Authority for a Customs Clearance Agent to act as a Direct Representative

First name

Last name

Having authority to sign on behalf of ( ii )

A (Company Name)

(EORI No.)

Hereby appoint B: PRL UK (EORI no.) GB926481507000 ( iii ) to act on behalf of company name at A in the capacity of direct customs agent in accordance with Section 21 Customs Agents of the Taxation (Cross Border Trade) Act 2018. This authorisation is applicable to all MEDITE SMARTPLY consignments arriving to the UK.
This Appointment applies with effect from the date of signature until revoked by the firm named at A above.

The entity named at A named above authorises the Customs agent named at B to delegate Customs clearance to sub agents where necessary in a Direct Representation capacity in all dealings with HMRC.

The entity named in A authorises their representative, the customs agent names at B, to declare goods to HMRC using the below:

Deferment Approval Number (if applicable)

VAT No.

Please indicate if you would like to use the Postponed VAT Accounting (PVA) for your import declarations. (must be answered)

Yes

NOTE:
In accordance with Section 21 Customs Agents of the Taxation (Cross Border Trade) Act 2018, a direct customs agent acts in the name of and on behalf of another person. In relation to import/export declarations, the importer/exporter will be liable for any customs debt arising from the declaration.

Full Name

Position

Dated

I agree and understand that ticking this checkbox is the legal equivalent of my manual/handwritten signature.

NOTE:
( i ) Name of person signing, who must have authority to sign on behalf of the importer or exporter.
( ii ) Legal name & EORI Trader Identification No. of importer or exporter.
( iii ) Legal name & EORI Trader Identification No. of representative or agent.Bottom of Form