Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1697797127291.pdf (Dominica)
Dominica Customs & Excise Division Woodbridge Bay, Roseau Tel:1-767-266-3717 Email: customs@cwdom.dm Website: www.customs.gov.dm APPLICATION FOR TEMPORARY IMPORTATION OF GOODS (ATIG) To the Comptroller of Customs and Excise: Pursuant to Customs Notification, I hereby seek permission to temporarily import the undermentioned goods into the Commonwealth of Dominica for the period: ____/____/_______ TO ____/____/_______ dd / mm/ yyyy dd / mm/ yyyy CONSIGNEE (Complete ALL Fields) NAME: ADDRESS: EMAIL: Description of Goods: CODE: TEL: QTY COMMERCIAL DESCRIPTION SERIAL NO.
ORIGIN CIF VALUE (XCD) Reason for Temporary Importation: Should this permission be granted I undertake:- (a) (b) to re-export the goods from Dominica on or before the said date, or to enter them for home use immediately if they are to be sold, offered or displayed for sale, leased, hired, lent, pledged or otherwise disposed of in Dominica.
(For the avoidance of doubt no goods may be disposed of or offered for disposal in Dominica without first being entered for home use) and I understand that failure to comply with these obligations may result in the seizure of the goods.

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Applicants Name Applicant’s Signature/Date ………………………… Designation/Company Seal GUARANTEE BY SURETY, BANK OR INSURANCE COMPANY We, the undersigned ……………………………………………………….
hereby, bind ourselves as sureties and joint principal debtors for the payment to the Comptroller of Customs of all duties and taxes which become due on any of the above-mentioned goods if not removed from Dominica on or before ____/____/_______ (Name of bank or insurance company) dd / mm/ yyyy or which are disposed of in any way within Dominica on or before that date without first having been entered for home use in Dominica.
It shall be a condition of this guarantee that our liability shall not exceed $ …………………….
Signed for and on behalf of ……………………………………………………………………… (Name and address of Bank or Insurance Co.) ……………………………….……... ………………………/……………….. ………………………… Name Signature/Date Designation/Company Seal ……………………………….……... ………………………/……………….. ………………………… Name Signature/Date Designation/Company Seal Approved by: FOR OFFICIAL USE ONLY ……………………………….……... ………………………/……………….. ………………………… Officer Full Name Signature/Date Office Stamp Port of Importation ………………………….. Customs Registration Number ………………….. Intended port of exit………………................ Intended date of re-export ……………………..… ……………………………………………………………………………………………………………………………………………… RE-XPORT DETAILS I hereby certify that the abovementioned goods were:- (a) Re-exported via …………………………………… on ____/____/_______ Port: DM ……….. C# ………………………… dd / mm/ yyyy (Vessel Name) (b) Entered for home use on ………………………… on ____/____/_______ Port: DM ……….. C# ………………………… dd / mm/ yyyy ……………………………….……... ………………………/………………..
Officer Full Name Signature/Date ………………………… Office Stamp