Prohibition of Asbestos and Products Containing Asbestos Regulations

Please use the PDF version to complete your permit application. Contact us at amiante-asbestos.ec@ec.gc.ca if you have difficulty using our web pages or you need another format.

You may complete your permit application electronically, or you may print it and complete the fields by hand.  All permit applications require a signature.

Permit applications should be submitted by mail or email to:

Chemicals Management Division
Environment and Climate Change Canada
351 St-Joseph Blvd, 10th floor
Gatineau QC  K1A 0H3
Email: amiante-asbestos.ec@ec.gc.ca

The Minister must refuse a permit if:

• there are reasonable grounds to believe that the applicant has provided false or misleading information, or

• information required in the regulations has not been submitted or is insufficient

Section 16 of the regulations

Permit application: Import of processed asbestos fibres, product(s) containing processed asbestos fibres or consumer product(s) containing asbestos in greater than trace amounts to protect the environment or human health

Section 1: information respecting the applicant

Name:
Civic address in Canada:
Postal Address:

Section 2: information respecting the individual who is authorized to act for the applicant

Name:
Title:
Telephone number:
Civic address in Canada:
Email address:
Postal Address:

Section 3: information respecting the processed asbestos fibres, product(s) containing processed asbestos fibres, or consumer product(s) containing asbestos in greater than trace amounts

If the permit application relates to processed asbestos fibres:
Form and CAS RN:
Asbestos (if form is unknown) CAS RN 1332-21-4
Chrysotile CAS RN 12001-29-5
Amosite CAS RN 12172-73-5
Crocidolite CAS RN 12001-28-4
Anthophyllite CAS RN 77536-67-5
Tremolite CAS RN 77536-68-6
Actinolite CAS RN 77536-66-4
Estimated Quantity:
Unit:
Purpose for which the processed asbestos fibres are to be used:
If the permit application relates to product(s) containing processed asbestos fibres or consumer product(s) containing asbestos in greater than trace amounts:
Name of product:
Description of the product:
Estimated concentration of asbestos:
Unit:
Estimated mass of asbestos:
Unit:
Estimated number of products to be imported:
Purpose for which the product is to be used:

Rows can be added if required

Section 4: additional Information

The following must be attached to this application:
[ ] Evidence demonstrating that the use of the processed asbestos fibres or the product, for the purpose specified in section 3 of this permit application, will protect the environment or human health;
[ ] Evidence demonstrating that no technically or economically feasible asbestos-free alternative could be used to achieve the purpose for which the permit is sought;

Section 5: statement

Check the box where appropriate:
[ ] An asbestos management plan that meets the requirement of Schedule 1 of the regulations has been implemented.

Section 6: request for confidentiality

Indicate if you are requesting confidentiality under section 313 of the Canadian Environmental Protection Act, 1999 (CEPA).
[ ] Pursuant to section 313 of the CEPA, I request that the following parts of the information I am submitting will be treated as confidential. Please specify the parts [e.g. sections, tables] and include the reason for your request.
[ ] I do not request confidentiality for the information I am submitting and I consent to its release without restriction.

Section 7: certification

I certify that this information is accurate and complete.
Date:
Place:
Signature of the individual authorized to submit this permit application

Disclaimer

This form is provided for information purposes only and may not include all legal requirements. If there is any inconsistency or conflict between the information contained in this document and the Canadian Environmental Protection Act, 1999 (CEPA) and/or the Prohibition of Asbestos and Products Containing Asbestos Regulations, the official versions of the Act and regulations take precedence. The official versions of the regulations can be found at Prohibition of Asbestos and Products Containing Asbestos Regulations (SOR/2018-196).

Privacy notice statement

Personal information on this form is collected under the authority of the CEPA and is protected from disclosure to unauthorized persons/agencies pursuant to the provisions of the Privacy Act.

Questions or comments regarding this privacy notice or the administration of the Privacy Act at Environment and Climate Change Canada may be directed to the Access to Information and Privacy Coordinator at ec.aiprp-atip.ec@canada.ca.

If you are not satisfied that your privacy has been respected, you may contact the Office of the Privacy Commissioner of Canada at info@priv.gc.ca or by calling 1-800-282-1376.