BSF911 – Release – Electronic Data Interchange (EDI) Application Form
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.
The information you provide in this document is collected under the authority of the Customs Act – sections 32 and 33 for the purpose of risk assessment and determining admissibility and collecting trade data and assessing duties and taxes on imported 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, Transport Canada, Statistics Canada, the Canada Revenue Agency or the Royal Canadian Mounted Police for the purpose of program administration. 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 to access and to make corrections of their personal information under the Privacy Act. The information collected is described within 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, which is detailed at within the Information about Programs and Information Holdings (formerly Info Source). Should you have concerns about the CBSA's handling of your personal information you have a right to file a complaint with the Office of the Privacy Commissioner of Canada.
Section 1 – Applicant information
EDI map version
- ACROSS electronic release (CBSA proprietary)
- ACROSS electronic release (EDIFACT)
- ACROSS electronic release (CADEX Wrapped)
Company profile
- Date of application
- Name of applicant (company)
- CBSA-issued account security number
- Registration number (BN)
- Address
- City, province / state, country, postal / zip code
- Contact person
- Name and title
- Telephone number
- Afterhours contact person
- Name and title
- Telephone number
- Company official's name (printed)
- Company official's signature
Section 2 – Communication Method Information
For more information on the approved communication methods, please consult EDI / Portal clients – Communication methods.
If your company will be using a service provider to exchange data with the CBSA, please complete this block.
- Name of service provider (if applicable)
- Method of communication
- Customs Internet gateway
- Direct connect (name)
- Value added network (name)
- Contact person name
- Telephone number
If your company will be exchanging data directly with the CBSA, please complete this block.
- Method of communication
- Customs Internet gateway
- Direct connect (name)
- Value added network (name)
Section 3 – Configuration
- Certificate number in production (if transmitting through customs Internet gateway)
- Certificate number in test (if client is testing and transmitting through customs Internet gateway)
- Sender identification (if applicable: client defined application sender ID as per the UNG segment)
- Mailbox ID (if applicable: partner ID, the UNB segment)
- In which official language do you wish to receive your output transmissions?
- English
- French
- Requested implementation date
Completed forms can be sent
By mail
Manager, Technical Commercial Client Unit
Information, Science and Technology Branch
Canada Border Services Agency
355 North River Road, 6th Floor, Tower B
Ottawa, Ontario K1A 0L8
Via email
- Date modified: