Certification of Admissibility Harvest Record Form

Certification of Admissibility

Fish harvest record form

NMFS COA

OMB# 0648-0651

Approval expires: 06/30/2025

Box 1. Required for all fish or fish products (total weight may be used in aggregate reporting)

1.1 – 3-alpha species code	1.2 – Product form (s)		1.3 – Quantity and/or weight (kg)
1 2 3	1 2 3		1 2 3
1.4 – Location(s) of first landing, transshipment, or delivery		1.5 – Date(s) of first landing, transshipment, or delivery
1 2 3		1 2 3
– Name of entity(ies) to which fish was landed or delivered		1.7 – U.S. Harmonized Tariff Schedule (HTSUS) code
1 2 3		1 2 3

Box 2. Required capture and gear information for wild harvest (move to Box 4 if fish or fish product(s) from aquaculture)

2.1 – Type(s) of gear used	2.2 – Area(s) of wild-capture location	2.3 Flag state of harvesting vessel(s)
1 2 3	1 2 3	1 2 3

Box 3. Vessel information (not required in aggregate reporting for wild harvest)

3.1 – Name of harvesting vessel(s)	3.2 – Evidence of fishing authorization	3.3 – Unique vessel identifier(s)
1 2 3	1 2 3	1 2 3

Box 4. Required aquaculture Information (not required for wild harvest)

4.1 – Name(s) of farm or aquaculture facility	4.2 - Location of farm or aquaculture facility
1 2 3	1 2 3

Box 5. Certification by National Competent Authority Box 6. Validation by U.S. Importer of Record/Agent

As a duly recognized official/agent of the Government of ___________, I do hereby certify, to the best of my knowledge and belief, that the fish/fish products in this shipment are of species of fish or fish products, or from fisheries, that are not subject to U.S. import restrictions pursuant to the Atlantic Tunas Convention Act, High Seas Driftnet Fishing Moratorium Protection Act, or Marine Mammal Protection Act.

Name & Title:

Phone Number:

Email:

Address:

Signature: Date:

As the Importer of Record/Agent, I do hereby validate, to the best of my knowledge and belief, that the information on this form accurately describes the fish/fish products contained in this shipment.

U.S. Customs Entry Number:

International Trade Fisheries Permit number:

Name & Title:

Phone Number:

Email:

Address:

Signature: Date:

Within 24 hours after the shipment is released from U.S. Customs, the U.S. Importer of Record/Agent must certify and submit a copy of this form to NMFS through the Customs and Border Protection Automated Commercial Environment. Submission of this form is mandatory in order to certify that the fish or fish products offered for import are not subject to trade restrictions pursuant to the Atlantic Tunas Convention Act, High Seas Driftnet Fishing Moratorium Protection Act, or Marine Mammal Protection Act in order to meet the requirements of Subpart S to 50 CFR Part 300.