Export Compliance Program Questionnaire

By completing the form below, (“Purchaser”) hereby certifies that it maintains a trade compliance program with the following export control policies and procedures in place for its facility(ies).

"*" indicates required fields

Name*

First Last

Company*

Email*

Date*

Written Policies and Procedures

Written policy statement on compliance with export/trade laws and regulations as part of company’s internal policy guidelines, directives, or instructions.*

Yes	No	NA

Policy specifically stating that the company will not use, sell, resell, deliver, or transfer any commodity, directly or indirectly, in a manner that is contrary to U.S. export control laws and regulations.*

Yes	No	NA

Procedure to ensure compliance with E.U. and U.N. Sanction regulations.*

Yes	No	NA

Requirement that customers provide a written end-user / end-use statement (EUS)/certificate (EUC). If “Yes,” does the EUS/EUC require the following information regarding the end-user?*

Commodity Classification

Procedure for determining export classification (e.g., ECCN, WA Dual-Use List) for commodities, technology, and software.*

Yes	No	NA

Export classifications maintained in database (e.g., order system, spreadsheet).*

Yes	No	NA

Prohibited End-Users

Procedure to prevent the sale, export, re-export or transfer of U.S.-origin (or otherwise subject to U.S. jurisdiction) commodities to countries subject to U.S. embargo (currently Iran, Syria, North Korea, and Cuba).*

Yes	No	NA

Procedure to prevent the sale, export, re-export or transfer of U.S.-origin (or otherwise subject to U.S. jurisdiction) commodities to Russia, Belarus, or the Crimea/Donetsk/Luhansk regions of Ukraine.*

Yes	No	NA

Procedure to screen the parties to transaction involving U.S.-origin (or otherwise subject to U.S. jurisdiction) against U.S. Departments of Commerce, State, and Treasury proscribed parties lists including, at a minimum:*

CAPTCHA

	Yes	No	NA
End-user
Aircraft model / platform
Country of destination
Country of aircraft registration / ownership / lease / control

	Yes	No	NA
Denied Persons List
Unverified List
Entity List
Military End-User List
Nonproliferation Sanctions List
AECA Debarred List
Specially Designated Nationals List

Export Compliance Program Questionnaire