CERTIFICATION OF VERIFIED GROSS MASS (VGM)

First Name:*

Last Name: *

Company Name:*

Title:*

Email:*

Phone:*

Address:*

Carrier Booking Number:*

Vessel/Voy.:*

Port of Loading:*

Port of Destination:*

Container#:*

Cargo Weight (LBS) (Including packaging):*

Container Tare (LBS) (if containerized if not enter 0):*

Total VGM/Weight (LBS) (Container tare, plus cargo weight):*

(Please choose only one)
I Certify that the weight(s) provided herein is true and correct, and that it is the verified gross mass as defined in the IMO MSC SOLAS regarding the Verified Gross Mass of a Container Carrying Cargo, Paragraph 2.1, MSC.1/Circ. 1475. Verification of given weight(s) are available upon request. For the purposes of this certification, the term herein Total VGM is interchangeable with the terms Total Gross Mass, and Total Gross Weight.*
OR
I Authorize Primary Freight Services, Inc. to provide the VGM for my cargo to comply with the VGM requirement. I understand that additional costs will be added to the shipment. (Some limitations will apply)

Date:*


By submitting my VGM electronically, I agree to be bound by Primary Freight Services terms and conditions. I understand that there will be fees assessed to my shipment when authorizing Primary to weigh the cargo on my behalf in order to comply with the VGM requirement.  I also understand that any costs from the carrier to update my above declared VGM submission to show a new declared VGM at a later time will be passed through to me, only if additional charges are assessed. 

Once submitted, an electronic confirmation will be provided to your email listed herein for your records.