DESC: Lithium ion batteries, not restricted, PI965

UPS Waybill – Small Package – Version 1

The words “Lithium ion batteries”, “not restricted” and “PI ###” must be included in the Additional Handling Information on the air waybill, when an air waybill is used.

Declaration Letter - Lithium IonDate: _____________________________

Declaration for the Transportation of Lithium-ion Cells/ Batteries(Including Lithium Polymer Cells / Batteries) Ship as "Not Restricted" Cargo

1. With Reference to the IATA Dangerous Goods Regulations 51st Edition, I declare the following information with regards to __________________________ (出貨人公司名稱) manufactured batteries are accurately and comply in all respects with Governments and IATA resThe Lithium-Ion or Lithium Polymer cells and batteries (does not contains any recalled/defective cells /batteries) can be shipped as “ Not Restricted” cargo in accordance with IATA Dangerous Goods Regulations Section II of Packing Instruction ____________

i.      Company Name (出貨人公司名稱): ____________________________________________

ii.      Airway Bill Number (提單號碼): _______________________________________________

iii.      Name of contact person (連絡人姓名): _________________________________________

iv.      Contact Number (連絡人電話 ，請包括國碼): ___________________________________

v.      Number of packages (件數): __________________________________________________

2. Battery Type (電池類型): _____ Lithium Ion cells/batteries (Comply with Section II of PI 965) _____ Lithium Ion cells/batteries packed with equipment (Comply with Section II of PI 966) _____ Lithium Ion cells/batteries contained in equipment (Comply with Section II of PI 967)

3. Handle with care and that a flammability hazard exists if the package is damaged.

4. 24 hr. Emergency Contact phone Number (24小時緊急連絡電話 ): ________________________________________

5. If the package is damaged, batteries must be quarantined, inspected and repacked.

________________________________________ __________________________________________(Signature and Company chop) (Name and Title of the Signatory)(簽名及公司章) (簽署人姓名及職稱 )

Lithium Battery Label (DGR Figure 7.4.I)

注：標籤中 * 號位置需標注“ Lithium ion battery” 或“ Lithium metal battery”　　 Call 後面為：聯繫人電話 最小尺寸： 120*110mm　　邊框：紅色警示邊框

Color: The border of the label must have red diagonal hatchings. Text and symbols black on a white background.