Mitsubishi Electric US, Inc. General Letter of Assurance (LOA) Instructions - Complete TSR Letter of Assurance

Sep 15, 2026

Provides instructions to complete Mitsubishi Electric US, Inc. General Letter of Assurance (LOA) for Visitors/Customer transactions under export control compliance. Guides users to copy the LOA contents onto company letterhead (or include a business card), enter the full legal company name, obtain signature from an authorized representative, add the completion date, and provide the company’s official website or indicate none. States export-control understandings, end-use restrictions, and Country Groups D:1/E:1/E:2 certification responsibilities, and requests return to the requester’s email for review and marking compliance.

LanguageEnglish

CategoryLetters

FormatPDF

Pages2

Reading Time1 min

AccessFree to download

LOA completion instructions

Letterhead, company identity, and signature

Date and official website

Return method and compliance review

TSR Letter of Assurance content

Export control understanding and end-use restrictions

EAR country groups certification

Signature block requirements

Instructions to complete Mitsubishi Electric US, Inc . General Letter of Assurance (LOA) Instructions As part of our internal compliance program Mitsubishi Electric US, Inc. kindly requests the following: 1. Copy the complete contents of our LOA (page 2) on your company’s letterhead including address. a. If you do not have company letterhead, please embed/copy of a company business card. 2. Fill in the full legal name of your company with no abbreviations. 3. Have letter signed by an official of your company or authorized representative (Supervisor, Mgr., Director, Owner) 4. Fill in the date the form was completed. 5. Complete (URL) with your Company’s official Website. a. If you do not have a website, please indicate as such. 6. Return the completed document to the requestor’s email. If you have any questions related to completing the LOA, please contact the person(s) or group requesting the document. We will review all submissions for errors and if completed correctly will mark your company as compliant. If any errors are found, the requestor will contact you directly. Thank you for assistance in this matter. Sincerely, Mitsubishi Electric US, Inc. F-215-OXGLOG-001-B FORM OF TSR LETTER OF ASSURANCE--Visitors/Customer Customer, please copy complete form below on your letterhead Mitsubishi Electric US, Inc. F-215-OXGLOG-001-B, Rev Date July 1, 2026 5900 Katella Ave, Suite A Cypress, CA 90630 Attn: Gail Kato, Export Compliance Administrator We understand that the Mitsubishi Electric-brand products (the “Products”) that we purchase from Mitsubishi Electric US, Inc. (“MEUS”) are subject to US export control laws, rules and regulations and that our rights to re-export the Products (or any technology, technical data, information or software related thereto), either in the original condition or as modified (including technology revisions/versions) are limited by such export control laws. Lastly, if transaction(s) exist within Mexico, we will comply with the security export control laws and regulations of Mexico. Please be advised that by execution and delivery of this letter to MEUS, we hereby represent and provide assurances to MEUS that: 1. We will not, without an export license or applicable license exception, which may be required under US export control laws, rules and regulations, re-export or release the Products (or any technology, technical data, information or software related thereto) . 2. We will not use or sell the Products (or any technology, technical data, information or software related thereto) for any nuclear, chemical, biological or missile weapons end use. 3. We hereby certify that, unless authorized by US export control law (either by regulations or specific written authorization), we will not knowingly export or re-export, directly or indirectly, any of the Products or any direct product of the technology related to the Products, to any of the nations or nationals of any of the countries listed in Country Groups D:1 or E:1/E:2 of Part 740, Supplement 1, of the Export Administration Regulations (“EAR”) ( [https://www.bis.gov/regulations/ear/740\#supplement-1-740](https://www.bis.gov/regulations/ear/740#supplement-1-740)) . We understand that the lists may be amended by US export laws and regulations from time to time. We acknowledge and agree that we are responsible for reviewing the EAR to ensure legal compliance. By: Company Website Signature (Full Legal Name) Title: URL [http://___________________________________](http://___________________________________) (To be signed by an authorized representative) Date: (IF CUSTOMER IS A CORPORATION OR LLC, THIS LETTER NEEDS TO BE SIGNED BY A CORPORATE OFFICER. IF CUSTOMER IS A PARTNERSHIP, THIS LETTER NEEDS TO BE SIGNED BY THE MANAGING PARTNER. IF CUSTOMER IS A SOLE PROPRIETORSHIP, THIS LETTER MUST BE SIGNED BY THE OWNER. )

FAQs

What information must be copied onto the company letterhead for the LOA?

Copy the complete LOA contents (page 2) onto the company’s letterhead including address. If no letterhead exists, embed/copy a company business card instead.

Who must sign the LOA and what signing title is acceptable?

The letter must be signed by an official of the company or an authorized representative such as a Supervisor, Mgr., Director, or Owner. If the customer is a corporation or LLC, it must be signed by a corporate officer; a partnership requires the managing partner; a sole proprietorship requires the owner.

What must the company provide for the official website field?

Complete the LOA section with the company’s official website. If the company does not have a website, indicate that explicitly.

Sep 15, 2026

Uploaded by Aria Callaghan