Clearance by DHL for Individuals

Processing several million customs entries is no easy task. DHL Express does that every day for its customers
because it acts as a broker on their behalf.
To authorize (Power of Attorney) DHL to clear your shipment for your business, please complete the form
below

Your Name ( Importer of Record)

Scott Mcilveen

Your E-Mail Address

scottmcilveen1@gmail.com

Retype E-Mail Address

scottmcilveen1@gmail.com

Primary Phone Number

647-227-2640

Secondary Phone Number

Waybill Number

4100448660

Description of Goods Imported

computer

Approx Value of goods in Canadian dollars

5500

By submitting this form electronically I authorize DHL EXPRESS (CANADA), LTD. 18 Parkshore Drive,
Brampton, ON L6T 5M1 to clear on my behalf the goods described in this form. By agreeing to this customs
clearance agreement, I am hereby responsible for any duty, taxes (GST, PST, HST) owing on this shipment.
DHL’s standard rates apply.