BSF329-4 - Application to Transact Marine Operations with the Canada Border Services Agency

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Carrier Code (Office Use Only)

Please print in dark ink as illegible applications will be rejected. Any errors or omissions may delay the processing of your application. Refer to the instructions on reverse.

1. Legal business name

2. Operating/Trade Name

3. Language of correspondence

4. Physical address and postal code/zip code

5. Mailing address and postal code/zip code (if different from field 4)

6. Names and titles of contacts

7. Telephone no.

8. Cell phone no.

9. E-mail address

10. Website address

11. International Maritime Organization (IMO) identification number (see instructions on reverse)

12. Company Ownership Type (see instructions on reverse)

13. CRA Business Number, must be 15 characters (see instructions on reverse)

14. Provide a complete listing

15. Marine Overland Movement (see instructions on reverse)

16. Type of application

17. If you've checked bonded or single trip bond, complete this section.

18. Name and address of guarantee company

19. Bond no.

20. Amount

Certification

21. As an authorized officer of the applicant company, I certify that the information on this application and in any attached documents is, to the best of my knowledge, true and complete.

22. Third Party Consent (Optional - Please complete this section only if a third party agent is involved in the application process)

I (name) authorize (name) to act on our behalf in all matters relating to the application for a carrier code. This authorization is valid until written notice from, (date).

23. Agent's name

24. Agent's telephone number

25. Agent's company name

26. Agent's e-mail address

Privacy Act Statement - The information you provide in this document is collected under the authority of Section 12(2) of the Customs Act and Section 4 of the Reporting of Imported Goods Regulations for the purpose of verifying applicant's identities to conduct carrier operations in Canada. The information may be disclosed to the Canada Border Services Agency (CBSA) - Programs Branch for the purposes of program evaluation, security and reporting purposes. Carrier client's information may also be disclosed to the Canada Revenue Agency (CRA) for the purposes of locating an individual in order to collect a debt owing to Her Majesty in right of Canada. The information may also be disclosed to the Royal Canadian Mounted Police (RCMP) and/or to investigative bodies specified in the Privacy Regulations - upon the written request - for the purposes of law enforcement/investigation.

Under the law, failure to provide the information requested on this form may result in the rejection of the application. Individuals have the right of access to and the protection and correction of their personal information under the Privacy Act - Section 12. The information collected is described under the Carrier and Cargo Program Personal Information Bank CBSA PPU 045 which is detailed at www.infosource.gc.ca. Should you have concerns about the CBSA's handling of your personal information you have a right to file a complaint with the Privacy Commissioner of Canada.

Instructions

Field 1 - Legal Business Name - The legally registered name of the company.

Field 2 - Operating/Trade Name - The name that the company operates under, if applicable. Please note it should NOT be a separate legal entity.

Field 4 - Physical Address - The complete address of the company's head office including the number, street, city, province/territory/state, country and postal code/zip code.

Field 5 - Mailing Address - The complete mailing address that will be used for all correspondence related to this application.

Field 6 - Names and Titles of Contacts - The authorized contacts for enquiries related to this application and the carrier code profile. They must be employees of the company, not third party agents. Additional space is provided on page 3.

Field 11-12 - Company Ownership Type - Marine carriers may indicate their International Maritime Organization (IMO) Unique Company and Registered Owner Identification Number assigned by IHS Fairplay as proof in field 11 (http://www.imo.org). If not, the carrier must provide as proof of ownership a photocopy of one of the following documents, in English or French, based on their company ownership type. 1) Corporation: articles of incorporation or business registration documents. 2) Partnership: business registration documents listing all partners. 3) Sole Proprietor: government issued photo identification. The CBSA reserves the right to request additional information to confirm the company's legitimacy. Please note that the application will not be processed if proof of ownership or IMO identifier is not provided.

Field 13 - CRA Business Number - The business number is a 15 character identifier issued by the Canada Revenue Agency (CRA) (e.g. 123456789RM0001). For additional information please visit the CRA website at www.cra.gc.ca.

Field 14 - Please submit the company's vessel listing. Additional space provided on page 3.

Field 15 - Marine Overland Movement - Complete this field only if you are a bonded carrier who wishes to forward freight in-bond from a Canadian seaport overland to a Canadian destination for clearance or exportation without re-manifesting to a forwarding rail or highway carrier. The marine carrier must provide the port(s) of discharge and the address of the warehouse or terminal which the carrier or agent wishes to have authorized under the overland movement privilege for customs clearance purposes. Additional space is provided on page 3.

Field 16 - Type of Application - Indicate the application type. A non-bonded carrier must have the shipment released at the first point of arrival (i.e. the nearest customs office). A bonded carrier posts security with the CBSA to cover various situations such as the movement of goods inland for clearance, the movement of goods in-transit through Canada and to apply for a Trusted Trader Program.

Field 17 - Type of Security - General policies and procedures in relation to the posting of security for participation in CBSA bonded transactions can be found on the agency's website at www.cbsa.gc.ca within Memorandum D1-7-1, Posting Security for Transacting Bonded Operations. Surety and financial institution bonds must be made on form D120 Customs Bond. A sample of this form and completion instructions are available in the Memorandum.

Field 18 - Name and Address of the Guarantee Company - If a customs bond accompanies this application, please provide the complete legal name and address of the guarantee company or financial institution who issued the bond. Include the number, street, city, province/territory/state, country and postal code/zip code.

Field 19 - Bond Number - Provide the bond number indicated on the customs bond.

Field 20 - Amount - Provide the amount of security indicated on the customs bond.

Field 21 - Certification - An authorized officer who has legal signing authority for the applicant company must sign. Authorized officers include: Chief Executive Officer, Chief Financial Officer, President, Vice President, Owner, Partner, Director or an equivalent title that allows the individual to legally bind the company to a written agreement. In the case of a sole proprietorship, only the owner may sign.

Field 22 - Third Party Consent - Complete only if the applicant wishes to nominate a third party representative to act on behalf of them in all matters concerning the application.

Non-bonded applications should be submitted to the following email address:

carrier-cargo@cbsa-asfc.gc.ca

Bonded applications must be submitted by mail to:

Commercial Operations Integrated Support
Canada Border Services Agency
191 Laurier Avenue West, 12th floor
Ottawa, Ontario K1A 0L8

Continuation Sheet

6. Names and titles of contacts

7. Telephone no.

8. Cell phone no.

14. Provide a complete listing of the company's vessels.

15. Marine Overland Movement (see instructions on reverse)

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