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.gc.ca

The Minister must refuse a permit if:

Section 18 of the regulations

Permit application: Import and use of product(s) containing processed asbestos fibres to service military equipment

Section 1: information respecting the applicant

Full name:
Civic address in Canada:
Postal Address:

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

Full name:
Title/Rank:
Telephone number:
Civic address in Canada:
Email address:
Postal Address:

Section 3: information regarding the military equipment that will be serviced and the imported product(s) containing processed asbestos fibres that will be used to service it


Name of the military equipment:
Description of the military equipment:
Name of type of product:
Description of type of product:
Estimated concentration of asbestos in each product:
Unit of measurement:
Estimated mass of asbestos in each product:
Unit of measurement:
Estimated number of products to be used:
Evidence attached demonstrating that there is no technically or economically feasible asbestos-free alternative available at the time of the permit application (Check the box):

Add rows if required

Section 4: asbestos management plan

Check the box :
[ ] An asbestos management plan that meets the requirements set out in Schedule 1 of the Regulations has been prepared.

Section 5: 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 6: 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.

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