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Health Concerns

Application for an Industrial Hemp Licence

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(For guidance, please refer to the Guidance Document for the Industrial Hemp Regulations - Application for an Industrial Hemp Licence)

  • Have you previously been licensed or authorized under the Industrial Hemp Regulations?
    • Yes
    • No

  • Application for
    • Individual
    • Corporation
    • Cooperative
    • Partnership

  • File Number (if available) 9636-8-
  • Registered Name of Corporation, Cooperative, or Partnership (if applicable) (see Appendix 1)

NOTE:

  1. If the application is for a corporation or cooperative, submit a copy of the certificate of incorporation or other constating instrument.
  2. If the application is for a corporation, cooperative, or partnership, submit a copy of any document registering with a province the name and style under which it operates or intends to operate. In addition, Appendix 1 - Information on Officers, Directors, and/or Partners must be completed and a Criminal Record Check document must be submitted for each officer, director, or partner.

1. Applicant Contact Information*

  • Mr. / Mrs. / Ms. / Miss
  • Surname
  • Gender
    • Male
    • Female
  • First Given Name
  • Second Given Name
  • Date of Birth (Year / Month / Day)
  • Mailing Address (including PO Box, if applicable)
  • City/Town
  • Province
  • Postal Code
  • Telephone Number
  • Fax Number (if applicable)
  • E-mail Address (if applicable)
  • Preferred Language of Communication
    • Written:
      • English
      • French
    • Verbal:
      • English
      • French
  • Preferred Method of Communication
    • Telephone
    • E-mail
  • Criminal Record Check Document
    • Original submitted with Application
    • To be forwarded directly by Police detachment (by fax or mail)

* Please notify the Office of Controlled Substances of any change to your contact information, as this will be used for future communication.

  • FOR OFFICE USE ONLY
    • Date Fax Received (if applicable)
    • Date Original Received

2. Cultivation and/ or Plant Breeding of Industrial Hemp

Each site to be licensed must be assigned a site number (e. g. 1, 2, 3, 4 etc.).

  • Applicant Surname
  • Given Name
  • File Number (if available): 9636- 8-
  • Site Number
  • Activity1
    • Cultivation
    • Plant Breeding
  • Legal Location
    • GPS coordinates and map attached
  • Approved Cultivar Name and Seed Certification Information (optional)2
  • Number of Hectares (ha)
    • Seed 3
    • Viable Grain
    • Fibre
    • Total
  • Name of the Landowner4
    • Owned by Applicant
    • Owned by:
  • NOTE:
    1. If plant breeding, proof of Recognition as a Plant Breeder issued by the Canadian Seed Growers' Association must be submitted.
    2. Optional: Seed Certification Information includes crop certificate, pedigreed reference and lot numbers, pedigreed seed class and official certification agency.
    3. If cultivating for seed, you must provide Proof of Membership with the Canadian Seed Growers' Association (CSGA), which displays your CSGA number, see Guidance Document.
    4. If the applicant does not own the land, an original, signed consent statement from the landowner must be submitted, see Appendix 2.
  • Cultivation Page of

3. Additional Activities to be Specified on the Licence

Each site to be licensed should be assigned a site number (e.g. 1, 2, 3, 4, etc.). Please complete the following table for each site at which the applicant intends to engage in activities with industrial hemp:

  • Site Number
  • Address or Legal Land Description (P.O. Box is not acceptable)
    • Address
    • City/Town
    • Province
    • Postal Code
    • Records Storage Site
  • Activity and Form of Industrial Hemp (Check all that apply)
    • Storage
      • seed
      • grain
      • non-viable grain
    • Distribution (Sell/Provide)
      • seed
      • grain
    • Importation
      • seed
      • grain
      • go to section → 4
    • Exportation
      • seed
      • grain
    • Processing
      • go to section → 5
    • Viability Testing
      • go to section → 6
    • Production of derivative and/or product
      • go to section → 7

4. Importation of Industrial Hemp

List the Site Number(s) from section 3, to which you intend to import industrial hemp and provide the following additional information:

  • Operator of the Authorized Importer Establishment Information
    • Site Number
    • Surname of the Licensed Operator
    • First Given Name
    • Second Given Name
    • Operator number
    • Establishment number

NOTE: A copy of the certificate of Registration issued to the Authorized Importer, Registered Seed Establishment and a copy of the licence issued to the operator of the Authorized Importer, issued under Part IV of the Seeds Regulations must be submitted.

* Please submit additional pages for additional sites, if needed.

5. Processing Industrial Hemp

Refer to Section 3 and list the Site Number(s) at which you intend to process industrial hemp and provide the following information:

  • Site Number
  • Activity
    • Cleaning
    • Conditioning
    • Pressing for Oil
    • Rendering non-viable
  • Form (Check all that apply)
    • Seed / Viable Grain
    • Seed / Viable Grain
    • Seed / Viable Grain / Non-viable Grain
    • Seed / Viable Grain / Approved Method:

    NOTE: If cleaning or conditioning seed for sowing, copies of the Certificate of Registration for the Approved Conditioner Registered Seed Establishment and the licence issued to the Operator of the Approved Conditioner, issued under Part IV of the Seeds Regulations must be submitted.

  • Operator of the Approved Conditioner Establishment Information (if applicable)
    • Surname
    • First Given Name
    • Second Given Name
    • Establishment No.
    • Licensed Operator No.

* Please submit additional pages for additional sites, if needed.

6. Industrial Hemp Viability Testing Laboratory

A copy of the certificate or letter of accreditation for the laboratory, under Section 14 of the Canadian Agriculture Products Act, must be submitted.

  • Senior Analyst responsible for ensuring compliance with Regulations
  • Accredited Seed Lab No.

7. Production of Derivatives and/or Products

  • Site Number
  • Please provide a detailed description of the production, including the initial form of industrial hemp, the production activities to take place, and the final derivatives and/or product(s)

*Please submit additional pages for additional sites, if needed.

8. Application Certification

For the authorization(s) and licence(s) requested, the following statements must be signed by the individual responsible for ensuring compliance with the requirements of the Controlled Drugs and Substances Act (CDSA) and the Industrial Hemp Regulations.

I hereby certify that:

  1. All information and documents submitted in support of this application, including the information submitted on any attached documentation, are correct and complete to the best of my knowledge.
  2. If this licence application is submitted on behalf of a corporation, cooperative, or partnership, I, being one of its officers, directors, or partners, am in a position of authority with respect to binding the applicant.
  3. I have read and understand the security measures required by the Industrial Hemp Regulations in respect of the activity(ies) for which a licence or authorization is requested, and state that I, or in the case of a corporation, cooperative, or partnership, the applicant, will meet these requirements.
  • Signature
  • Date
  • Printed Name

  • CONSENT TO PUBLICATION OF CONTACT INFORMATION

    I, being the applicant, consent to the inclusion of my name, the company name, e-mail and mailing address, telephone and facsimile numbers on a list of licensed individuals or companies to be published by Health Canada.

    • Yes
    • No
    • Signature

9. Submission

Please submit the completed, original application form and accompanying documents to:

Industrial Hemp Section
Office of Controlled Substances
Health Canada
A. L. 0300B
Ottawa ON K1A 0K9

IMPORTANT !

  1. Applications are processed on a first come, first served basis.
  2. All mandatory information requested must be provided to avoid delays in processing your application.
  3. Please retain a photocopy of this application for your records.
  4. Submission of an application form does not constitute an authorization to commence an activity requiring a licence.

If you have questions regarding this application, please contact the Industrial Hemp Section, Health Canada at (613) 954-6524 or by email at hemp@hc-sc.gc.ca.

Checklist for the Application for an Industrial Hemp Licence

This checklist is provided to assist you in ensuring that all the required information has been included in your application for an Industrial Hemp Licence. Incomplete applications will be put on hold until the required information is received.

Please ensure the following information and documents are submitted with your application, where applicable:

  • Section 1:
    • Criminal Record Check document: an original copy for each individual or each director, officer, or partner of corporations/cooperatives/partnerships has been submitted.
    • Certificate of Incorporation or Evidence of Partnership: where an applicant is identified as a corporation/cooperative/partnership, a copy of the Certificate of Incorporation and any document filed with the province stating the applicant's corporate name and any other name registered with a province (if applicable), or evidence of a partnership has been submitted.

  • Section 2:
    • Map and GPS Coordinates: for each site to be cultivated, GPS coordinates and a map, showing the location of the site in terms of its legal description, have been submitted.
    • Consent to Use of Land for Cultivation by Landowner: if cultivation will take place on land owned by a third-party (i.e. not owned by the applicant), the original written consent, from the landowner has been submitted for each site (see Appendix 2).
    • Proof of Canadian Seed Growers' Association (CSGA) Membership: if cultivation is for pedigreed seed, acceptable proof of current CSGA membership, in the form of a copy of the certificate issued by the CSGA or a letter form the CSGA confirming membership has been submitted.
    • Proof of Plant Breeder Designation: if the applicant is cultivating to produce breeder seed or a new variety of industrial hemp, evidence that s/he is a plant breeder recognized by the Canadian Seed Growers' Association.

  • Section 3:
    • Complete Legal Land Description/Address: the complete legal land description for each site at which activities with industrial hemp are to be conducted has been provided. Please remember to assign each site its own unique site number.

  • Section 4:
    • Authorized Importer's Operator licence: a copy of this licence issued by the CFIA has been submitted.

  • Section 5:
    • Certificate of Registration: if the application is for conditioning seed, a copy of the Certificate of Registration for the establishment at which the conditioning will take place has been submitted.
    • Approved Conditioner's Operator licence: a copy of this licence issued by CFIA has been submitted.

  • Section 6:
    • If the application is for the viability testing of industrial hemp, a copy of the certificate or letter of accreditation under Section 14 of the Canadian Agriculture Products Act has been submitted.

  • Section 9:
    • The original of the application, with original signatures has been submitted.

Appendix 1: Information on Officers, Directors and / or Partners

Complete information is required for each officer, director or partner of the corporation, cooperative, or partnership.

  • Applicant Surname
  • Given Name
  • File number (if available):
  • The Police Criminal Record document for each person listed:
    • original submitted
    • original being forwarded directly by Police by fax and/or mail
  • Registered Name of Corporation, Cooperative, or Partnership:
  • Mr. / Ms. / Mrs. / Miss
    • Surname
    • First Given
    • Second Given Name
    • Male / Female
    • Title/Position
    • Date of Birth (YYYY/MM/DD)

Appendix 2: Consent to Use of Land for Cultivation by Landowner

This information is required under subparagraph 8(1)(g)(vi) of the Industrial Hemp Regulations.

I, name of landowner , owner of legal description of site, consent to the use of my land for the cultivation of industrial hemp (Cannabis sativa L.) by name of applicant.

  • Signed signature of landowner
  • Date yyyy/mm/dd