E646 – Customs Self Assessment – Importer Application – Part 1

A link to the Portable Document Format (PDF) of this form is provided below. The content of the form is duplicated in HTML following the PDF link.

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This information is being collected according to the provisions of the Access to Information Act. It is being stored in the Accelerated Commercial Release Operations Support System (ACROSS) under Program Record Number RC CTA 125.

Introduction

The Customs Self Assessment (CSA) program offers approved importers the benefits of:

Do you qualify for the CSA program?

You may qualify for the CSA program if you:

How do you apply for the CSA program?

There are two parts to the CSA application process. You must receive approval from the CBSA for each part before moving on to the next.

To begin, an authorized officer of your company must complete the attached Part I application forms and send them to:

Canada Border Services Agency
Manager, CSA Application
1980 Matheson Blvd. E.
Mississauga ON L4W 5R7
CANADA

Do not proceed to Part II until you have received CBSA approval of your Part I application.

Note: The CBSA reserves the right to request additional information for the purposes of this application process.

Need more information?

If you would like more information about the CSA program, you can call the CBSA office nearest your head office. Please see the list of CBSA offices at the end of this application. You can also visit our Website.

Customs Self Assessment – Importer Application – Part 1

Protected B when completed

Section A – Legal Entity Identification

Section B - Divisions

Section C – Additional Applicant Information

Section D – Certification

As an authorized officer of the applicant company, I certify that the information given on this form and any document attached is, to the best of my knowledge, true, accurate, and complete.

Completing this application form does not constitute approval to act as a CSA importer. Only after you have successfully completed the two steps of the application process will you be considered an approved CSA importer.

Do not make any CSA-specific investments to your business systems until the application process is complete.

Please forward the completed application, and a chart of your corporate structure to the CSA Application office listed below

CSA Application Office
Canada Border Services Agency
Manager, CSA Application
1980 Matheson Blvd. E.
Mississauga ON L4W 5R7
CANADA

CBSA offices

Regional Director
Canada Border Services Agency
503 - 333 Dunsmuir Street
Vancouver BC V6B 5R4
Telephone: (604) 666-6753

Director, Client Services
Canada Border Services Agency
Federal Building
1st floor, 269 Main St.
Winnipeg MB R3C 1B3
Telephone: (204) 984-6986

Regional Director
Canada Border Services Agency
1st floor, 2270 St. Laurent Boulevard
Ottawa ON K1G 6C4
Telephone: (613) 991-0537

Regional Director
Canada Border Services Agency
1 Front Street, West
P.O. Box 10, Station A
Toronto ON M5W 1A3
Telephone: (416) 954-0770

Regional Director
Canada Border Services Agency
5th floor, 400 place d'Youville
Montréal PQ H2Y 2C2
Telephone: (514) 496-8085

Regional Director, Client Services
Canada Border Services Agency
1557 Hollis Street
P.O. Box 638
Halifax NS B3J 2T5
Telephone: (902) 426-7982

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