Motor Vehicle Safety Regulations

Ministerial Authorization

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

[company name and address]

is authorized to apply the national safety mark to any vehicle of a prescribed class referred to in section 4 of the Motor Vehicle Safety Regulations, on the condition that the vehicle 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