BIS-6051p-a REPORT OF REQUEST FOR RESTRICTIVE TRADE PRACTICE OR BOYC

Form Approved 0694-0012

Column (2) Also enter f irm identif ication number assigned to exporting f irm, if known.
(6) Use codes f ound on Sheet No. 1 to specif y types(s) of document conveying the request.
(7) Use codes f ound on Sheet No. 1 to indicate whether action taken or not taken.
(8) Enter reporting f irm’s ref erence number (e.g., letter of credit, customer order, invoice)
This number must appear on corresponding copy of document or relevant page.
Attach copies in same order as listed on continuation sheet(s).

SHEET NO.

Form BIS-6051P-a
U.S. DEPARTMENT OF COMMERCE
(Rev. 10-23)
Bureau of Industry and Security

REPORTING FIRM (Name)

REQUESTING ENTITY/
BOYCOTTING COUNTRY

BOYCOTTED
COUNTRY
OR
COUNTRIES

DATE REQUEST
RECEIVED BY FIRM
(month/day/year)

(1)
THIS SPACE FOR
BIS USE

(2)

(3)

(4)

(5)

(6)

(7)

MULTIPLE TRANSACTIONS (Continuation Sheet)
YOUR REFERENCE
COMMODITIES OR
NUMBER
TECHNICAL DATA
(description, quality, and
values to the nearest whole
dollar)

(8)

(9)

Remove Column 9 from public inspection copy if confidentiality is required in Sheet No. 1

NAME AND ADDRESS OF EXPORTING FIRM
INVOLVED
(unless same as item 1a on Sheet No. 1)

DECISION ON
REQUEST
CODE

RSN SUBSET
RTP CLASS
OTHER PARTY FIN

REQUESTING
DOCUMENT
CODE

REPORT OF REQUEST FOR RESTRICTIVE TRADE
PRACTICE OR BOYCOTT

Original Continuation Sheet. Attach this sheet to the original of form BIS 6051P (“sheet No. 1”) and send both with a Public Inspection Copy, to the
Office of Antiboycott Compliance, BIS, Room 6099C, US Department of Commerce, Washington DC, 20230 Keep a copy for your records.