(Meat, Poultry & Egg Products)

IMPORT INSPECTION APPLICATION

FOOD SAFETY AND INSPECTION SERVICE

U.S. DEPARTMENT OF AGRICULTURE 2. INSPECTION CERTIFICATE NUMBER

4. U.S. PORT OF ENTRY/CBP PORT CODE

3. EXPORTING ESTABLISHMENT NUMBER

5. U.S. PORT OF UNLADING/CBP PORT CODE

1. COUNTRY OF ORIGIN

8. NAME , BUSINESS NAME & ADDRESS OF CUSTOMS BROKER OR APPLICANT 8a. PHONE NUMBER

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control 

number. The valid OMB control number for this information collection is 0583-159. The time required to complete this information collection is estimated to average 10 minutes per response, including 

the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

 SHIPPING UNIT

20. NUMBER PER 

PACKAGE TYPE NAME

19. IMMEDIATE UNIT

 OF UNITS

18. NUMBER 

PACKAGE TYPE NAME

16. NET WEIGHT 17. SHIPPING UNIT 

OF LOT (pounds) 

12. LOT NO. 14. CUSTOM ENTRY NUMBER(S)

IN CONSIDERATION of the U.S. Director of Customs and Border Protection granting me/us permission to transfer the packages of foreign food product described on this form which are offered for entry 

into the United States, I/we agree, under bond filed with said director of Customs and Border Protection and subject to penalties prescribed in laws enacted by Congress and regulations issued there under by 

the Secretary of Homeland Security, to hold the said food product intact at the location indicated above until it has been inspected and passed by a food inspector from the Food Safety and Inspection Service 

or has been other wise disposed of under the supervision of a U.S. Customs and Border Protection Officer or a FSIS inspector.

32. ESTIMATED DATE OF ARRIVAL

33. PRINTED NAME OF CUSTOMS BROKER OR APPLICANT 34. SIGNATURE 35. DATE

29. SPECIES (Dominant) 29a. ADDITIONAL SPECIES (if applicable) 30. DESCRIPTION OF PRODUCT

26. PROCESS CATEGORY 27. PRODUCT CATEGORY 28. PRODUCT GROUP

22. PROCESSING EST. NO. 23. SOURCE COUNTRY(S) (if different from block 1) 24. SOURCE EST. NO. 25. HTS CODE (S)

21. SEAL NUMBER(S) 

15. PRODUCTION DATE(S)

FROM: TO:

32. ESTIMATED DATE OF ARRIVAL

 SHIPPING UNIT

20. NUMBER PER 

PACKAGE TYPE NAME

19. IMMEDIATE UNIT

 OF UNITS

18. NUMBER 

PACKAGE TYPE NAME

17. SHIPPING UNIT 

OF LOT (pounds)

16. NET WEIGHT 

12. LOT NO. 14. CUSTOM ENTRY NUMBER(S)

29. SPECIES (Dominant) 29a. ADDITIONAL SPECIES (if applicable) 30. DESCRIPTION OF PRODUCT

26. PROCESS CATEGORY 27. PRODUCT CATEGORY 28. PRODUCT GROUP

22. PROCESSING EST. NO. 23. SOURCE COUNTRY(S) (if different from block 1) 24. SOURCE EST. NO. 25. HTS CODE(S)

21. SEAL NUMBER(S) 

15. PRODUCTION DATE(S)

FROM: TO:

8b. FACSIMILE NUMBER

8c. E-MAIL ADDRESS 

Blocks 13 through 32 repeat for each lot on the inspection certificate 

31. SUPPLEMENTAL PRODUCT CODES (GTIN, INTENDED USE CODE, UPC)

13. SHIPPING/IDENTIFICATION MARK 

6. FSIS ESTABLISHMENT NUMBER

FSIS FORM 9540-1 (01/12/2023) REPLACES FSIS FORM 9540-1 (5/02) WHICH IS OBSOLETE 

31. SUPPLEMENTAL PRODUCT CODES (GTIN, INTENDED USE CODE, UPC)

13. SHIPPING/IDENTIFICATION MARK 

9. NAME, BUSINESS NAME & ADDRESS OF CONSIGNEE 10. NAME, BUSINESS NAME & ADDRESS OF IMPORTER OF RECORD

OMB CONTROL NUMBER: 0583-0159 

EXPIRATION DATE: 12/31/2025

7. NAME & ADDRESS OF FSIS ESTABLISHMENT

11. BILL OF LADING NUMBER(S) 
 SHIPPING UNIT

20. NUMBER PER 

PACKAGE TYPE NAME

19. IMMEDIATE UNIT

 OF UNITS

18. NUMBER 

PACKAGE TYPE NAME

17. SHIPPING UNIT 

OF LOT (pounds)

16. NET WEIGHT 

14. CUSTOM ENTRY NUMBER(S) 12. LOT NO.

29a. ADDITIONAL SPECIES (if applicable) 30. DESCRIPTION OF PRODUCT 29. SPECIES (Dominant)

26. PROCESS CATEGORY 27. PRODUCT CATEGORY 28. PRODUCT GROUP

22. PROCESSING EST. NO. 23. SOURCE COUNTRY(S) (if different from block 1) 24. SOURCE EST. NO. 25. HTS CODE(S)

21. SEAL NUMBER(S) 

15. PRODUCTION DATE(S)

FROM: TO:

32. ESTIMATED DATE OF ARRIVAL

 SHIPPING UNIT

20. NUMBER PER 

PACKAGE TYPE NAME

19. IMMEDIATE UNIT

 OF UNITS

18. NUMBER 

PACKAGE TYPE NAME

17. SHIPPING UNIT 

OF LOT (pounds)

16. NET WEIGHT 

12. LOT NO. 14. CUSTOM ENTRY NUMBER(S)

29. SPECIES (Dominant) 29a. ADDITIONAL SPECIES (if applicable) 30. DESCRIPTION OF PRODUCT

26. PROCESS CATEGORY 27. PRODUCT CATEGORY 28. PRODUCT GROUP

22. PROCESSING EST. NO. 23. SOURCE COUNTRY(S) (if different from block 1) 24. SOURCE EST. NO. 25. HTS CODE(S)

21. SEAL NUMBER(S)

15. PRODUCTION DATE(S)

FROM: TO:

32. ESTIMATED DATE OF ARRIVAL

 SHIPPING UNIT

20. NUMBER PER 

PACKAGE TYPE NAME

19. IMMEDIATE UNIT

 OF UNITS

18. NUMBER 

PACKAGE TYPE NAME

17. SHIPPING UNIT 

OF LOT (pounds)

16. NET WEIGHT 

12. LOT NO. 14. CUSTOM ENTRY NUMBER(S)

29. SPECIES (Dominant) 29a. ADDITIONAL SPECIES (if applicable) 30. DESCRIPTION OF PRODUCT

26. PROCESS CATEGORY 27. PRODUCT CATEGORY 28. PRODUCT GROUP

22. PROCESSING EST. NO. 23. SOURCE COUNTRY(S) (if different from block 1) 24. SOURCE EST. NO. 25. HTS CODE (S)

21. SEAL NUMBER(S)

15. PRODUCTION DATE(S)

FROM: TO:

32. ESTIMATED DATE OF ARRIVAL

 SHIPPING UNIT

20. NUMBER PER 

PACKAGE TYPE NAME

19. IMMEDIATE UNIT

 OF UNITS

18. NUMBER 

PACKAGE TYPE NAME

17. SHIPPING UNIT 

OF LOT (pounds)

16. NET WEIGHT 

12. LOT NO. 14. CUSTOM ENTRY NUMBER(S)

29. SPECIES (Dominant) 29a. ADDITIONAL SPECIES (if applicable) 30. DESCRIPTION OF PRODUCT

26. PROCESS CATEGORY 27. PRODUCT CATEGORY 28. PRODUCT GROUP

22. PROCESSING EST. NO. 23. SOURCE COUNTRY(S) (if different from block 1) 24. SOURCE EST. NO. 25. HTS CODE (S)

21. SEAL NUMBER(S)

15. PRODUCTION DATE(S)

FROM: TO:

31. SUPPLEMENTAL PRODUCT CODES (GTIN, INTENDED USE CODE, UPC) 32. ESTIMATED DATE OF ARRIVAL

13. SHIPPING/IDENTIFICATION MARK 

31. SUPPLEMENTAL PRODUCT CODES (GTIN, INTENDED USE CODE, UPC) 

13. SHIPPING/IDENTIFICATION MARK 

31. SUPPLEMENTAL PRODUCT CODES (GTIN, INTENDED USE CODE, UPC) 

13. SHIPPING/IDENTIFICATION MARK 

31. SUPPLEMENTAL PRODUCT CODES (GTIN, INTENDED USE CODE, UPC) 

FSIS Form 9540-1 (continuation sheet) 

13. SHIPPING/IDENTIFICATION MARK 
3. Exporting Establishment Number. Enter the official number of the foreign facility that the product was exported from the inspection certificate. 

 If the certificate does not indicate an exporting establishment, enter the producing or processing establishment number.

15. Production Date(s). Enter the range of production dates from the inspection certificate for each lot when applicable. Production dates are only 

 required on the certificate when the foreign country or establishment has been de-listed to ship to the U.S.

17. Shipping Unit Package Type Name. Enter the type of shipping unit. List of package types may be found at: 

19. Immediate Unit Package Type Name. Enter the type of immediate container packaging. Required only when the immediate containers are fully 

 labeled. List if package types may be found at:

 http://www.fsis.usda.gov/wps/wcm/connect/98c45f3c-8a5b-47d7-9907- 2fdc7352547f/Data_Samples_Guidelines_PGA_Message_Set.pdf?MOD=AJPERES

20. Number per Shipping Unit. Enter the number of immediate containers contained in a shipping unit. When the amount is not standard in 

 each shipping container, enter an average/approximate number. Required only when the immediate containers are fully labeled. 

21. Seal Number(s). Enter the conveyance seal number(s) from the inspection certificate when FSIS requires. Examples: (bulk egg product 

 shipment, red meat carcass shipments from Canada, etc).

23. Source Country(s). Enter each country, other than the exporting country, from which product was sourced to produce the product in this 

 lot from the inspection certificate, if applicable.

25. HTS Code(s): Enter the 6,8 or 10 number Harmonized Tariff Schedule code(s) for the product(s) in the lot.

26. Process Category. Enter the process category from the inspection certificate. Abbreviations/acronyms are acceptable if understandable

27. Product Category. Enter the product category from the inspection certificate. Abbreviations/acronyms are acceptable if understandable 

28. Product Group. Enter the product group from the inspection certificate.

NOTE: if the inspection certificate does not contain information for #26, 27 or 28, leave blank unless known.

13. Shipping/Identification Mark. Enter the unique number from the inspection certificate that links the product in the lot to the inspection certificate. 

 certificate. Include slashes/dashes as appropriate. 

http://www.fsis.usda.gov/wps/wcm/connect/98c45f3c-8a5b-47d7-9907- 2fdc7352547f/Data_Samples_Guidelines_PGA_Message_Set.pdf?MOD=AJPERES

Block: 

1. Country of Origin. Enter the name of the country that issued the inspection certificate for the export of the product. 

2. Inspection Certificate Number. Enter the serial number, including dashes/slashes, from the foreign country inspection contained on the inspection

 certificate.

4. U.S. Port of Entry/CBP Port Code. This is the name of the port of entry and the associated CBP port code designation where the entry is filed 

 with U.S. Customs and Border Protection (CBP). Example: When the entry is files at the Port of Philadelphia for merchandise unladed at Long

 Beach, CA, enter "Los Angeles/Long Beach, CA - 1104" as the U.S. Port of Unlading and Port Code.

1

5. U.S. Port of Unlading/CBP Port Code. This is the name of the U.S. port of entry and the associated CBP port code for merchandise unladed at 

 Long Beach, CA, enter “Los Angeles/Long Beach, CA – 1104” as the U.S. Port of Unlading and Port Code. 

6. FSIS Establishment Number. This is the official number assigned by FSIS to the establishment where the product will move for FSIS import 

 inspection. 

7. Name and Address of FSIS Establishment. The name and address of the FSIS establishment where the product is to be moved for FSIS import 

 inspection. 

8. Name (first/last), Business Name and Address of Customs Broker or Applicant, as applicable (including zip code). Self explanatory

(NOTE: the name of a responsible person is required, in addition to the name of the business). 

8a. Phone Number. Self explanatory. 

8b. Facsimile Number. Self explanatory. 

8c. E-Mail Address. The email address for refused entry notifications and communication with the applicant. 

9. Name (first/last), Business Name and Address of Consignee (including zip code): The name and address, including zip code, of the company or 

 company or person to which the product is consigned (NOTE: the name of a responsible person is required, in addition to the name of the business). 

10. Enter Name (first/last), Business Name and Address of Importer of Record (IR) (including zip code). The name and address of the Importer of 

 Record as declared to Customs when the entry is filed (NOTE: the name of a responsible person is required, in addition to the name of the business).

11. Bill of Lading Number(s). Enter the applicable bill of lading numbers for this application. 

12. Lot No. The lot number of each line item of product identified on the foreign inspection certificate. Start with 1 and continue with 2, 3, etc..

NOTE: Blocks 13 through 32 repeat for each lot on an inspection certificate. FSIS expects that each line item on the inspection certificate is one 

(1) lot on the form 9540-1.

14. Custom Entry Number(s). Enter each applicable 11 digit custom entry number associated with the shipment. For locations where the custom entry 

 number is not 11 characters long, enter enough zeros at the beginning to make an eleven digit number.

16. Net Weight of Lot. Enter the net weight of each lot in pounds from the inspection certificate. 

18. Number of Units. Enter the number of shipping units from the inspection certificate. 

22. Processing Est. No. Enter the foreign establishment number from the inspection certificate of the foreign plant that produced the product 

 (e.g., last processed the product). 

24. Source Est. No. Enter each establishment, other than an establishment in the exporting country, from which product was sourced to produce the 

 product in this lot from the inspection certificate, if applicable. 

29a. Additional Species (if applicable). Enter the less predominant additional species from the inspection certificate, when applicable. Refer to #29 for 

 the applicable entries.

29. Species (dominant:) Enter one of the following species that the product predominantly contains: Beef, Veal, Goat, Lamb, Mutton, Pork, Horse, 

 Equine other than horse, Chicken, Duck, Goose, Guinea, Squab, Turkey, Emu, Ostrich, or Rhea

The following is guidance for applicants/custom brokers importing meat, poultry or egg products to the United States. The FSIS form 9540-1 has 

been modified to capture more detailed information about shipments. 

FSIS 9540-1, IMPORT INSPECTION APPLICATION 

(Meat, Poultry & Egg Products) 
35. Date. Enter the date the application is completed.

34. Signature. Signature of person filing this application.

33. Printed Name of Customs Broker or Applicant. Enter actual name of person signing th

32. Estimated Date of Arrival. Enter the date that the product is expected to arrive at the FSIS establishment for import inspection.

31. Supplemental Product Code. Enter the GTIN, Intended Use Code, UPC, or other product code that is used in commerce for the Product,

 if available, but not required.

30. Description of the Product. Enter the name or description of the product from the inspection certificate. For example, lamb legs, beef short loin, 

 various meat cuts, etc.. 

1/ For American Samoaenter either Pago Pago, AS Seaport - 0001 or Pago Pago AS Airport - 0002