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.
Part 1 – Scope of the agreement
This document represents an agreement between the Canada Border Services Agency and the said broker authorizing the applicant to submit an electronic casual refund claim in accordance with the conditions outlined in this agreement.
- A Name of Broker
- Account Security Number
- Primary Contact Person
- Tel. No.
- Secondary Contact Person
- Tel. No.
- B Name of Mail Order Company Represented
- Contact Person(s)
- Tel. No.
Part 2 – Conditions
- means the Canada Border Services Agency.
- means the authorized Canadian customs broker.
- means non-commercial refund applications under Section 76 of the Customs Act.
1. The applicant is required to have power of attorney to account for the duty and taxes to the CBSA and to file B2G refund claims on behalf of importers of casual mail order goods. Power of attorney is also required should brokers wish to have the refund cheques redirected to their address. In this situation, brokers should also ensure that the power of attorney from the customer authorizes them to endorse the refund cheque issued in the customer's name. A copy of these powers of attorney should be attached to this application.
2. An electronic casual refund claim, in the specified format, shall be transmitted to a designated casual refund centre.
3. The original import and export documents related to each claim electronically presented shall be retained by the applicant.
4. The CBSA may select any refund from the electronic refund claim and request from the applicant the original import and export documents for verification purposes, and present such documentation within an acceptable period of time after the date of the request.
5. An audit may be performed by the CBSA and related costs may be payable by the applicant.
6. The applicant agrees to comply with the requirements as detailed in the Electronic Casual Refund Participants Requirements document.
7. If the power of attorney is terminated between the broker and the client, the CBSA must be advised immediately.
8. The CBSA reserves the right to terminate this agreement if the conditions of the agreement are not met.
Part 3 – Questionnaire
- 1. Number of returns expected in one year: (Based on actual return figures)
- 2. Where will the claims be transmitted from:
- Same as Part 1
- Name and Address
- 3. Number of times expected to transmit on a weekly basis:
- Other (Please specify)
- 4. On which days would you prefer to transmit:
- 5. Please transmit claims to the Scarborough Casual Refund Centre (CRC)
Part 4 – Decla1ration
I, (Name) agree to comply with the conditions of this agreement. It is understood that in the event these conditions are not met, this agreement will be cancelled.
Part 5 – CBSA Authorization
- Canada Border Services Agency
- Audit required (Yes/No)
- Date modified: