Form BIS-645P International Import Certificate

General Instructions
The International Import Certificate, BIS-645P form is available on the BIS Web site. BIS
requires only one signed copy to be submitted via mail. Once the IIC is signed with the authorized
signature, the original and a copy(s) will be returned to you.
The IIC=s, BIS-645P form should be mailed to the following address.
Via Courier or Regular mail:
Bureau of Industry and Security
U.S. Department of Commerce
14th Street and Pennsylvania Avenue, N.W.
Room 2705
Washington, D.C. 20230
Attn: AIIC enclosed@

Form Approved: 0MB No. 0694-0017 - Modele approuve: 0MB No. 0694-0017

FORM BIS-645P/ATF-4522 (REV 8/19)

U.S. DEPARTMENT OF COMMERCE
Bureau of Industry and Security
U.S. DEPARTMENT OF JUSTICE
Bureau of Alcohol, Tobacco, Firearms
and Explosives
NOTE:

INTERNATIONAL IMPORT CERTIFICATE
( CERTIFICAT INTERNATIONAL D'IMPORTATION)

Read instructions on the reverse side before completing and
submitting this form. (Lire les instructions au verso avant de
remplir et de presenter la presente formulaire.

Certificate Number

1. U.S. Importer/lmportateur (Name and address-Norn et adresse)

FOR U.S. GOVERNMENT USE (Reserve pour le Gouvernment des Etats­
Unis)

2. Exporter/Exportateur (Name and address-Norn et adresse)

If this form has been approved by the Department of Commerce it is not
valid unless the official seal of the Department of Commerce appears in this
space. If this form is approved by the Justice Department, a seal is not
required. (Si ce formulaire a été approuvé par le ‘Ministère du Commerce’,
il n’est valable que si le sceau officiel du ‘Ministère du Commerce’ apparaît
dans cet espace. Si ce formulaire est approuvé par le ‘Ministère de la
Justice’, un sceau n'est pas nécessaire).

3.

TSUSAnno. No.
(Numero de la
liste)

Description of goods
(Designation de la Marchandise)

Quantity
(Quantite)

Value
(Valeur)
(FOB, CIF, etc.)

4. Representation and undertaking of U.S. importer or principal
The undersigned hereby represents that he has undertaken to import into the United States ofAmerica under a U.S. Consumption Entry or U.S. Warehouse Entry
the commodities in quantities described above, or, if the commodities are not so imported into the United States of America, that he will not divert, transship,
or reexport them to another destination except with explicit approval of the Department of Commerce, the Department of State, or the Department of Justice, as
appropriate. The undersigned also undertakes to notify the appropriate Department immediately of any changes of fact or intention set forth herein. If a delivery
verification is required, the undersigned also undertakes to obtain such vertification and make disposition of it in accordance with such requirement. Any
false statement willfully made in this declaration is punishable by fine and imprisonment. (See excerpts from U.S. Code on reverse side.)
Declaration et engagement de l'importateur ou du commettant des Etats-Unis
Le soussigné déclare par la présente qu’il s’est engagé à importer aux États-Unis, dans le cadre d’une entrée US Consumption ou US Warehouse, les
produits en quantités décrites ci-dessus, ou, s’il n’est pas importé de la sorte aux États-Unis, ne les détournera pas, ne les acheminera pas et ne les
réexportera pas vers une autre destination, sauf avec autorisation expresse du Ministère du Commerce’, du Ministère de la Justice’, selon le cas. Le
soussigné s’engage également à informer immédiatement le service compétent de tout changement de fait ou d’intention énoncé aux présentes. Si une
vérification de la livraison est requise, le soussigné s’engage également à obtenir cette vérification et à en disposer conformément à cette exigence.
Toute fausse déclaration faite intentionnellement dans la présente déclaration est punissable d’une amende et d’une peine d’emprisonnement. (Voir
l'extrait du code américain au verso.)
Type or Print
(Priere d'ecrire
a la machine ou
en caracteres
d imprimerie)

Type or Print
(Priere d'ecrire
a la machine ou
en caracteres
d imprimerie)
Name of Firm or Corporation
(Norn de la Finne ou de la Societe)

Name and 'litle of Authorized Official
(Norn et titre de !'agent ou employe autorise)

Signature of Authorized Official
(Signature de !'agent ou employe autorise)

Date of Signature
(Date de la signature)

This document ceases to be valid unless presented to the competent foreign authorities within twenty four months from its date of issue. (Le present document
perd sa validite s'il n'est pas remis aux autorites etrangeres competentes dans un delai de vingt-quatre mois a compter de sa delivrance.)
No permanent import certification may be obtained unless this International Import Certificate has been completed and filed with the appropriate U.S.
Government agency (Department of Commerce: 50 U.S.C. app. §2411, E.O. 12214 15 C.F.R. §368; Department of Justice; 22 U.S.C. §2778, E.O. 11959, 27 C.F.R. §47;
Information furnished herewith is subject to the provisions of Section 1761(h) of the Export Control Reform Act of 2018, 50 U.S.C. app. 24ll(c), and its
unauthorized disclosure is prohibited by law.
FOR U.S. GOVERNMENT USE (Reserve au Gouvernement des Etats-Unis)
Certification: This is to certify that the above declaration was made to the
U.S. Department of Commerce or Treasury through the undersigned
desig­nated official thereof and a copy of this certification is placed in the
official files.

Certification : II est certifie par la presente que la declaration ci-dessus a ete
faite au Ministere du Commerce ou des Finances des Etats-Unis par
l'intermediaire du fonctionnaire autorise sousssigne de ce Ministere et qu'une
copie de ce certificat a ete conservee in archives officielles.

Signature___________________________________Date ____________________
Designated Commerce or Justice Official (Fonctionnaire competent du Ministere du Commerce de la Justice)

Date
USCOMM DC 89-24414

ORIGINAL COPY

INSTRUCTIONS FOR COMPLETION AND SUBMISSION OF
FORM BIS-645P/ATF-4522 INTERNATIONAL IMPORT CERTIFICATE
In accordance with an agreement between the Departments of Commerce and Justice, Import Certificates issued to facilitate international cooperation in
export control matters have been standardized. Under this standardization these agencies will use the same form. The U.S. Department of Justice issues the
form for articles enumerated on the U.S. Munitions Import List in connection with the issuance of a Justice Department Import Pennit. The U.S. Department
of Commerce issues the form for all other commodities subject to an Import Certificate requirement.
Notwithstanding any other provision of law, no person is required to respond to nor shall a person be subject to a penalty for failure to comply with a collection
of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid 0MB Control
Number.
Public reporting for this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions, completing and
reviewing the collection of information, and an additional I minute per response for recordkeeping. Send comments regarding this burden estimate or any other
aspect of this collection of information, including suggestions for reducing this burden, to the Director of Administration, Bureau of Industry and Security, Room
3889, U.S. Department of Commerce, Washington, D.C. 20230; and to the Office of Management and Budget, Paperwork Reduction Project, Washington, D.C. 20503.
GENERAL INSTRUCTIONS

Submit this form in triplicate - 3 copies (submit in quadruplicate 4 copies for
"special nuclear material," "source material," "by-product material,"
"production or utilization facilities," and "nuclear equipment" and "nuclear
material" as defined in the regulations of the Nuclear Regulatory Commission).
The quadruplicate copy of this form should be retained by the importer for
record purposes, and after the original is signed and numbered by the
designated U.S. Commerce or Justice Department official, the International
Import Certificate Number should be entered on the record copy. This will
facilitate entering the correct International Import Certificate Number on a
Delivery Verification Certificate if a delivery verification is requested by the
foreign exporter. (If the form is required to be submitted in quadruplicate, the
importer should use a separate blank form to provide his record copy.)
Import Certificates will be issued only when required by the government of a
foreign country for the commodities specified above which are subject to the
Atomic Energy Act, for the N.S.--controlled commodities on the Commodity
Control List (Supplement No. 1 to 774 of the U.S. Department of Commerce
Export Administration Regulations), and for articles enumerated on the U.S.
Munitions List and U.S. Munitions Import List
Issuance by U.S. Department of Conunerce

Requests for certification and validation of Import Certificates or requests for
amendments of Import Certificates may be filed with the Office of Exporter
Services, P.O. Box 273, Washington, D.C. 20044.
(Blank forms are obtainable at the same offices or any other District Offices.)
(See Supplement No. 5 to Part 748 of the Export Administration Regulations,
for Special instructions to be followed when foreign excess property is
involved.)
Issuance by U.S. Department of Justice

In the case of articles enumerated in the U.S. Munitions Import List (27 Code
of Federal Regulations 447) covering arms, ammunition, and implements of
war, communicate with the Bureau of Alcohol, Tobacco, Firearms and
Explosives, Department of Justice, Martinsburg, West Virginia 25405.
SPECIAL INSTRUCTIONS
Item 1 The full name and the address of the U.S. importer or U.S. principal in

the transaction must be shown. (The U.S. principal in the transaction is that
person subject to the jurisdiction of the United States who is in a position to
make the representation and undertakings set forth in Item 4.)

Item 2 - Name and full address of foreign exporter must be shown.

Where the commodities are not imported into the U.S. under such Customs
entries, permission to divert, transship or reexport the commodities must be
obtained from the Department of Commerce or Department of Justice.
*TSUS -Tariff Schedules of the United States Annotated may be
purchased from the Superintendent of Documents, U.S. Government
Printing Office, Washington, D. C. 20402, local Customs Offices, or !TA
District Offices located in principal cities.
REGULATIONS COVERING USE OF THIS FORM

The Department of Commerce regulation covering U.S. Import Certificates and
Delivery Verification Certificate is set forth in Supplement No. 5 to Part 748 of the
Export Administration Regulations, which is available for reference at any ITA
District Office.
PENALTIES AND SANCTIONS FOR VIOLATIONS

(a) Administrative - Provided in the Export Administration Regulations.
The enforcement provisions of Part 764 of the Export
Administration Regulations, the conduct of Business provisions of
Supplement No. 2 to Part 736, and the denial or suspension of export
privileges and imposition of civil penalties provisions of Part 766 shall apply to
transactions involving imports into the United States covered by Supplement
No. 2 to Part 736. The Export Administration Act provides a civil penalty not to
exceed $10,000 that may be imposed for each violation of the Export
Administration Act or any regulation, order, or license issued under the Act
either in addition to or instead of any liability or penalty which may be imposed.
Violations involving national security controls imposed under Sections of the
Export Administration Act are subject to a civil penalty not to exceed $100,000
for each violation. Any provisions of Part 764 and Supplement No. 2 to Part 736
which by their terms relate to "exports" or "exports from the United States" are
also deemed to apply and extend to imports into the United States,
applications for International Import Certificates, International Import
Certificates and Delivery Verifications, dealt with in Part 748. (A form BIS - 645P,
International Import Certificate, when presented to the U.S. Department of
Commerce for certification or validation, is an application for an International
Import Certificate.)
Any person, either in the United States or abroad, who violates the Export
Administration Act or any regulation, order, or license issued thereunder,
including the provisions of Part 748, is subject to administrative action which
may result in disqualification from eligibility to obtain a certified Import
Certificate from the Office of Exporter Services, in suspension, revocation and
denial of export privileges under the Export Administration Act; and in exclusion
from practice before the Bureau of Industry and security of the U.S. Department of
Commerce on behalf of another, in connection with any export control matter, as
provided in Part 766.

Item 3 - Description of goods must be shown in normal commercial terms,

(b) Administrative - Provided in the International Traffic in Arms Regulations.
Part 127 of the International Traffic in Arms Regulations provides that a violator
of these regulations may, through administrative action described in Part 128, be
debarred (prohibited) from exporting all U.S. Munitions List articles or technical
data from the United States. Part 127 also subjects such a violator to a civil
penalty not to exceed that authorized by law.

The Tariff Schedules of the United States (TSUS) Annotated* number and the
quantity must be shown in accordance with the Tariff Schedules and/or normal
commercial terms.

( c) Criminal. [ 1] The False Statements Act makes it a criminal offense to make
a willfully false statement or conceal a material fact or knowingly use a
document containing a false statement, in any matter within the jurisdiction of
a United States department or agency. Maximum penalties under the provision
are a$10,000 fine or imprisonment for five (5) years, or both. [2] The Export
Administration Act provides that whoever knowingly violates any provision of
this Act or any regulation, order, or license issued thereunder, shall be fined not
more than five (5) times the value of the exports involved or $50,000,
whichever is greater, or imprisoned not more than five (5) years, or both. (See
also §764.3 of the Export Administration Regulations.) [3] For purposes of this
paragraph, "controlled country" means any country described in section 620(f)
of the Foreign Assistance Act of 1961. [4] Any person who willfully violates any
provision of section 38 of the Arms Export Control Act, or any rule or regulation
issued under that section is subject, upon conviction, to a maximum fine of
$100,000 or a maximum of two (2) years imprisonment or both (also see
§127.01 et.seq. of the International Traffic In Arms Regulations).

and should include composition, type, size, gauge, grade, horsepower,
manufacturer's name, serial number, as well as brand or trade names, cataiog
numbers, or other trade characteristics which will aid in exact recognition of
commodities. Indicate also status of equipment or material such as new or
used.

Values must be shown in customary form of quotation, such as: f.o.b. (named
port), c.i.f., or other form.
Item 4 - Where the representation is made that the commodities will be

brought into the United States under a U.S. Consumption or Warehouse
Entry, the temporary unlading of goods in a foreign trade zone which are
intended for subsequent entry into the economy of the United States is not
precluded. The U.S. Department of Commerce and/or Department of Justice,
shall be notified immediately of any changes of fact or intention set forth on
this form. Such notification shall be in writing and should include the
International Import Certificate Number. There must be shown in the name of
firm or corporation on whose behalf this document is filed If signed by an
agent of the Importer, such agency must be indicated in the space marked
"Type or Print Name and Title of Authorized Official.•

NOTE

Applications for Import Certificates and Delivery Verifications, as specified in
Part 748, are included within the definition of export control documents set forth
in Part 772 of the Export Administration Regulations.