(a) General. An importer who makes a claim pursuant to § 10.2003(b) based on a certification by the importer, exporter, or producer that the good is originating must submit, at the request of the Center director, a copy of the certification. The certification:

1. (1) Need not be in a prescribed format but must be in writing or must be transmitted electronically pursuant to any electronic means authorized by CBP for that purpose;
2. (2) Must be in the possession of the importer at the time the claim for preferential tariff treatment is made if the certification forms the basis for the claim;

3. (3) Must include the following information:

   1. (i) The legal name, address, telephone number, and email address of the certifying person;
   2. (ii) If not the certifying person, the legal name, address, telephone number, and email address of the importer of record, the exporter, and the producer of the good, if known;
   3. (iii) The legal name, address, telephone number, and email address of the responsible official or authorized agent of the importer, exporter, or producer signing the certification (if different from the information required by paragraph (a)(3)(i) of this section);
   4. (iv) A description of the good for which preferential tariff treatment is claimed, which must be sufficiently detailed to relate it to the invoice and the HS nomenclature;
   5. (v) The HTSUS tariff classification, to six or more digits, as necessary for the specific change in tariff classification rule for the good set forth in General Note 35, HTSUS;
   6. (vi) The applicable rule of origin set forth in General Note 35, HTSUS, under which the good qualifies as an originating good;
   7. (vii) Date of certification; and
   8. (viii) In case of a blanket certification issued with respect to multiple shipments of identical goods within any period specified in the written or electronic certification, not exceeding 12 months from the date of certification, the period that the certification covers; and

4. (4) Must include a statement, in substantially the following form:

   “I certify that: The information on this document is true and accurate and I assume the responsibility for proving such representations. I understand that I am liable for any false statements or material omissions made on or in connection with this document; I agree to maintain and present upon request, documentation necessary to support these representations; The goods comply with all requirements for preferential tariff treatment specified for those goods in the United States-Panama Trade Promotion Agreement; and This document consists of ____ pages, including all attachments.”

(d) Certification by the exporter or producer.

1. (1) A certification may be prepared by the exporter or producer of the good on the basis of:

   1. (i) The exporter's or producer's knowledge that the good is originating; or
   2. (ii) In the case of an exporter, reasonable reliance on the producer's certification that the good is originating.
2. (2) The Center director may not require an exporter or producer to provide a written or electronic certification to another person.

(e) Applicability of certification. The certification provided for in paragraph (a) of this section may be applicable to:

1. (1) A single shipment of a good into the United States; or
2. (2) Multiple shipments of identical goods into the United States that occur within a specified blanket period, not exceeding 12 months, set out in the certification.