Motor Vehicle Safety Regulations

Ministerial Authorization

Pursuant to the Motor Vehicle Safety Act, I, Minister of Transport, hereby authorize [       name and address          ] to use and apply at its premises located at [     location    ] the national safety mark and this authorization number [  #  ] on any vehicle of a prescribed class, provided that the vehicle and its components conform to all the Canada motor vehicle safety standards applicable thereto.

This authorization expires on:

Issued in Ottawa on , 19

for the Minister of Transport