Author: Dabrowski, Catherine
Last saved by: Lemieux, Bernard
Company: Government of Canada / Gouvernement du Canada

Certificate of veracity, accuracy and completeness

[Note: this certificate should be reproduced and signed on your company letterhead.]

I,______________________,  ____________________ of ______________________________
 	 (Print name)		      (Print Position)		(Print name of company)

certify that the information submitted to the CBSA in response to the Request for Information is TRUE, ACCURATE, and COMPLETE.

Signed:	______________________________________________

Date:	________________________

Telephone number of signatory:	________________________

Address of signatory:	________________________

	________________________

					________________________