Certificate of Origin Template & Sample

See a general certificate of origin example showing exporter, consignee, goods and origin information. Download the sample or create a general certificate online.

Sample & tools

Use the example, then create your own.

A certificate of origin states where goods originate. Some shipments use a general certificate, while others require a specific trade-agreement format, chamber certification or other official process.

View / Download Sample PDF See the related software page →

Typical fields

Information commonly shown on this document.

Exporter and consignee

Certificate number and date

Product description

Quantity

Country of origin

Invoice or shipment reference

Authorized name and title

Signature / certification statement

Practical tip

Do not assume a general certificate is sufficient for every shipment. Confirm whether the destination, customer or trade program requires a specific form or certification procedure.

This sample is educational and does not replace current carrier, broker, customs, customer or government requirements.

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