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	Chapter 15
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Chapter 11 Annex B

APPLICATION TO RETURN CANADIAN PRODUCTS EXPORTED

NAME OF COMPANY:
We hereby request permission to return to Canada the following product from country:
	Product Exported:	Request to return:
Description:
Weight: (lbs/kg)
# of packaged units
Date of export: From Est. # CFIA 1454 #
Type of packaging: Type of tamper evident means:
A. Shipment was in transit, did not reach country of destination.	B. Shipment refused on arrival, remained at point of entry under official control of importing country (custom, agriculture)	C. Shipment left point of entry and was refused in receiving establishment. Shipment always remained under official control of importing country.
Date and place of refusal:	Date:	Place/Region:
Reasons for refusal:
Product complies with provisions of Meat Inspection Act and Regulations: Yes / No	if no describe the intended use.
Shipment will return to Canada by: Point of landing: Date: truck [ ] air [ ] ship [ ] Other [ ]
We are attaching the following documents (applicable only for return from countries other than U.S.A.) CFIA 1454(copy) for case A, B, C. Letter stating details of the reason for the shipment being returned to Canada as well as proof that the shipment seals are intact (case A). Form OFFICIAL DECLARATION FOR EXPORTED CANADIAN MEAT PRODUCTS RETURNED TO CANADA (in English or French) be completed by a representative of the government of the importing country (custom, agriculture) (case B and C ).
Firm's representative: Name Signature Date:
Tel.: Fax:

Annex B-1 / AUTHORIZATION

A. NAME OF COMPANY:
	Product Exported:	Request to return:
Description:
Weight: ( lbs/kg)
# of packaged unit
Date of export From Est. # CFIA 1454 #
Type of packaging: Type of tamper evident means:
Reasons for refusal:
Shipment will return to Canada by: Point of landing: Date: truck [ ] air [ ] ship [ ] Other [ ] Shipment will be presented for inspection in Canadian Registered facility. Est. Number: Name:
RESERVED FOR CFIA USE ONLY
B. Product may be returned to Canada under following conditions:
1. Only intact, sealed, clean, undamaged shipping containers are permitted to be returned to Canada.
2. Shipment must be accompany with completed original " OFFICIAL DECLARATION FOR EXPORTED CANADIAN MEAT PRODUCTS RETURNED TO CANADA."
3. An Animal Health import permit is required. Contact CFIA [Ottawa] (613) 225-2342 ext. 4613
4. Shipment must be presented for inspection by CFIA in a facility for inspection at:	Est. Number: Name:
5. Permission to return the above identified product is refused.
Conditions applicable for this shipment: 1 2 3 4 5
Permission granted/refused by : Date: AHD
FAOD Date:

Distribution.

ANNEX B-2

OFFICIAL DECLARATION FOR EXPORTED CANADIAN MEAT

PRODUCTS RETURNED TO CANADA

Part 1.

Shipment covered by CFIA 1454 has been refused at point of landing or inland¹

Number

by ( ) for the reason( ) , based on the

( ) inspection of ( ) units.

Type of inspection (visual, microbiological etc.) Number .

Since arrival the product has always been kept under the official control

of ( ) in ( ).

Competent Authority (Agriculture/Customs) Facility Name and Address

Done at : Date:

Name and signature of official: Stamp.

Part 2.

Refused product in original, intact packaged units ( ) has been loaded, under our supervision, Number

into a clean container ( )and secured by ( )seal ( ) Number Competent Authority Number

for return to Canada.

Done at : Date:

Name and signature of official: Stamp.

Part 3. (Reserved for CFIA use only)

¹ Delete not applicable

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