Sample Declaration


Company Letter Head/Logo

Date:
To: Federal Express (Hong Kong) Limited
From: [Shipper’s Company Name & Address]

Master air waybill no:
House air waybill no:
Destination:
Total no. of cartons:
Description of Goods: [Insert appropriate description1]
Subject: Declaration for Lithium Cells / Batteries shipped as “Not Restricted” Cargo

We hereby certify that the above captioned goods are non-dangerous and non-hazardous for air transport. All lithium battery (including lithium ion battery and lithium metal battery) shipments meet the latest edition of International Air Transport Association (IATA) Dangerous Goods Regulations (DGR) requirements and are safe for air transportation as a “NOT RESTRICTED” shipment.

  1. The consignment does not contain any recalled and /or defective batteries.
  2. This consignment has been packed in compliance with Section II of [Insert appropriate Packing Instruction  PI 965, 966, 967, 969 or  970 ].
  3. Handle with care.  There will be flammability hazard if the package is damaged.
  4. In the event any package is found damaged, please follow the following special procedure instructions: [Insert the specified procedures2].
  5. For additional information, please contact [Name] and [Telephone no.].

We acknowledge that we will be liable for damage resulting from any misstatement or omission of shipping information. We understand that the air carriage of this shipment by FedEx is based on the shipment documentation, and this certification that we have provided. We are fully responsible for this certification and will be liable in the event of any damage being caused by this shipment. 

Signature and Company Stamp: 


1Sample description of goods (for reference only)
Description 1:Lithium ion batteries – Not Restricted per PI965
Watt-hour rating is less than 100Wh.per battery or
Watt-hour rating is less than 20Wh.per cell

Description 2: Lithium ion batteries packed with equipment - Not Restricted per PI966
Watt-hour rating less than 100Wh per battery or
Watt-hour rating must less than 20Wh.per cell

Description 3: Lithium ion batteries contained in equipment – Not Restricted per PI 967
Watt-hour rating is less than 100Wh per battery
Watt-hour rating is less than 20Wh.per cell

Description 4: Lithium meal batteries packed with equipment – Not Restricted per PI 969
The lithium content is less than 2 grams per battery
The lithium content is less than 1 gram per cell

Description 5: Lithium metal batteries contained in equipment – Not Restricted per PI970
The lithium content is less than 2 grams per  battery
The lithium content is less than 1 gram per cell

2Example of special procedure instructions (for reference only)
Handle with care. There will be a flammability hazard if the package is damaged.  In the event the package is damaged, prevent skin contact. Earth or sand should be used to absorb any leakage. Seal leaking batteries with earth in a heavy duty polythene bag and dispose of as special waste in accordance with local regulations.

Sample declaration on Air Waybills
- Please state “Full Description of Contents” in compliance with IATA DGR, including the following information: 
a. “Lithium Ion Batteries” or “Lithium Metal Batteries”
b. “Not Restricted”
c. PI no.

Description 1: Lithium Ion Batteries not restricted as per PI 965
Description 2: Lithium Ion Batteries not restricted as per PI 966
Description 3: Lithium Ion Batteries not restricted as per PI 967
Description 4: Lithium Metal Batteries not restricted as per PI 969
Description 5: Lithium Metal Batteries not restricted as per PI 970