BSF957: Pre-CARM Blanket Adjustment Request Form

Protected B when completed

Uploading the Pre-CARM Blanket Adjustment Request Form and Blanket Adjustment Workbook into a CARM Mass Adjustment management case constitutes filing an adjustment request under Section 32.2, 74 or 76 of the Customs Act.

The date the Pre-CARM Blanket Adjustment Request Form and Blanket Adjustment Workbook is uploaded into a CARM Mass Adjustment management case is considered the legislative submission date.

• CARM Case Number
• CBSA Verification Number (if applicable)
• Importer's BN/RM
• Location of Books and Records
• Service Provider Contact Information (authorized agent as per D1-6-1) - If Applicable
• Preferred Communication Language
• Contact Information (email/telephone number)
• Number of B3 Transactions
• Number of B3 Transaction Lines
• Adjustment Period - Date From
• Adjustment Period - Date To
• The adjustments presented in the uploaded workbook are to be considered:
  
  • Refund
  • Correction
• The adjustments claimed in the uploaded workbook are presented under which section of the Customs Act?
• Reason and Justification for Adjustment Claim/Additional Information:

Declaration

• Name of claimant or service provider attesting to the declaration
• Date of Declaration
• Please check the declaration boxes below
  
  • I read and understand the above statements
  • I declare that the information presented in the workbook - CARM case number _________ is true, accurate and complete.

Privacy Statement

The information you provide in this document is collected under the authority of section 17, 32, 74 or 76 of the Customs Act, and section 96 of the Special Import Measures Act for the purpose of collecting trade data and assessing duties and taxes on imported commercial goods. The information collected may be disclosed to Statistics Canada for the purposes of Import reporting data, and to the Canada Revenue Agency for the purposes of Business Number and Import / Export accounts.

If the required information is not provided, it will result in your declaration or adjustment request not being processed by the CBSA.

Under the Privacy Act, individuals have the right to access and make corrections to their personal information. The information collected is described within the Information about Programs and Information Holdings (previously Info source) under the Accounts receivable ledger Personal Information Bank CBSA PPU 1501, which is detailed within the Information about Programs and Information Holdings (formerly Info Source). Should you have concerns about the CBSA's handling of your personal information, you have a right to file a complaint with the Privacy Commissioner of Canada.

Instructions

For instructions on how to submit to a Pre-CARM Blanket Adjustment Request refer to Memorandum D17-2-4: Preparation and Presentation of Pre-CARM Adjustments.

Date modified:

2024-11-27