[company name and address]
is authorized to apply the national safety mark to any tire of a prescribed class referred to in subsection 3(1), 4(1) or 5(1) of the Motor Vehicle Tire Safety Regulations, on the condition that the tire conforms to all of the applicable Canada Motor Vehicle Safety Standards.
The national safety mark must be applied at the following premises:
[address of the premises]
This ministerial authorization (number ) expires on
Issued in Ottawa on , 20
- Date modified: