BSF373: Electronic Data Interchange (EDI) Application for the Integrated Import Declaration (IID)
A link to the Portable Document Format (PDF) of this form is provided below. The content of the form is duplicated in HTML following the PDF link.
Protected B when completed
New
Update
Date (yyyy-mm-dd)
The information you provide in this document is collected under the authority of sections 32 and 33 of the Customs Act for the purpose of determining the admissibility of commercial goods.
The information may be disclosed to Canadian Food Inspection Agency , Canadian Nuclear Safety Commission, Environment and Climate Change Canada, Fisheries and Oceans Canada, Global Affairs Canada, Health Canada, Natural Resources Canada, Public Health Agency of Canada and Transport Canada for the purpose or carrying out an activity, providing a service or administering a program.
Submission of any commercial trade data and personal information as part of your EDI transmission constitutes your consent and acknowledgement that you, as an importer or licensed customs broker, have informed all individuals whose personal information is listed in your transmission with proper and adequate privacy protection notices and that you have secured their consent to the collection use retention and disclosure of this personal information by the Canada Border Services Agency.
Individuals have the right of access to and/or can make corrections of their personal information under the Privacy Act. The information collected is described within Info Source under the Carrier and Cargo Program Personal Information Bank PPU 045, the Food, Plant and Animal (FPA) Program Personal Information Bank CBSA PPU 062, Administrative Monetary Penalty System Program Personal Information Bank CBSA PPU 001 and eManifest Personal Information Bank CBSA PPU 048, which is detailed at http://www.cbsa-asfc.gc.ca/.
Section 1: IID EDI Application
Select one line of business that applies to this IID EDI application.
Importer
Broker
Section 2: Company Profile
Legal Company Name
Operating/Trade Name
Account Security Number
Are you approved for Customs Self Assessment (CSA)?
Yes
No
Head Office Address
Street
City
Province/State Code
Country Code
Postal/Zip Code
Business Office Address
Street
City
Province/State Code
Country Code
Postal/Zip Code
Contact Information
Last Name
First Name
Title
Email
Telephone (999-999-9999)
Language Preference
English
French
Section 3: Authorize a Service Provider
The information you provide in this document is collected under the authority of sections 32 and 33 of the Customs Act for the purpose of determining the admissibility of commercial goods. The information may be disclosed to Canadian Food Inspection Agency , Canadian Nuclear Safety Commission, Environment and Climate Change Canada, Fisheries and Oceans Canada, Global Affairs Canada, Health Canada, Natural Resources Canada, Public Health Agency of Canada and Transport Canada for the purpose or carrying out an activity, providing a service or administering a program. Submission of any commercial trade data and personal information as part of your EDI transmission constitutes your consent and acknowledgement that you, as an importer or licensed customs broker, have informed all individuals whose personal information is listed in your transmission with proper and adequate privacy protection notices and that you have secured their consent to the collection use retention and disclosure of this personal information by the Canada Border Services Agency. Individuals have the right of access to and/or can make corrections of their personal information under the Privacy Act. The information collected is described within Info Source under the Carrier and Cargo Program Personal Information Bank PPU 045, the Food, Plant and Animal (FPA) Program Personal Information Bank CBSA PPU 062, Administrative Monetary Penalty System Program Personal Information Bank CBSA PPU 001 and eManifest Personal Information Bank CBSA PPU 048, which is detailed at http://www.cbsa-asfc.gc.ca/.
Legal Company Name
Operating/Trade Name
Contact Information
Last Name
First Name
Title
Email
Telephone (999-999-9999)
Language Preference
English
French
Do you authorize this service provider to process customs information electronically for the CBSA on your behalf?
Yes
No
Do you authorize the CBSA to release to this service provider customs information transmitted on your behalf by this service provider?
Yes
No
Section 4: Software
Will you be using your own software to create electronic customs information?
Yes
No
Name of Software Provider
Section 5: Communications Proctocol Method
Identify the communication protocol method that you intend to use or that the authorized service provider is to use. You may select one or more communication protocol methods to transmit customs information to the CBSA. Complete the following for each communication method that will be utilized.
More information on the approved communication methods may be found at www.cbsa-asfc.gc.ca/eservices/comm-eng.html.
Section 5a: Customs Internet Gateway
Will you be using the Customs Internet Gateway?
Yes
No
Sender Identification (Client defined application sender ID as per the GS or UNG segment)
Certificate Number in Production
Certificate Number in Testing
Mailbox ID: (Partner ID, the ISA or UNB segment)
Section 5b: Direct Connect or Value Added Network
Will you be using a Direct Connect or Value Added Network?
Yes
No
Sender Identification (Client defined application sender ID as per the GS or UNG segment)
Name of Direct Connect or Value Added Network
Mailbox ID: (Partner ID, the ISA or UNB segment)
Section 6: Request EDI Messages
Please select from the list below, the EDI message(s) that you wish to add to your EDI client profile. You must select at least one of the message listed below
Name of Message | Line of Business |
---|---|
IID | Importer |
IID | Broker |
Document Imaging Functionality (DIF) | Importer |
DIF | Broker |
Section 7: Remove a Company Contact
Last Name
First Name
Email
Section 8: Remove a Service Provider
Complete this section if you wish to cancel authorization for this service provider.
Legal Company Name
Operating/Trade Name
Section 9: Request PGA
Please select from the list below, the Participating Government Departments and Agencies (PGA) that you wish to engage. You must select at least one of the PGAs listed below:
- Canadian Food Inspection Agency
- Canadian Nuclear Safety Commission
- Environment and Climate Change Canada
- Fisheries and Oceans Canada
- Global Affairs Canada
- Health Canada
- Natural Resources Canada
- Public Health Agency of Canada
- Transport Canada
Section 10: Certification
This form must be signed by an authorized person of the business such as an owner, a partner of a partnership, or a director of a corporation. By signing and dating this form, you authorize the CBSA to deal with the individual(s) listed in Section 3 of this form.
Email
Telephone (999-999-9999)
Language Preference
English
French
Authorized Person's Name:
Title
Signature
Date: (YYYY/MM/DD)
Completed forms can be sent to:
Technical Commercial Client Unit
Canada Border Services Agency
355 North River Road, 6th floor, Tower B
Ottawa, ON K1A 0L8
Email address: tccu-ustcc@cbsa-asfc.gc.ca
Instructions
The company that is responsible for submitting electronic IID information to the CBSA must complete and certify this application for new and updates to CBSA electronic client profiles.
Complete all relevant sections when submitting a new application. A separate application must be submitted for each service/software provider that you intend to conduct business with.
Complete Section 1, Section 2 (Legal Name and Account Security Number), and all relevant sections when updating an existing electronic client profile.
Complete Section 1, (Legal Name and Account Security Number), and the relevant Sections 7 and 8 when removing a company contact or service/software provider.
Section 11: Certification is mandatory for all new applications and all updates to existing electronic client profiles. The CBSA must receive a signed document from the company that is required to submit electronic IID information. If you wish to submit this form electronically, you must print, sign and then scan and send the application to the email address provided on this form.
Section 1: IID EDI Application | |
---|---|
New | Select "new" if you are submitting a request for a new EDI IID electronic client profile or wish to add a service/software provider. |
Update | Select "update" if you are submitting changes to an existing EDI IID electronic client profile. |
Date of Application (yyyy/mm/dd) | Enter the date that you completed the application or update. |
Select one line of business that applies to this IID EDI application | Select one line of business type that you wish to apply for or update. A separate application is required for each line of business. On a "new" application, if you choose:
|
Section 2: Company Profile | |
Legal Company Name | Provide the legal name of the company that you have on file with the CBSA (provided at time of client registration). Must be completed. |
Operating/Trade Name | Provide the operating/trade name that you operate under (if applicable). |
Account Security Number | Provide the Account Security Number assigned by the CBSA. Must be completed. |
Are you a CSA client? | Identify whether you are approved for CSA. |
Head Office Address | The office identified as the primary office of the business E.g. Where books and records are stored, where President is located, etc. |
Street | The street name and type, suite number, post office box number of the head office. |
City | Provide the name of the city of the head office. |
Province/State code | Provide the two character province or state code of the head office. Please refer to www.canadapost.ca/tools/pg/manual/PGaddress-e.asp#1380608 for a listing of valid Canadian province and US state codes. |
Country code | Provide the two character country code of the head office. E.g. CA or US |
Postal/Zip Code | Provide the postal or zip code of the head office. |
Business Office Address | The office where the day-to-day activities are carried out. If you are a non-resident importer, please identify a Canadian office if applicable. |
Street | The street name and type, suite number, post office box number of the business office. |
City | Provide the name of the city of the business office. |
Province/State code | Provide the two character province or state code of the business office. Please refer to www.canadapost.ca/tools/pg/manual/PGaddress-e.asp#1380608 for a listing of valid Canadian province and US state codes. |
Country code | Provide the two character country code of the business office. For example CA or US. |
Postal/Zip Code | Provide the postal or zip code of the head office. |
Contact Information | Provide information of a person within the company that the CBSA may contact regarding this application, testing and production. |
Last Name | Provide information of a person within the company that the CBSA may contact regarding this application, testing and production. |
First Name | Provide the first name of an individual within the company that the CBSA may contact. |
Title | Provide the title of the contact person that the CBSA may contact. |
Telephone | Provide the telephone number of the contact person. Please ensure that the country and area code is provided. E.g. 01-450-738-9888. |
Provide the email address of the contact person. | |
Language Preference | Select the language preference of the contact person. |
Section 3: Authorize an Service Provider A service provider may be any party that you contract to transmit customs information and/or receive messages from the CBSA. A service provider is not an Agent in that they are simply providing a mechanism for which you may transact electronic commerce with the CBSA. |
|
Legal Company Name | Provide the legal name of the company that you have contracted as a service provider. |
Operating/Trade Name | Provide the operating/trade name of the service provider if applicable. |
Last Name | Provide the last name of a contact person employed by the service provider that the CBSA may contact. |
First Name | Provide the first name of a contact person. |
Title | Provide the title of the contact person. |
Telephone | Provide the telephone number of the contact person. Please ensure that the country and area code is provided. E.g. 01-450-738-9888. |
Provide the email address of the contact person. | |
Language Preference | Select the language preference of the contact person. |
Do you authorize this Service Provider to process customs information electronically for the CBSA on your behalf? | Select Yes if you are authorizing the service provider to transmit customs information for the CBSA on your behalf. |
Do you authorize the CBSA to release to this Service Provder, customs information transacted on your behalf by this Service Provider?* | Select Yes if you are authorizing the CBSA to release information about this application and/or your customs information to this company and any individual employed by this company. Refer to Policy Guidelines on the Disclosure of Customs Information, Section 107 of the Customs Act for further information. |
Section 4: Software | |
Will you be using your own software to create electronic customs information? | Identify whether you have built your own software to submit customs information or whether you have purchased software. |
Name of Software Provider | If you have not built your own software, please identify the name of the software and the name of the software supplier that you will be using to transmit your customs information. E.g. ABC Software, XYZ Company |
Section 5: Communications Protocol Method Identify the communication protocol method that you intend to use or that the authorized agent and/or service provider is to use. You may select one or more communication protocol methods to transmit customs information to the CBSA. Complete the following for each communication method that will be utilized. |
|
Section 5a: Customs Internet Gateway | |
Will you be using the Customs Internet Gateway? | Select yes if you will be using the Customs Internet Gateway to transmit your customs information to the CBSA. If yes, please provide the certificate numbers, sender identification and mailbox ID. |
Certificate number in production | Provide the certificate number that you will be using in production. |
Certificate number in testing | Provide the certificate number that you will be using for testing (if applicable). |
Sender Identification | Provide the client defined application send ID as per your GS or UNG segment. |
Mailbox ID | Provide your partner ID in the ISA or UNB segment. |
EDI Map Version | Identify the EDI map version that you will be using to transmit customs information to the CBSA. |
Section 5b: Direct Connect (DC) or Value Added Network (VAN) | |
Will you be using a Direct Connect or Value Added Network? | Select Yes if you will be using a direct connection or value added network to transmit your customs information to the CBSA. If yes, please complete the Name of the DC or VAN, sender identification and mailbox id. |
Name of Direct Connect | Provide the name of the DC or VAN that you plan to utilize. |
Sender Identification | Provide the client defined application send ID as per your GS or UNG segment. |
Mailbox ID | Provide your partner ID in the ISA or UNB segment. |
EDI Map Version | Identify the EDI map version that you will be using to transmit customs information to the CBSA. |
Section 6: Request EDI Message Please select from the list below, the EDI message(s) that you wish to add to your EDI client profile. At least one message must be selected. |
|
IID | By selecting this message you will be able to send electronic release documents as well as receive all acknowledgement and reject messaging regarding the electronic release information. |
DIF | By selecting this message you will be able to send electronic images of LCPO's as well as receive all acknowledgement and reject messaging regarding the electronic release information. |
Section 7: Remove a Company Contact | |
Last name | Provide the last name of the company contact that you wish to remove. |
First Name | Provide the first name of the company contact that you wish to remove. |
Provide the email address of the company contact that you wish to remove. | |
Section 8: Remove a Service Provider | |
Legal Company Name | Provide the legal name of the service provider that you wish to remove. |
Operating/Trade Name | Provide the operating/trade name of the service provider that you wish to remove. (if applicable) |
Section 9: Testing Please select from the list below, the PGA's that you wish to engage in testing. You must select at least one of the Departments listed below. |
|
Canadian Food Inspection Agency | |
Canadian Nuclear Safety Commission | |
Environment and Climate Change Canada | |
Fisheries and Oceans Canada | |
Global Affairs Canada | |
Health Canada | |
Natural Resources Canada | |
Public Health Agency of Canada | |
Transport Canada | |
Section 10: Certification The certification section provides the CBSA with confirmation that all the information within this application is accurate and complete and that all authorizations are approved. We must receive a signed form by the client company. |
|
Authorized Person's Name | Provide the name of an authorized person of your company with signing authority. |
Title | Provide the title of the authorized person that will be certifying this application. |
Telephone | Provide the telephone number of the authorized person. Please ensure that the country and area code is provided. E.g. 01-450-738-9888. |
Provide the email address of the authorized person. | |
Language Preference | Select the language preference of the authorized person. |
Signature | Provide the name of an authorized person of your company with signing authority. |
Date | Provide the date of certification. |
- Date modified: