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Request for IREP Authorization Increase
EIPA File No.: ____________________________________________________________
Company: __________________________________________________________
Phone: _________________________________________________________________
Fax: ___________________________________________________________________
Contact: ___________________________________________________________________
Email: __________________________________________________________________
Imported Ingredient: _____________________________________________________
EIPA commodity code: ____________________________________________________
Current authorized quantity (kg)*: __________________________________________
Increase requested (kg): __________________________________________________
Requested date of amendment**: __________________________________________
Rrasons/Additional information: ____________________________________________________
________________________________________________________________________
The company accepts and agrees to the same terms and conditions for the requested increase as applies to the original authorization.
Name: ___________________________________________________________
Title: ___________________________________________________________
Date: _______________________________
Signature: ________________________
Please send a scanned copy of the completed form by email (preferred) to irep@international.gc.ca or send by fax at 613-996-0612.
Section for IREP Team use only
Compliant with reporting requirements: YES [ ] NO [ ]
Compliant with program conditions: YES [ ] NO [ ]
Balance discrepancies: YES [ ] NO [ ]
Comments: ___________________________________________________________
Recommendation: YES [ ] NO [ ]
Rejected [ ] Approved [ ] for a quantity of ____________kg
Date: _______________________
Actual balance: _______________________
Signature: _______________________
New balance: _______________________
*Current authorized quantity equals the quantity in authorization letter + any approved increase since then.
** Please note that processing increase requests takes 5 (five) business days.
