GI
Mauritus...................................................... MU
Brazil............................................................ BR Great Britain................................................ GB
Mayotte........................................................ YT
British Indian Ocean Territory …………..... IO Greece.......................................................... GR Mexico........................................................ MX
British Virgin Islands.................................. VG
Greenland..................................................... GL Micronesia, Federated States of ………..... FM
Brunei Darussalam....................................... BN Grenada........................................................ GD Moldova, Republic of................................. MD
Bulgaria........................................................ BG Guadeloupe.................................................. GP
Monaco........................................................ MC
Burkina Faso................................................. BF Guatemala.................................................... GT
Mongolia..................................................... MN
Burundi.......................................................... BI Guinea.......................................................... GN Montserrat.................................................... MS
Cambodia……………................................. KH Guinea-Bissau............................................. GW Morocco...................................................... MA
Cameroon.................................................... CM Guyana......................................................... GY Mozambique................................................ MZ
Canada......................................................... CA
Haiti.............................................................. HT Myanmar.................................................... MM
Canary Islands.............................................. ES
Heard and McDonald Islands ………….... HM
Namibia....................................................... NA
Cape Verde.................................................. CV
High Seas…………………………………...ZZ Nauru........................................................... NR
Cayman Islands........................................... KY
Holy See (Vatican City State)………….….VA
Nepal............................................................ NP
Central African Republic............................. CF
Honduras...................................................... HN Netherlands.................................................. NL
Chad............................................................. TD
Hong Kong.................................................. HK
Netherlands Antilles.................................... AN
Chile............................................................. CL
Hungary....................................................... HU
Neutral Zone………………...……………..NT
China, People’s Republic of........................ CN
Iceland............................................................ IS New Caledonia............................................. NC
Christmas Island.......................................... CX
India.............................................................. IN
New Zealand................................................ NZ
Cocos Islands (Keeling)............................... CC Indonesia....................................................... ID
Nicaragua...................................................... NI
Colombia...................................................... CO Iran, Islamic Republic of............................... IR Niger............................................................ NE
Comoros...................................................... KM Iraq................................................................ IQ
Nigeria......................................................... NG
Congo........................................................... CG Ireland............................................................ IE Niue............................................................. NU
Congo, Democratic Republic of.................. CD
Ireland, Northern…………………….……..GB Norfolk Island.............................................. NF
Cook Islands................................................ CK
Isle of Man………………………………….IM Norway........................................................ NO
Costa Rica................................................... CR
Israel.............................................................. IL
Oman........................................................... OM
Cote d’Ivoire (Ivory Coast)…...................... CI
Italy................................................................ IT Pakistan........................................................ PK
Croatia......................................................... HR
Ivory Coast………………………………….CI
Palau............................................................ PW

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FILING INSTRUCTIONS FOR DECLARATION FOR IMPORTATION OR EXPORTATION OF FISH OR WILDLIFE (USFWS FORM 3-177)

Country codes (continued).
Palestinian Territory, Occupied………….....PS
Panama......................................................... PA
Papua New Guinea....................................... PG
Paraguay....................................................... PY
Peru............................................................... PE
Philippines.................................................... PH
Pitcairn ………............................................ PN
Poland........................................................... PL
Portugal......................................................... PT
Qatar............................................................ QA
Reunion........................................................ RE
Romania....................................................... RO
Russian Federation...................................... RU
Rwanda....................................................... RW
Saint Helena................................................. SH
Saint Kitts and Nevis.................................. KN
Saint Lucia................................................... LC
Saint Pierre and Miquelon........................... PM
Saint Vincent and the Grenadines……...….VC
Samoa, Western……………………………WS
San Marino.................................................. SM
Sao Tome and Principe................................. ST
Saudi Arabia................................................ SA
Scotland……………………...…………….GB
Senegal......................................................... SN
Serbia and Montenegro…………...……..…CS
Seychelles..................................................... SC

Sierra Leone................................................. SL
Singapore..................................................... SG
Slovakia........................................................ SK
Slovenia........................................................ SI
Solomon Islands........................................... SB
Somalia......................................................... SO
South Africa................................................. ZA
South Georgia and South
Sandwich Islands……………………...…... GS
Spain............................................................. ES
Sri Lanka...................................................... LK
Sudan............................................................ SD
Suriname……………………………………SR
Svalbard and Jan Mayen …………………... SJ
Swaziland...................................................... SZ
Sweden.......................................................... SE
Switzerland.................................................. CH
Syrian Arab Republic................................... SY
Taiwan (Province of China)........................ TW
Tajikistan....................................................... TJ
Tanzania, United Republic of....................... TZ
Thailand....................................................... TH
Timor-Leste………………...………………TL
Togo…………………………………...…...TG
Tokelau……………………………………..TK
Tonga…………………...………………….TO
Trinidad and Tobago.................................... TT

Tunisia......................................................... TN
Turkey………………………………...……TR
Turkmenistan………………………..……..TM
Turks and Caicos Islands............................. TC
Tuvalu.......................................................... TV
Uganda......................................................... UG
Ukraine........................................................ UA
United Arab Emirates.................................. AE
United Kingdom…….................................. GB
United States of America............................. US
Unknown..................................................... XX
Uruguay....................................................... UY
Uzbekistan................................................... UZ
Vanuatu....................................................... VU
Vatican City................................................. VA
Venezuela..................................................... VE
Viet Nam..................................................... VN
Virgin Islands, British……………...……...VG
Wales…………………………………........GB
Wallas and Futuna Islands.......................... WF
Western Sahara............................................ EH
Western Samoa........................................... WS
Yemen.......................................................... YE
Zambia........................................................ ZM
Zimbabwe................................................... ZW

14c. Enter an identifier number and the type of identifier (for example, DUNS number, U.S. Customs and Border Protection account number) for the
foreign Importer or Exporter, if applicable.
15a. Enter the business name of the appropriate agent, if applicable.
15b. Enter an identifier number and the type of identifier (for example, DUNS number, U.S. Customs and Border Protection account number) for the
U.S. Customs Broker, Shipping Agent or Freight Forwarder, if applicable.
15c. Enter the contact information for the appropriate agent, including name, telephone and fax numbers, and e-mail address, if applicable
16a. List the scientific name for each species. This is a Latin name including genus and species (and sub-species, when required to determine if the
fish or wildlife is protected at the subspecies level).
16b. List the common name in English for each species in 16a.
17a. List the foreign CITES permit or certificate number for each species in 16a, if applicable. List one permit or certificate number per block. Use
multiple species lines if a species is listed on more than one CITES permit or certificate.
17b. List the U.S. CITES permit or certificate number for each species in 16a, if applicable. List one permit or certificate number per block. Use
multiple species lines if a species is listed on more than one CITES permit or certificate.
18a. Enter the applicable description code for each species in 16a from the list below.
Baleen…………………………………………………….….……...…BAL
Ear (except when part of whole trophy)…………................…...……..EAR
Bark (raw, dried, powdered, unprocessed).…………………….……...BAR Egg (dead or blown egg, excluding caviar) .…...………………….......EGG
Bone piece (not manufactured)...............................................................BOP Egg (live) ................................................................................................EGL
Bone product or carving.........................................................................BOC
Eggshell (raw or worked)…………………………………....…………ESH
Bone (including jaw, but not skull) …...................................................BON Extract (usually plant).............................................................................EXT
Bulb, corm or tuber …............................................................................BUL Feather …................................................................................................FEA
Calipee (turtle cartilage for soup)….......................................................CAL
Fiber (plant fiber, tennis racket string)………………….…………..….FIB
Carapace (raw or unworked) …….....………..……………………...... CAP Fin (fresh, frozen, or dried fin or part)…….……..…………………..…FIN
Carving (other than bone, horn, or ivory) ..............................................CAR Fingerling (juvenile fish of one or two years of age for the
Caviar (unfertilized dead processed eggs of sturgeon or paddlefish) ...CAV
aquarium trade, hatchery, or release operation).......................FIG
Chip (timber)………..………………………………..….………..…...CHP
Flower pot (made of tree fern or other plant fiber)……………........…..FPT
Claw (including talon)............................................................................CLA
Flower......................................................................................................FLO
Cloth........................................................................................................CLO Foot..........................................................................................................FOO
Coral (raw or unworked, excluding live rock) ......................................COR
Frog leg...................................................................................................LEG
Coral product ..........................................................................................CPR Fruit ........................................................................................................FRU
Culture of an artificially propagated plant ….........................................CUL Gall bladder............................................................................................GAB
Cutting (plant cutting or division) .........................................................CUT
Gall .……...............................................................................................GAL
Dead animal (whole animal)..................................................................BOD
Derivative (except those included elsewhere) .…………………..……DER
Dead specimen (live specimen that died during shipment) ...................DEA Dried plant ..............................................................................................DPL

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FILING INSTRUCTIONS FOR DECLARATION FOR IMPORTATION OR EXPORTATION OF FISH OR WILDLIFE (USFWS FORM 3-177)

Description codes (continued)
Garment (excluding shoe or trim) ....................................................GAR
Genitalia (castrates and dried penes)……...………………..….…..GEN
Graft rootstock ....................................................................................GRS
Hair......................................................................................................HAI
Hair product (including paint brushes)…….…………......................HAP
Horn carving (including horn or antler product)............................... HOC
Horn piece (not manufactured)………………..……….……........... HOP
Horn (substantially whole, including antler)…….………................ HOR
Ivory carving …................................................................................IVC
Ivory jewelry..................................................................................... IJW
Ivory piano key (# of keys not pianos)............................................KEY
Ivory piece (not manufactured, includes scraps)...............................IVP
Jewelry (other than ivory jewelry) ...................................................JWL
Leather product (small manufactured, e.g., belt, handbag,
wallet, watch band) …..........................................................LPS
Leather product (large manufactured, e.g., briefcase,
furniture, suitcase) …………………...................................LPL
Leaves…………….......................................................................... LVS
Live Rock (Coral Rock)……………….………..…..…...……..….ROC
Live specimen (live animal or plant) ………………........................LIV
Log (all wood in the rough, whether or not stripped of bark
or sapwood, or roughly squared, for processing into
sawn wood, pulpwood or veneer sheets)…………...………...LOG
Meat ...................................................................................................MEA
Medicinal part or product...................................................................MED
Musk ..................................................................................................MUS
Nest (including products…..…………………………………………NES
Oil........................................................................................................ OIL
Piano with ivory keys (# of pianos, not keys) .....................................PIV
Plate of fur skins (include rugs if made from several skins)..............PLA
Plywood (material consisting of 3 or more sheets of wood
glued and pressed one on another and generally
disposed so that the grains are at an angle)……................PLY
Powder ………………………………………..………………….....POW
Root (dead) ………………................................................................ROO

Rug (made from one skin only)………………................................. RUG
Sawn wood (sawn lengthwise or produced by profile-chipping;
normally exceeds 6mm in thickness)………………..............SAW
Scale (turtle, other reptile, fish, pangolin)………………….…......... SCA
Seedling ..............................................................................................SDL
Seed .....................................................................................................SEE
Shell product (from mollusc or turtle)………..…………….……..... SPR
Shell (raw or unworked shell of mollusc) ……………………...........SHE
Shoe (shoe or boot) ...….....................................................................SHO
Side (including flanks except tinga frames)………………..……...... SID
Skeleton (substantially whole)…………............................................ SKE
Skin piece (including scraps, raw or tanned)............................……...SKP
Skin (substantially whole, raw or tanned, including tinga frames)..... SKI
Skull (except when part of whole trophy) ..........................................SKU
Soup.....................................................................................................SOU
Specimen (scientific or museum specimen, including blood,
tissue, histological preparation) ……………………….... SPE
Stem (plant stem) ................................................................................STE
Swim bladder (hydrostatic organ including isinglass,
sturgeon glue)………………………...………………..……..SWI
Tail ......................................................................................................TAI
Teeth (excluding tusks) ……………..................................................TEE
Timber (raw except saw-logs and sawn wood) …………………….. TIM
Trim (shoe, garment, or decorative trim) …….................................... TRI
Trophy (all the parts of one animal, if they are exported
together; e.g. horns, skull, cape, backskin, tail
and feet constitute one trophy)..............................................TRO
Tusk (substantially whole, worked or not)………………................. TUS
Unspecified ........................................................................................UNS
Veneer (thin layers of wood of uniform thickness, usually
less than 6mm)...................................................................... VEN
Wax (including ambergris)............................................................... WAX
Wing………………………………………………………………...WNG
Wood product (including furniture, rainsticks)……………………..WPR

18b. Enter the appropriate one-letter wildlife source code for each species in 16a from the list below.
Specimens taken from the wild...............................................................W
Specimens originating from a ranching operation………………........... R
Animals born in captivity (from parents that mated in the wild) or
Pre-convention specimens........................................................................ P
animals that do not qualify as captive-bred under CITES….....F
Source unknown (lack of information must be justified) ………........... U
Animals bred in captivity (from parents that mated in captivity)…....…C
Confiscated or seized specimens. ..............................................................I
CITES Appendix I animals or plants commercially bred or
Plants that are artificially propagated, parts and derivatives …….......... A
propagated in CITES registered facilities……….……………...D

19a. Enter the quantity of wildlife, and unit of measure for each species in 16a from the list below. Multiply pairs by two.
Number (individual units)…………........... NO
Meters.......................................................... MT Grams.......................................................... GM
Centimeters................................................. CM
Square meters……...…............................... M2
Kilograms.................................................... KG
Cubic centimeters…………........................ C3
Cubic meters................................................ M3
Liters…………............................................ LT
Milliliters…………..................................... ML
19b. Indicate the total value of items containing wildlife in U.S. dollars (rounded to the nearest dollar) for each species in 16a.
20. Enter the two-letter ISO (International Organization for Standardization) code for the country where the animal was taken from the wild or where
the animal was born.
21. Indicate whether each species of live wildlife identified in 16a is venomous.
22. Sign and date the form. Type or print your name below your signature.
If additional space is needed, please use the continuation form (USFWS Form 3-177a).

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