Application for Transit and Transhipment Permit for Class A Precursors
This HTML document is not a form. Its purpose is to display the information as found on the form for viewing purposes only. If you wish to use the form, you must use the alternate format below.
Help on accessing alternative formats, such as Portable Document Format (PDF), Microsoft Word and PowerPoint (PPT) files, can be obtained in the alternate format help section.
Under the provisions of the Controlled Drugs and Substances Act and the Precursor Control Regulations
- APPLICANT (EXPORTER'S CANADIAN AGENT)
- Name
- Telephone Number
- Address
- EXPORTER
- Name
- Telephone Number
- Address
- IMPORTER
- Name
- Telephone Number
- Address
- IMPORT AUTHORIZATION (ORIGINAL ATTACHED)
- Number
- Date of Issuance
- Competent authority
- EXPORT AUTHORIZATION (ORIGINAL ATTACHED)
- Number
- Date of Issuance
- Competent authority
- SHIPMENT
- Proposed port of entry
- Proposed port of exit
- Date of shipment
- Proposed means of transport
NOTE: IN THE CASE OF A TRANSHIPMENT, ATTACH ON A SEPARATE SHEET, THE ADDRESS OF EVERY PLACE IN CANADA WHERE THE PRECURSOR WILL BE STORED DURING THE TRANSHIPMENT AND THE EXPECTED DURATION OF EACH STORAGE
- CLASS A PRECURSOR(S)
- PRECURSOR
- Name
- Harmonized System Code
- Quantity Purity, if raw material Name Quantity of preparation or mixture
- Quantity of precursor
- PREPARATION OR MIXTURE
- Name
- Quantity of preparation or mixture
- Quantity of precursor
- PRECURSOR
- CERTIFICATION
I hereby certify that I wish to apply for an in transit and transhipment permit for Class A precursor(s) and that the information provided in this application is correct, complete to the best of my knowledge and in accordance with the relevant sections of the Controlled Drugs and Substances Act and the Precursor Control Regulations.
- Name
- Position
- Signature
- Date
- FOR OFFICIAL USE ONLY
- Export PT -
- Permit No.
- Expiry date
- Effective date Processed
- Finalized
- Verified