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Annex C: Application for consideration and registration of an establishment under the Canadian partners in quality (C-PIQ) program

Instructions for Completing Annex C
Application for consideration and registration of an establishment under the Canadian Partners in Quality (C-PIQ) Program

  1. Type of application:
    1. New
      1. All new applicants to the C-PIQ Program.
      2. All applicants for whom a C-PIQ registration has been cancelled who are now seeking to once again apply to become registered.
    2. Renewal
      1. All applicants who are renewing their registration.
  2. Preferred language of correspondence: English or French
  3. Existing agreement C-PIQ # (if applicable)
    A 3-digit number. Registered produce warehouse registration is separate from the C-PIQ registration (even if the number appears to be the same).
  4. Expiry date of C-PIQ registration (if applicable)
    The date of expiration of the Canadian Partners in Quality registration as stated on the certificate of registration
  5. Legal name of applicant as registered
    The full legal name under which the establishment will be or is registered as a C-PIQ establishment. Abbreviations may only be used where the abbreviation forms part of the official and full establishment name.
  6. Also doing business as (if applicable)
    Where the establishment is also known by, or does business under another name, the other full name must be provided.
  7. Street address or location of establishment
    The full and complete civic address of the establishment, including postal code.
  8. Mailing address (if different from location of establishment)
    The full and complete mailing address of the establishment, including postal code.
  9. Telephone number; facsimile number; and e-mail address (where applicable) are required. Include area code.
  10. Legal status of business
    Business may or may not be officially recognized as a legal entity by the province in which it operates. The status must be declared on the application form
    1. Corporation or limited company – if so registered, a copy of the federal or provincial documents of incorporation or proof of business must be attached;
    2. Partnership – if provincially or federally recognized, documents or incorporation or proof of business must be provided. If not, declaration of partnership is required, signed by partners.
    3. Individual – if provincially or federally recognized, documents or incorporation or proof of business must be provided. If not, declaration of ownership is required;
    4. Co-operative – if provincially or federally recognized, documents or incorporation or proof of business must be provided. If not, declaration of co-operative members is required.
  11. Name of owner of establishment
    Indicate the full name of establishment owner(s). Use a separate sheet if necessary.
  12. Name of operator of establishment
    Indicate the full name of establishment operator.
  13. Answer Yes or No. Add the licence number.
  14. Name and position of person(s) responsible for the supervision of your Quality Assurance system and preparation of product
  15. List kind of produce prepared in your establishment.
  16. Company Quality Assurance Manual attached? Yes/No If no, expected date of submission.

    A Company QA Manual is required to be submitted to complete registration. However, the Manual may be submitted with the application or at a later date. If submitted at later date, please provide an anticipated date of submission.

    An updated electronic copy of the Company QA Manual is required for registration renewal.

  17. Signature, title or official capacity, and date of signature of the person making application for registration on behalf of the establishment. This person must be a person of authority within the management of the establishment.

Method of payment:

Industry must contact CFIA National Accounts Receivable Service Centre.
P.O. Box 6199
CFIA National Accounts Receivable Service Centre
1081 Main Street, 4th floor
Moncton, NB E1C 8R2
Toll free number – 1-888-677-2342
arcentre@inspection.gc.ca

Cheque is to be made payable to the Receiver General for Canada. Visa, MasterCard and American Express credit cards are also accepted.

A proof of payment as well as a copy of this application must be presented to the inspector to finalize the registration/renewal process.

For Accounts Receivable Centre
(to be completed by the employee of the National Accounts Receivable Service Centre of the agency.)

Payment section 1: Application for consideration (Note: This section is reserved for new applicants).
The application for consideration fee must be attached and is non-refundable.

For agency use only
(to be completed by the appropriate CFIA staff in District, Regional or Area office)

Payment section 2: Application for registration (Note: This section is reserved for the registration of new applicants having successfully completed Validation, as well as registration renewals).
The establishment registration fee (or prorated fee indicated, if applicable) must be attached and are non-refundable.

For agency use only
(to be completed by the appropriate CFIA staff in District, Regional or Area office)

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