Application for Copyright Clearance of Canada Border Services Agency Material

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.

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Privacy Statement

The information you provide in this document is collected under the authority of the Financial Administration Act (FAA), and in accordance with the Communications Policy of the Government of Canada for the purposes of public requests seeking permission to reproduce Canada Border Service Agency (CBSA) materials. The information may be disclosed internally to CBSA Programs and externally to other Government institutions for the purposes of fulfilling this request.

Individuals have the right of access to and/or can make corrections to their personal information under the Privacy Act. The information collected is described within Info Source under the Public Communications Personal Information Bank PSU 914 which is detailed at


For assistance in completing an application for copyright clearance, please contact the CBSA's Marketing and Creative Services Team:
191 Laurier Avenue West, 9th Floor
Ottawa, Ontario K1A 0L8

Please note that this form applies to Canada Border Services Agency material only, and that all fields marked by an asterisk (*) must be completed.


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