IEEPA Non-Authorization

DHL Express IEEPA Tariff Refund – Non-Authorization Notice (Instruction for DHL Express Not to Act on Behalf of Importer of Record)

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Complete this form only if you do NOT authorize DHL Express to submit IEEPA tariff refund claims on your behalf.

Customer/Importer of Record Information

Legal Company Name (Importer of Record)

Importer of Record Number(s) (IRS/EIN)

DHL Account Number (If applicable)

Business Address

Primary Contact Name

Title

Email address

Phone Number

Request for DHL Express to not Act on Behalf of Importer of Record

(Complete this section only if you do not wish DHL Express to submit IEEPA tariff refund claims on your behalf.)

By signing below, the Importer of Record confirms that DHL Express is not authorized to submit IEEPA tariff refund claims through CBP’s CAPE system for any entries filed under the Importer of Record’s IRS/EIN number(s).

I understand that DHL Express will not file IEEPA refund claims on my behalf.

I acknowledge that responsibility for filing any IEEPA refund claims rests with my company or another authorized representative, in accordance with CBP regulations.

Certification and Signature

Authorized Signatory Name

Title

Date

Clear