Motor Vehicle Tire Safety Regulations

Ministerial Authorization

Under the Motor Vehicle Safety Act and the Motor Vehicle Tire Safety Regulations,

[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