VCOP 8 — Movement Document (Transboundary Hazardous Waste)

Shipment Reference

Shipment Reference & Parties

Complete before shipment departs. This document must accompany the waste at all times.

1–2

Reference Numbers Blocks 1–2

Notification Reference Number*

Movement / Serial Number

Exporter — Notifier Block 3

Name*

Address

Country

Phone

Importer — Consignee Block 4

Name*

Address

Country

Phone

Actual Shipment

Actual Shipment Details & Waste

Record actual details at the time of shipment.

5–7

Actual Shipment Details Blocks 5–7

Actual Date of Shipment*

Actual Quantity Shipped (tonnes)*

Means of Transport

Port of Departure

Port of Arrival

Country of Export

Country of Import

Countries of Transit (if any)

Waste Description*

UN Number

Physical State

Hazardous Characteristics (H Codes)

Carrier & Customs

Carrier Details & Customs Signatures

Record carrier information and customs clearance at each stage.

Carrier(s) Block 8

Carrier 1 — Name

Carrier 1 — Address

Carrier 1 — Country

Carrier 1 — Vehicle Reg. / Transport ID

Carrier 2 — Name (if any)

Carrier 2 — Address

Carrier 2 — Country

Carrier 2 — Vehicle Reg. / Transport ID

Customs Certification / Confirmation Block 9

Export Customs Reference

Export Customs Date

Import Customs Reference

Import Customs Date

Notes / Remarks

Facility Confirmation

Disposal Facility Receipt Confirmation

To be completed by the disposal/recovery facility upon receipt of waste.

Disposal / Recovery Facility Block 10

Name of Facility*

Address

Country

Date Waste Received

Actual Quantity Received (tonnes)

Disposal / Recovery Method Used

Remarks

0/7 completed

Movement Document Fully Completed — All Blocks Filled

Signed by Exporter / Notifier at Departure

Export Customs Cleared and Certified

Signed by Each Carrier at Handover

Import Customs Cleared and Certified

Signed by Disposal Facility on Receipt

Receipt Confirmation Sent to All Competent Authorities

Within the timeframe specified in the consent.

Signature of Applicant

Full Name (Print)*

Date*

Signature of Witness

Witness Name*

Date*

Central Division — Suva

WPC Administrator, Dept. of Environment
Levels 1 & 2, Bali Tower, 318 Toorak Road
P.O Box 2109, Suva
📞 (679) 331 1699 | Fax: (679) 331 2879

Western Division — Lautoka

WPC Administrator, Dept. of Environment
Level 1, Peekay Building, Lautoka

📞 (679) 672 4140

Northern Division — Labasa

WPC Administrator, Dept. of Environment
Ground Floor, Local Timber Bldg
Nasekula Street, P.O. Box 485, Labasa
📞 (679) 881 8017 | Fax: (679) 881 8016

Progress

Parties & Reference

Actual Shipment

Carrier & Customs

Facility Confirmation

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ImportantThis document must accompany the waste at ALL times from origin to destination.

Post-deliverySend signed confirmation to all competent authorities within required timeframe.

Division Offices

Central — Suva

Levels 1&2, Bali Tower, 318 Toorak Rd, Suva
(679) 331 1699

Western — Lautoka

Level 1, Peekay Building, Lautoka
(679) 672 4140

Northern — Labasa

Ground Floor, Local Timber Bldg, Labasa
(679) 881 8017

Movement Document — Transboundary Shipment of Hazardous Waste

Shipment Reference & Parties

Actual Shipment Details & Waste

Carrier Details & Customs Signatures

Disposal Facility Receipt Confirmation