NZCS 228 | JULY 2013

Trade Single Window - Supplementary form

Section 132 of the Customs and Excise Act 1996
786

For enquiries phone 0800 428

This form is to be submitted with:

a completed Form 1 (Application for Customs controlled area license), or

a completed Form 9 (Application for registration as a user of a Customs computerised entry processing system), ensuring you have obtained a TSW
user ID refer to fact sheet
All fields must be completed if they do not apply, please insert Not applicable.

Required for form 1 submission only

Existing Premises Number?

Yes

No

Premises number(s): ....................................................................

Existing CCA number?

Yes

No

CCA number(s): ...........................................................................

Are you also applying for a Transitional/Containment Facility MPI

Yes

Applicable for form 9 submission only

No

TSW User ID: ...

Add link to Organisation/Brokerage?

Yes

No

Authority to link attached:

Yes

No

Organisation/Brokerage Client Code(s): ...................................

Authority to Link: For a TSW user to be linked requires the attachment of an endorsement from the organisation that user is requesting to be linked to. This should be on the
organisation letterhead and be signed by a named responsible person within the company such as manager, users supervisor or company officer.

NOTIFICATION PREFERENCES
Required for form 1 submission, Optional for form 9 submissions
To receive TSW notifications for lodgements - select ONE of the following notification methods:

No Notification Preferences

Email

Add name(s) to be notified:................................................................

Messaging (only available for B2B)

Email: ....................................................................................................

If TSW notification preferences requested - select for the following WCO lodgement types:

Import

Export

OCR

CRE

If TSW notification preferences requested - select any/all of the following lodgement status: (attach a supplementary list for each lodgement type if
required)

Cancelled

Cleared

Directions Given

Error

Declaration Required

Written Off

Contact Name: .............................................................................

Position in organisation: ...............................................................

Email address: .............................................................................

Phone: ............................................

Mob: .................................

Other comments/requests

Declaration
I, (full name): ....................................................................................................of (address) .........................................................................
.......................................................................................................................................................................................................................
declare that the information I have provided is true, correct and complete in every particular.

NZCS 212 | REG 25 | MARCH 2012

Signature:.....................................................................................

Date: ..............................................................................

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