Print | Need Larger Text? | Share

Application for a Permit to Export Industrial Hemp

This HTML document is not a form. Its purpose is to display the information as found on the form for viewing purposes only. If you wish to submit a form, you must use only the PDF version.

Help on accessing alternative formats, such as Portable Document Format (PDF), Microsoft Word and PowerPoint (PPT) files, can be obtained in the alternate format help section.

(PDF Version - 126 K)

Pursuant to the provisions of the Industrial Hemp Regulations of the Controlled Drugs and Substances Act, application is hereby made for a permit to export from Canada to

• Name of Supplier
• Street
• City
• Country
• Postal Code
• the following Industrial Hemp products:
  • Quantity
  • Industrial Hemp Product
  • Viable - Yes or No
  • Concentration Δ-9THC (µg/G)
• Each mode of transportation
• I certify that neither the package nor the industrial hemp will contravene any laws of the country to which it will be exported, the laws of any country of transhipment.
• Name of Applicant
• Signature of Applicant
• Address
• Licence No.
• Date of Application
• Address of Customs Port of Export, sufferance or bonded warehouse where the industrial hemp will be delivered.
• ADMINISTRATION USE ONLY
  • Export Permit No.
  • Date of issue
  • Valid to
• ADMINISTRATION USE ONLY