Annex I - Application for Establishment Approval

Establishment number

Name and address of establishment

Part 1. Operator

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.

Export requirements of the above named country have not yet been negotiated with Canada. However, I request that our establishment be visited by the auditors from this country.

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

Part 2. CFIA inspector in charge / CFIA veterinarian in charge

This is to confirm that above mentioned registered establishment meets applicable export requirements for (1), and I recommend this establishment for approval.

This is to confirm that the export requirements have not yet been negotiated with Canada, but the establishment requests to be visited by the auditors in order to be approved by (1)

Date:

Name of CFIA Inspector in charge / veterinarian in charge

Telephone:

Signature of CFIA Inspector in charge / veterinarian in charge

Part 3. CFIA area office

I recommend this establishment for approval/to be visited. Effective date of the recommendation:

Date:

Name of CFIA area official

Signature of CFIA area official

(1) Name of country