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.

PDF (66 KB) [help with PDF files]

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.

Section 3: Legislative Authorities

Select the relevant legislative authority from the drop-down list:

Section 4: Amount of the Security

Fill the applicable field as follows:

  1. In words: [Enter Financial Security amount in Words]
  2. 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):

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):

For more information on Business Number, please refer to the 2 links below:

  1. Register for or modify an import-export program account
  2. 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

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