LITHIUM BATTERIES—SECTION II
SHIPPER’S TRANSPORT DOCUMENT
For consignments of Lithium
Ion/Metal contained in or packed
with equipment
Air Waybill HAWB
Number: Number: Origin:
Shipper: Destination:
NOTE: One or two devices (e.g. cell
1 I CERTIFY that this consignment does not contain any of the phones or
following laptops) with batteries contained in
forbidden items: equipment that have less than the watt
■ Recalled, damaged or defective cells and battery packs; hour or grams permitted do not require
■ Shipments containing only cells or battery packs; this document or the lithium battery
■ Used or refurbished electronics containing lithium ion/metal handling mark and may be tendered as non
batteries packaged in an overpack. dangerous goods. (See IATA Packing
Instruction 967 or 970.)
2 This shipment contains lithium CELLS or BATTERY PACKS in the following configuration (check all applicable
boxes):
PI 966 Lithium ION Batteries Packed with Equipment PI 967 Lithium ION Batteries Contained in
Equipment UN 3481 Section II UN 3481 Section II
Cells or battery packs contained in a package may or may not Only cells or battery packs installed in equipment that are
be installed in the equipment. The maximum number of cells or required to power the device are permitted. Select
applicable: battery packs allowed in each package is the minimum number to
power the device, plus two spare sets. Select applicable: Cells: Not more than 20 Watt hours (Wh) per cell
Battery Packs: Not more than 100 Watt hours (Wh) per pack
Cells: Not more than 20 Watt hours (Wh) per cell
Battery Packs: Not more than 100 Watt hours (Wh) per pack
PI 969 Lithium METAL Batteries Packed with Equipment PI 970 Lithium METAL Batteries Contained in Equipment
UN 3091 Section II UN 3091 Section II
Cells or batteries contained in a package may or may not be Only cells or battery packs installed in equipment that
are installed in the equipment. The maximum number of cells or required to power the device are permitted. Select
applicable: battery packs in each package is the minimum number required to
power the device, plus two spare sets. Select applicable: Cells: Not more than 1 g of lithium metal per cell
Battery Packs: Not more than 2 g of lithium metal per pack
Cells: Each cell does not contain more than 1 g of lithium metal
Battery Packs: Each pack does not contain more
than 2 g of lithium metal
3 ON THE AIR WAYBILL, INDICATE THE FOLLOWING:
A) The Air Waybill statement, B) The number of packages marked with the lithium battery mark.
4 I UNDERSTAND THAT EACH INDIVIDUAL PACKAGE (whether or not it’s contained within an overpack):
■ MUST NOT contain more than 5 kg of lithium cells or battery packs.
■ Must be properly identified with a lithium battery mark.
I declare that the contents of this consignment have been properly prepared, and are packaged, marked, and labeled correctly,
and are in all respects in proper condition for air transport. All regulatory requirements have been met.
Name: Tel.:
Signature: Date:
Retain one copy of this form on file with the station copy of the air waybill. One additional copy must accompany the shipment, attached to the
package.
ACF295L3 (2019-11) VERSION FRANÇAISE AU VERSO