Canada Border Services Agency Free Trade Agreement Certificate Of Origin

Download a blank fillable Canada Border Services Agency Free Trade Agreement Certificate Of Origin in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Canada Border Services Agency Free Trade Agreement Certificate Of Origin with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

Protected when completed

FREE TRADE AGREEMENT

CERTIFICATE OF ORIGIN

For goods exported to or from Canada - Not for use under NAFTA

(Instructions attached)

Please Print or Type

Exporter's Name and Address:

Blanket Period:

from

Producer's Name and Address:

Importer's Name and Address:

HS tariff

classification

Preference

Producer

Gross weight or

Description of Goods

number

criterion

other quantity

I certify that:

—

the information on this document is true and accurate, and I assume the responsibility for proving such representations. I understand that I am liable for any

false statements or material omissions made on or in connection with this document;

—

I agree to maintain, and present upon request, documentation necessary to support this Certificate, and to inform, in writing, all persons to whom the Certificate

was given, of any changes that would affect the accuracy or validity of this Certificate;

—

this Certificate consists of ________ pages, including all attachments.

Authorized signature:

Company:

Name:

Title:

Date

Telephone:

FAX:

B239 E (05)