USMCA Certificate of Origin Template (CUSMA / T-MEC)

Make a USMCA (CUSMA, T-MEC) certification of origin with the nine minimum data elements: certifier, exporter, producer, importer, goods with HS codes, origin criterion, blanket period and the signed statement.

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2. Certifier (name, title, address, phone, email)

3. Exporter (if different from the certifier)

4. Producer

5. Importer (if known)

添加标志

详细信息

Agreement

1. Certification by

Certificate or reference no.

日期

Invoice no. (single shipment)

8. Blanket period from (optional)

8. Blanket period to (up to 12 months)

Goods

6. Description of the good

6. HS code (6 digits)

7. Origin criterion

原产国

Quantity (optional)

6. Description of the good

6. HS code (6 digits)

7. Origin criterion

原产国

Quantity (optional)

备注和签名

9. Certification

Notes (optional)

仅保存在此浏览器中

A4 · 60%

USMCA / CUSMA CERTIFICATION OF ORIGIN

编号 COO-2026-0418

2026年10月22日

2. Certifier (name, title, address, phone, email)

Dana Kowalski, Export Compliance Manager Great Lakes Fixtures Inc 2200 Industrial Pkwy, Toledo, OH 43612, USA +1 419 000 0000, dana@example.com

3. Exporter (if different from the certifier)

Same as certifier

4. Producer

Same as exporter

5. Importer (if known)

Maple Home Supply Ltd 85 Commerce Valley Dr Markham, ON L3T 7V9, Canada +1 905 000 0000, imports@example.com BN 000000000RM0001

Agreement: USMCA (United States)
1. Certification by: 出口商
Certificate or reference no.: COO-2026-0418
日期: 2026年10月22日
Invoice no. (single shipment): INV-2026-0418

6. Description of the good	6. HS code (6 digits)	7. Origin criterion	原产国	Quantity (optional)
Steel shelving units, 5 tier, 72 × 36 × 18 in, powder coated	9403.20	B	US	240 units
Wood display tables, solid oak, 48 × 24 in	9403.60	A	US	60 units

9. Certification

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.

9. Authorized signature, name, title and date

Origin criteria: A wholly obtained or produced; B meets the product specific rule of origin (Annex 4-B); C produced entirely from originating materials; D meets the rule under Article 4.2(4) or 4.2(5) (for example unassembled goods). The agreement has no official form: any document with these nine data elements is valid. Keep supporting records for at least 5 years.

What is a USMCA certificate of origin?

A USMCA certificate of origin is the statement that lets goods traded between the United States, Canada and Mexico enter at the preferential, usually zero, rate of duty under the United States-Mexico-Canada Agreement. In Canada the same agreement is called CUSMA and in Mexico T-MEC, and a CUSMA certificate of origin is the same document. Unlike the old NAFTA form, there is no official USMCA form: any document is valid as long as it has the nine minimum data elements. This free USMCA certificate of origin template lays them out for you.

The 9 data elements of a USMCA certification of origin

No.	Data element	What to enter
1	Certifier role	Whether the exporter, the producer or the importer is certifying
2	Certifier	Name, title, address, phone and email of the person who certifies
3	Exporter	Name, address, phone and email, if different from the certifier
4	Producer	Name and address, or "Various", or "Available upon request by the importing authorities"
5	Importer	Name, address, phone and email, if known
6	Description and HS code	Enough description to match the invoice, and the 6 digit HS tariff classification
7	Origin criterion	A, B, C or D (see below)
8	Blanket period	For repeat shipments of the same goods, a period of up to 12 months
9	Signature and date	Authorized signature with the certification statement

USMCA origin criteria A, B, C and D

A: the good is wholly obtained or produced in one or more of the three countries (crops, minerals, animals born and raised there).
B: the good meets the product specific rule of origin in Annex 4-B, such as a change in tariff classification or a regional value content.
C: the good is produced entirely from originating materials.
D: the good meets the special rule for unassembled goods or goods classified with their parts (Article 4.2, paragraphs 4 and 5).

Find the HS code with the HTS code lookup: the letter S in the Special column means the code has a USMCA rate. Then check the duty you save with the US tariff calculator.

USMCA certificate of origin template in Excel, Word or PDF

Fill in the form once and download it in the format your customer or broker asks for: a PDF to sign and send, a Word file to edit, or an Excel sheet of the goods lines (people often search for a "USMCA certificate of origin template Excel" because a long list of parts is easier to keep in a spreadsheet). Choose the heading USMCA (United States), CUSMA (Canada) or T-MEC (Mexico) to match the importing country. The certification can sit on the commercial invoice or be a separate page like this one.

Single shipment or blanket certification

For one shipment, give the invoice number. For the same goods shipped many times, fill in a blanket period of up to 12 months and send the certificate once; the importer keeps it on file for every entry in that period.

Who keeps what

The certifier must keep the records that prove origin (bills of materials, supplier statements, production records) for at least five years, and the importer must hold the certification when it claims the preferential rate. For goods outside North America, use the general certificate of origin template instead.

Download a PDF, an editable Word file or an Excel sheet of the lines, or print it. Your draft stays in this browser only; nothing is uploaded to our servers.

功能

All 9 USMCA data elements
USMCA, CUSMA or T-MEC heading
Origin criteria A, B, C, D explained
Single shipment or 12 month blanket
PDF, Word and Excel
Blank form to print

常见问题

Is there an official USMCA certificate of origin form?

No. USMCA (CUSMA, T-MEC) has no mandatory form. Any document, including a statement on the invoice, is valid if it has the nine minimum data elements. CBP and the CBSA publish the list, and some carriers offer their own layouts.

What is the difference between USMCA and CUSMA certificate of origin?

None. They are the same agreement: USMCA in the United States, CUSMA in Canada and T-MEC in Mexico. Pick the heading that matches the importing country.

Who can sign a USMCA certification of origin?

The exporter, the producer or the importer. The person signing must have the information that proves the goods originate, and keep it for at least five years.

How long is a USMCA certificate of origin valid?

A single shipment certification covers that shipment. A blanket certification covers the same goods for the period stated, up to 12 months. A certification can be used for up to four years after it was signed.

Which HS code goes on the USMCA certificate?

The 6 digit HS code of the good. Use the HTS code lookup to find it; the importing country adds its own extra digits on the entry.

Can I make a USMCA certificate of origin template in Excel?

Yes. Fill in the form and download the Excel file for the goods lines, or the Word file to edit the whole certificate.

Is it free?

Yes. No sign up and no watermark. Download a PDF or Word file, or print it, as often as you need.

Is my information saved?

Only in your own browser, so you can come back to the draft. Nothing is uploaded to our servers.

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