CERTIFICATE OF ORIGIN

USMCA / CUSMA / T-MEC

For goods exported between the United States, Mexico, and Canada under the United States-Mexico-Canada Agreement

Official Trade Document
USMCA/CUSMA/T-MEC Form
Version 1.0
Parties Information
The party completing this certificate
If different from exporter
Blanket Period (if applicable)

Origin Criterion Key:

  • A: Wholly obtained or produced entirely in the territory
  • B: Produced entirely in the territory with non-originating materials
  • C: Produced entirely in the territory with regional value content
  • D: Tariff shift rule
Description of Goods HS Tariff Classification Origin Criterion Net Cost (USD) Country of Origin Action
Total Net Cost (USD):

Certification / Declaration

I certify that the goods described in this document qualify as originating and the information contained in this document is true and accurate. I assume responsibility for proving such representations and agree to maintain and present upon request or to make available during a verification visit, documentation necessary to support this certification.

I further certify that I am the:

Signature of Authorized Signatory

Click here to sign

USMCA/CUSMA/T-MEC Note: This certificate may be used for multiple shipments of identical goods within the blanket period specified above. Falsification of information may result in penalties under the laws of the United States, Mexico, and Canada.

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