Chapter 11 Annex I

Establishment #

Name and address of establishment

We the operator of above mentioned registered establishment hereby request to be added to the list of establishments eligible to export meat products to _________________ (1) .

We have reviewed the export guidelines for the country mentioned above and our establishment meets the applicable structural and operational requirements.

Product intended for export:____________________________________________________

Date:

Name of the authorized representative of the Operator of registered establishment

tel:

Signature of the authorized representative of the Operator of registered establishment

CFIA VETERINARIAN IN CHARGE

This is to confirm that above mentioned registered establishment meets applicable export requirements for ___________________(1) .

I recommend this establishment for approval.

Date:

Name of CFIA Inspector in charge / veterinarian in charge

tel:

Signature of CFIA Inspector in charge / veterinarian in charge

I recommend this establishment for approval. Effective date of the recommendation:

Date:

Name of CFIA area official

Signature of CFIA area official