BSF259 - Security Agreement
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.
Agreement Acknowledgment
By completing and signing this security agreement, the debtor and the security provider acknowledge that they have read, understood, and agree to be bound by the terms and conditions set forth in the Financial Security (Electronic Means) Regulations.
Section 1: Security Agreement Number
Security Agreement Number: [Enter the Security Agreement Number, i.e. Bond Number].
Section 2: The Agency Program
Select the relevant Agency Program from the drop-down list.
- Carrier
- Courier Low Value Shipment (CLVS)
- Customs Brokers
- Custom Bonded Warehouse
- Customs Sufferance Warehouse
- Duty Free Shop
- Importation [Release Prior to Payment]
- Importation [Appeals]
- Importation [Special Imports and Measures Act]
- Importation [Temporary Importation]
- Other programs (please specify)
Section 3: Legislative Authorities
Select the relevant legislative authority from the drop-down list:
- Accounting for Imported Goods and Payment of Duties Regulations and Financial Security (Electronic Means) Regulations
- Appeals Subsection 60(1) and Higher-Level Appeals Paragraph 65(1)(A) of the Customs Act
- Customs Brokers Licensing Regulations
- Customs Bonded Warehouse Regulations
- Customs Sufferance Warehouse Regulations
- Duty Free Shop Regulations
- Special Imports and Measures Act - Section 166(s) of Customs Act
- Temporary Importation (Tariff Item No. 9993.00.00) Regulations
- Transportation of Goods Regulations
- Other authorities (please specify)
Section 4: Amount of the Security
Fill the applicable field as follows:
- In words: [Enter Financial Security amount in Words]
- In dollars: $ [Enter the numerical Financial security amount]
Section 5: Period of Validity
Specify the period of validity of this Financial Security agreement as determined by the relevant regulations (check one box only):
- [ ] Continuous Financial Security: Select effective date from the calendar
- [ ] Financial Security for a specified period: Select the effective date and the termination date from the calendar
Section 6: Debtor and Security Provider (Name and Address)
Complete the fields below and sign in accordance with subsection 5.2 of the CBSA memorandum D1-7-1 (PDF):
- Debtor:
- Name: [Enter Name]
- Address: [Enter Address]
- Signature: [Enter Signature]
- President's Name: [Enter President's Name]
- President's Signature: [Enter Signature]
- Secretary or Treasurer's Name: [Enter Name]
- Applicable Business number [Enter BN15]:
If the security agreement is to be divided among multiple accounts (BN15), please provide the breakdown by account BN15 by completing the table underneath. If more lines are needed please complete an annexe and attach it to the agreement.
- Security Provider:
- Name: [Enter Name]
- Address: [Enter Address]
- Signature: [Enter Signature]
- Name and Title: [Enter Name and Title]
- Signature: [Enter Signature]
- Name and Title: [Enter Name and Title]
- Business Number: [Enter BN15]
For more information on Business Number, please refer to the 2 links below:
- Register for or modify an import-export program account
- User Guide – Enrol as a financial security provider (PDF)
Section 7: Signed, sealed, and delivered in the presence of a witness for principal, notary public, commissioner of oath or by a lawyer
The agreement requires the signature of a representative authorized to sign for the financial security provider and where possible shall bear their corporate seal; otherwise, the signature of a representative authorized to sign for the security provider shall be witnessed (signed and sealed) by a notary public, a lawyer or a commissioner of oaths.
Section 8: Agreement date
Select from the calendar the date by which this document was completed and signed.
Section 9: Compliance, Entitlement and Submission Instructions
The CBSA reserves the right to suspend/or revoke the entitlements granted by this security in case of a failure to comply with the policy instruments applicable to the present security and/or if the underlying debts are not paid on its due date.
Submission Instructions
This security agreement is to be submitted by mail to the appropriate address listed below according to the respective bonded program.
For Release Prior to Payment Privilege:
Canada Border Services Agency
Attention: Financial Security Unit
Ground Floor, Room 1018
333 North River Road, Place Vanier, Tower A
Ottawa, Ontario K1A 0L8
Email: rpp_financial_security_rard-garantie_financiere_map_dcrr@cbsa-asfc.gc.ca
For Carriers Accounts:
Canada Border Services Agency
Attention: Commercial Operations Integrated Support
191 Laurier Avenue West, 12th floor
Ottawa, Ontario K1A 0L8
For All Other Programs:
Canada Border Services Agency
Attention: Commercial Registration Unit
191 Laurier Avenue West, 12th floor
Ottawa, Ontario K1A 0L8
- Date modified: