USMCA Certificate of Origin

United States-Mexico-Canada Agreement (USMCA) Certification of Origin 

A claim for preferential treatment under the United States-Mexico-Canada Agreement (USMCA) must contain nine minimum data elements. These data elements are found in the USMCA, Article 5 and Annex 5-A. This data must indicate that the good claiming preferential treatment originates and meets the requirements of USMCA, Chapter 5. 

The required information may be provided on the commercial invoice or any other document included with the commercial documents. The information must describe the originating good in sufficient detail to enable its identification and meet the requirements noted within the regulations. 

These nine minimum data elements are as follows: 

1. Importer, Exporter, or Producer Certification of Origin 2. Certifier 3. Exporter 4. Producer 5. Importer 6. Description and HS Classification of the Good 7. Origin Criteria* 8. Blanket Period (if applicable) 9. Authorized Signature and Date 

*Article 4.2: Originating Goods (Origin Criteria): 

Except as otherwise provided in this Chapter, each Party shall provide that a good is originating if it is: 

a) wholly obtained or produced entirely in the territory of one or more of the Parties, as defined in Article 4.3 

(Wholly Obtained or Produced Goods); b) produced entirely in the territory of one or more of the Parties using non-originating materials provided the good 

satisfies all applicable requirements of Annex 4-B (Product-Specific Rules of Origin); c) produced entirely in the territory of one or more of the Parties exclusively from originating materials; or d) except for a good provided for in Chapter 61 to 63 of the Harmonized System 

i. produced entirely in the territory of one or more of the Parties; ii. one or more of the non-originating materials provided for as parts under the Harmonized System used in the 

production of the good cannot satisfy the requirements set out in Annex 4-B (Product-Specific Rules of Origin) because both the good and its materials are classified in the same subheading or same heading that is not further subdivided into subheadings or, the good was imported into the territory of a Party in an unassembled or a disassembled form but was classified as an assembled good pursuant to rule 2(a) of the General Rules of Interpretation of the Harmonized System; and iii. the regional value content of the good, determined in accordance with Article 4.5 (Regional Value 

Content), is not less than 60 percent if the transaction value method is used, or not less than 50 percent if the net cost method is used 

There is no official form or certificate of origin for USMCA. The form on the following page is being provided for convenience and may be used to certify goods imported into the U.S. 

Additional Information may be found here: 

• Chapter 5 Origin Procedures and Annex 5-A: https://ustr.gov/sites/default/files/files/agreements/FTA/USMCA/ Text/05_Origin_Procedures.pdf • Article 4.2: Origin Criteria: https://ustr.gov/sites/default/files/files/agreements/FTA/USMCA/Text/04-Rules-of- 

Origin.pdf 

Your Janel representative will be happy to help with any questions. For additional support, please reach out directly to Janel’s VP of Customs Brokerage Services, Kerri Hawley, at khawley@janelgroup.com. 

This information is provided for informational purposes only and should not be construed as legal advice on any subject matter. Janel Group is not responsible for any omissions or errors and/or misinterpretations of this information. Formal guidance may be obtained through U.S. Customs and Border Protection or appropriate partner government agency 

Janel Group, Inc. • 233 7th Street, Suite 100 • Garden City, NY 11530 • (516) 593-1390 • www.janelgroup.com 

United States-Mexico-Canada Agreement (USMCA) Certification of Origin 

Is the party certifying this information the Importer, 

Does this certification cover this entry/shipment ONLY or Exporter or Producer of these goods: 

does it cover multiple shipments of identical goods? 

____Importer ____Exporter ____Producer 

___ This shipment ONLY ___ Multiple entries/shipments of identical goods (this is a 

Certifier 

blanket form) 

Name:____________________________________ 

If covering this entry/shipment ONLY, please provide the 

Address (including country): 

commercial invoice #(s) related to the exportation: _____________________________________________________ ___________________________________________________ ___________________________________________________ 

If this certification covers multiple shipments of identical Telephone#:______________________________________ 

goods, please specify the blanket period (up to 12 months), Email address:_____________________________________ 

as set out in Article 5.2: 

Exporter (if different from Certifier) 

Start Date:________________ End Date:________________ 

Name:____________________________________ 

Address (including country): 

Producer (if different from Certifier or Exporter) 

as Name:__________________________________________________ ___________________________________________________ 

Address (including country): ___________________________________________________ 

Telephone#:_______________________________________ 

_________________________________________________________ _________________________________________________________ Email address:_____________________________________ 

Telephone#:____________________________________________ 

If the producer is completing the certification of 

Email address:___________________________________________ 

origin and does not know the identity of the exporter, 

If there are multiple producers, state “Various”or provide a list of producers. initial here:_____ 

A person that wishes for this information to remain 

Importer 

confidential may state “Available upon request by the importing authorities”. Name:____________________________________ 

Address (including country): 

___________________________________________________ ___________________________________________________ Telephone#:________________________________________ Email address:____________________________________ 

Tariff (HTS)#: 

1.____________ 

2.____________ 

3.____________ 

4.____________ 

5.____________ 

Country of Origin: 

1.____________ 

2.____________ 

3.____________ 

4.____________ 

5.____________ 

I certify that the goods described in this document qualify as originating and the information contained in this document is true and accurate. I assume responsibility for proving such representations and agree to maintain and present upon request or to make available during a verification visit, documentation necessary to support this certification. 

Authorized Signature (Certifier):________________________ Name & Title:_________________________ Date:_________________ 

Janel Group, Inc. • 233 7th Street, Suite 100 • Garden City, NY 11530 • (516) 593-1390 • www.janelgroup.com 

Description of Goods: 

Origin Criteria 

1._______________________________________________________ 

1.____________ 

2._______________________________________________________ 

2.____________ 

3._______________________________________________________ 

3.____________ 4._______________________________________________________ 

4.____________ 5._______________________________________________________ 

5.____________