Please legibly fill out the attached authorization.
In order to accelerate customs clearance, please send a copy (photo) of the „Authorization to
act in the form of the indirect representation” together with a copy (photo) of the
documents mentioned in annex 1 via e-mail to the Customs Agency. Please send it via e-mail
address from which you got the request or e-mail address provided by DHL employee.
In order to sending original authorization to Customs Agency, you can use our Customer
Service Department International shipments calling 42 6 345 100.
The service is free. You should know AWB number shipment which need this
documents.
If we do not receive the missing documents within 10 days, the shipment will be
returned to sender.
Submission of authority to the authority of the state administration and made by the authority of
their official functions requires payment of stamp duty - 17 PLN.
DHL EXPRESS Sp. z o.o. pay it on your behalf and the amount will be taken into account on a
invoice with customs and tax duties.
Sincerely,
DHL EXPRESS CUSTOM AGENCY
FSJ-17.2.1.16 “AUTHORIZATION to act in the form of the direct representation” english version Version 1, Status 12.08.2014
……………………………………………………….
(date, city)
AUTHORIZATION
to act in the form of the indirect representation
I hereby authorize DHL EXPRESS (POLAND) Sp. z o.o. based at Osmańska 2 str., 02-823 Warsaw, (REGON:
012005407; NIP: PL527-00-22-391) to undertake on behalf of:
.....................................................................................................................................................................................
.................................................................................................................................………………..............................
(name and address of the private individuals or legal person granting the authorization, REGON, NIP)
the following actions to ensure free goods circulation:
1. Examination of goods and taking samples prior formal clearance.
2. Preparation of all required customs forms.
1
3. Collateral guarantee and payment of customs debt .
4. Handling the goods when released.
5. Submit a post clearance modification or repeal to customs office, including tax matters.
The authorization is:
permanent
for the period of time (due to.................................)
1
At the same time we commit to pay all customs and tax fees as well as commission for using DHL’s collateral, according to current DHL
Express price list of international services.
.………………………………………….
(date and signature of the person acting on behalf of
................……..............………….……..…..……
(stamp and legible signature of the Customer.)
in accordance with the manner of representation of the
company)
Additional information/documents needed for customs clearance:
Name and family name of the person responsible for import/export matters:
…………………………………………………………………..…………………………………….........……..….......……
Phone number (fax) to the contact person on the customs declaration:
……………………………………………………………………………………………………………....................………
E-mail address/es, used for sending electronic communicates received from customs administration/e.g. IE 599
from ECS system confirming export of goods or POD and PZC from Celina system to confirm inbound clearance/:
………………………………………………………………………………………………………………………....…..........
………………………………………………………………………………………………………………………....…..........
EORI number (Economic Operators’ Registration and Identification - EORI): ……..……………….…………….….…
The empowered person is kindly requested to inform DHL Express about the power of attorney withdrawal.
In case of location change or new company name please submit copy of valid documents to confirm changes which have occurred.
FSJ-17.2.1.16 “AUTHORIZATION to act in the form of the direct representation” english version Version 1, Status 12.08.2014
ANNEX TO AUTHORIZATION NO 1
INFORMATION HELPFUL WHILE ISSUING AUTHORIZATION:
We kindly ask you to attach to the original authorization the following documents:
LEGAL PERSONS:
a) copy of the certificate about the identification number REGON: Not required if you have an entry in the
CEIDG
b) company’s registration documents – it can be:
- current copy from the National Court Register,
- copy of the certificate about the entry into the records of economic activity,
- partnership agreement in the event of civil partnerships,
- statutes (concerns foundations, associations and universities),
c) copy of the decision on granting the tax identification number NIP (or updating notification NIP-2 or NIP-5):
Not required if you have an entry in the CEIDG
d) other documents required on the grounds of separate provisions (f. e. copies of permissions of competent
ministries for external goods turnover or copy of the licence)
We also would like to inform you that company DHL Express collect payments for additional customs
services. Charges for additional customs services can’t be invoiced to a party in a third country.
Additional charges for shipments on terms of delivery DDP will be charged to the Receiver. Current
charges are shown in DHL Express pricelist of international services.
FSJ-17.2.1.16 “AUTHORIZATION to act in the form of the direct representation” english version Version 1, Status 12.08.2014