Application for an Export and Import Permits Act (EIPA) File Number

Part I - Applicant Information

(if different from New Business):

From Company Name:

Name of Contact:

Return Fax Number:

Part II - New Business Information:

Please print to complete the following questionnaire when requesting a file number. The form can be returned by fax at 613-992-9397, by email to eics.scei@international.gc.ca, or by mail at the address indicated hereunder.

The name of the importer of record appearing on the Customs documentation and the name under which the business number (issued by Canada Revenue Agency) was issued must match the information provided hereunder.

Company Name in Full:

Address:

City:

Postal/Zip Code:

Name of Contact

Telephone No.:

Fax No.:

CRA Business No.:

Email:

Mailing Address:

Administration and Technology Services Division (TIA)
Trade Controls & Technical Barriers Bureau
Department of Foreign Affairs and International Trade
125 Sussex Drive,Sussex Pavilion, S7
Ottawa, Ontario K1A 0G2