Export of Substances on the Export Control List Regulations

1 The name, civic and postal addresses, telephone number and, if any, fax number and email address, in Canada, of the exporter.

2 The name, title, civic and postal addresses, telephone number and, if any, fax number and email address of the duly authorized representative, if applicable.

3 The name, civic and postal addresses, telephone number and, if any, fax number and email address of the importer.

4 The name of the substance as it appears on the Export Control List.

5 The expected date or dates of export.

6 The estimated quantity of the substance to be exported.

7 The country of destination.

8 An indication

• (a) that the export is for the purpose of destroying the substance; or

• (b) that the substance is intended for either industrial, pesticidal or another use.

9 The common name and trade name of the substance, if applicable.

10 The CAS registry number of the substance, if applicable.

11 The commodity code for the substance set out in the Harmonized Commodity Description and Coding System prepared by the World Customs Organization, as amended from time to time, if applicable.

12 If the substance is contained in a product,

• (a) the name of the product; and

• (b) the concentration of the substance in the product.

13 The following information respecting the export:

• (a) the customs office through which it is expected to be exported from Canada, if known;

• (b) the countries through which the substance will transit, if known; and

• (c) the proposed number of exports for the calendar year, if applicable.

14 The material safety data sheet for the substance or, if applicable, for the product that contains the substance.