Electronic Data Interchange (EDI) Application

Electronic Data Interchange (EDI) Application

Restore Help PROTECTED B when completed ELECTRONIC DATA INTERCHANGE (EDI) APPLICATION FOR THE INTEGRATED IMPORT DECLARATION (IID) New Update Th...

2MB Sizes 0 Downloads 16 Views

Restore

Help

PROTECTED

B

when completed

ELECTRONIC DATA INTERCHANGE (EDI) APPLICATION FOR THE INTEGRATED IMPORT DECLARATION (IID) New

Update

The information you provide in this document is collected under the authority of sections 32 and 33 of the Customs Act for the purpose of determining the admissibility of commercial goods. The information may be disclosed to Canadian Food Inspection Agency, Canadian Nuclear Safety Commission, Environment and Climate Change Canada, Fisheries and Oceans Canada, Global Affairs Canada, Health Canada, Natural Resources Canada, Public Health Agency of Canada and Transport Canada for the purpose or carrying out an activity, providing a service or administering a program. Submission of any commercial trade data and personal information as part of your EDI transmission constitutes your consent and acknowledgement that you, as an importer or licensed customs broker, have informed all individuals whose personal information is listed in your transmission with proper and adequate privacy protection notices and that you have secured their consent to the collection, use, retention, and disclosure of this personal information by the Canada Border Services Agency. Individuals have the right of access to and/or can make corrections of their personal information under the Privacy Act. The information collected is described within Info Source under the Carrier and Cargo Program Personal Information Bank PPU 045, the Food, Plant and Animal (FPA) Program Personal Information Bank CBSA PPU 062, Administrative Monetary Penalty System Program Personal Information Bank CBSA PPU 001 and eManifest Personal Information Bank CBSA PPU 048, which is detailed at http://www.cbsa-asfc.gc.ca/ Date (yyyy-mm-dd)

Section 1 - IID EDI Application Select one line of business that applies to this IID EDI application. Importer Broker

Section 2 - Company Profile Legal Company Name

Operating/Trade Name

Account Security Number Are you approved for Customs Self Assessment (CSA) (future use)?

Yes

No

Head Office Address Street

City

Province/State Code

Country Code

Postal/Zip Code

City

Province/State Code

Country Code

Postal/Zip Code

Business Office Address Street

Contact Information Last Name

First Name

Title

Email

Telephone (999-999-9999)

Fax (999-999-9999)

Language Preference English

French

Section 3 - Authorize a Service Provider Complete this section if you have contracted the services of a service provider to set up your EDI client profile and/or transmit customs information electronically to the CBSA. Please note that the obligation to provide information required by the Customs Act and any related regulation to the CBSA is the sole responsibility of the importer regardless of whether a service provider is used. It is your responsibility to advise the CBSA should/when you wish to cancel authorization for this service provider. A service provider may be any party that you contract to transmit electronic documents and/or receive messages from the CBSA. A service provider is not an Agent in that they are simply providing a mechanism for which you may transact electronic commerce with the CBSA. Operating Trade Name

Legal Company Name

Contact Information Last Name

First Name

Title

Email

Telephone (999-999-9999)

Fax (999-999-9999)

Language Preference English

Do you authorize this service provider to process customs information electronically for the CBSA on your behalf? Do you authorize the CBSA to release to this service provider customs information transmitted on your behalf by this service provider?

Section 4 - Software Will you be using your own software to create electronic customs information? Yes

BSF373 E (17)

Name of Software Provider No

French

Yes

No

Yes

No

Section 5 - Communications Protocol Method Identify the communication protocol method that you intend to use or that the authorized service provider is to use. You may select one or more communication protocol methods to transmit customs information to the CBSA. Complete the following for each communication method that will be utilized. More information on the approved communication methods may be found at www.cbsa-asfc.gc.ca/eservices/comm-eng.html.

Section 5a - Customs Internet Gateway Will you be using the Customs Internet Gateway?

Sender Identification (Client defined application sender ID as per the GS or UNG segment) Yes

No

Certificate Number in Production

Certificate Number in Testing

Mailbox ID: (Partner ID, the ISA or UNB segment)

Section 5b - Direct Connect or Value Added Network Will you be using a Direct Connect or Value Added Network? Yes

Sender Identification (Client defined application sender ID as per the GS or UNG segment) No

Name of Direct Connect or Value Added Network Mailbox ID: (Partner ID, the ISA or UNB segment)

Section 6 - Request EDI Messages Please select from the list below, the EDI message(s) that you wish to add to your EDI client profile. You must select at least one of the messages listed below Name of Message

Line of Business

IID

Importer

IID

Broker

Document Imaging Functionality (DIF)

Importer

DIF

Broker

CSA (future use)

CSA

Section 7 - Remove a Company Contact Last Name

First Name

Email

Section 8 - Remove a Service Provider Complete this section if you wish to cancel authorization for this service provider. Legal Company Name

Operating/Trade Name

Section 9 - Request PGA Please select from the list below, the Participating Government Departments and Agencies (PGA) that you wish to engage. You must select at least one of the PGAs listed below Canadian Food Inspection Agency Canadian Nuclear Safety Commission Environment and Climate Change Canada Fisheries and Oceans Canada Global Affairs Canada Health Canada Natural Resources Canada Public Health Agency of Canada Transport Canada

Section 10 - Certification This form must be signed by an authorized person of the business such as an owner, a partner of a partnership, or a director of a corporation. By signing and dating this form, you authorize the CBSA to deal with the individual(s), or firm(s) listed in Section 3 of this form. Telephone (999-999-9999)

Email

Fax (999-999-9999)

Language Preference English

Authorized Person's Name:

Signature

Completed forms can be sent to: Technical Commercial Client Unit Canada Border Services Agency 355 North River Road, 6th floor, Tower B Ottawa, ON K1A 0L8 Email address: [email protected] Fax number: 343-291-5482

French

Title

Date: (YYYY/MM/DD)

Instructions The company that is responsible for submitting electronic IID information to the CBSA must complete and certify this application for new and updates to CBSA electronic client profiles. Complete all relevant sections when submitting a new application. A separate application must be submitted for each service/software provider that you intend to conduct business with. Complete Section 1, Section 2 (Legal Name Account Security Number), and all relevant sections when updating an existing electronic client profile. Complete Section 1, (Legal Name and Account Security Number), and the relevant Sections 7 and 8 when removing a company contact or service/software provider. Section 10 - Certification is mandatory for all new applications and all updates to existing electronic client profiles. The CBSA must receive a signed document from the company that is required to submit electronic IID information. If you wish to submit this form electronically, you must print, sign and then scan and send the application to the email address provided on this form. Section 1 - IID EDI Application New

Select “new” if you are submitting a request for a new EDI IID electronic client profile or wish to add a service/software provider.

Update Date of Application (yyyy/mm/dd)

Select “update” if you are submitting changes to an existing EDI IID electronic client profile. Enter the date that you completed the application or update.

Select one line of business that applies to this IID EDI application

Select one line of business type that you wish to apply for or update. A separate application is required for each line of business. On a “new” application, if you choose: • Importer, will allow you to submit electronic releases for all shipments, all modes of transport • Broker, will allow you to submit electronic releases for all shipments, all modes of transport

Section 2 - Company Profile Legal Company Name

Provide the legal name of the company that you have on file with the CBSA (provided at time of client registration). Must be completed.

Operating/Trade Name Account Security Number

Provide the operating/trade name that you operate under (if applicable). Provide the Account Security Number assigned by the CBSA. Must be completed.

Are you a CSA client (future use)? Head Office Address

Identify whether you are approved for CSA (future use). The office identified as the primary office of the business E.g. Where books and records are stored, where President is located, etc.

Street City Province/State code

The street name and type, suite number, post office box number of the head office. Provide the name of the city of the head office. Provide the two character province or state code of the head office. Please refer to www.canadapost.ca/ tools/pg/manual/PGaddress-e.asp#1380608 for a listing of valid Canadian province and US state codes.

Country code Postal/Zip Code Business Office Address

Provide the two character country code of the head office. E.g. CA or US Provide the postal or zip code of the head office. The office where the day-to-day activities are carried out. If you are a non-resident importer, please identify a Canadian office if applicable.

Street City Province/State code

The street name and type, suite number, post office box number of the business office. Provide the name of the city of the business office. Provide the two character province or state code of the business office. Please refer to www.canadapost. ca/tools/pg/manual/PGaddress-e.asp#1380608 for a listing of valid Canadian province and US state codes.

Country code Postal/Zip Code Contact Information

Provide the two character country code of the business office. For example CA or US. Provide the postal or zip code of the head office. Provide information of a person within the company that the CBSA may contact regarding this application, testing and production.

Last Name

Provide information of a person within the company that the CBSA may contact regarding this application, testing and production.

First Name Title

Provide the first name of an individual within the company that the CBSA may contact. Provide the title of the contact person that the CBSA may contact.

Telephone

Provide the telephone number of the contact person. Please ensure that the country and area code is provided. E.g. 01-450-738-9888.

Fax

Provide the fax number of the contact person. Please ensure that the country and area code is provided. E.g. 01-450-738-9888.

Email

Provide the email address of the contact person.

Language Preference

Select the language preference of the contact person.

Section 3 - Authorize a Service Provider A service provider may be any party that you contract to transmit customs information and/or receive messages from the CBSA. A service provider is not an Agent in that they are simply providing a mechanism for which you may transact electronic commerce with the CBSA. Legal Company Name Operating/Trade Name

Provide the legal name of the company that you have contracted as a service provider. Provide the operating/trade name of the service provider if applicable.

Last Name First Name

Provide the last name of a contact person employed by the service provider that the CBSA may contact. Provide the first name of a contact person.

Title Telephone

Provide the title of the contact person. Provide the telephone number of the contact person. Please ensure that the country and area code is provided. E.g. 01-450-738-9888.

Fax

Provide the fax number of the contact person. Please ensure that the country and area code is provided. E.g. 01-450-738-9888.

Email Language Preference Do you authorize this Service Provider to process customs information electronically for the CBSA on your behalf? Do you authorize the CBSA to release to this Service Provider, customs information transacted on your behalf by this Service Provider?*

Provide the email address of the contact person. Select the language preference of the contact person. Select Yes if you are authorizing the service provider to transmit customs information for the CBSA on your behalf. Select Yes if you are authorizing the CBSA to release information about this application and/or your customs information to this company and any individual employed by this company. Refer to Policy Guidelines on the Disclosure of Customs Information, Section 107 of the Customs Act for further information.

Section 4 - Software Will you be using your own software to create electronic customs information?

Identify whether you have built your own software to submit customs information or whether you have purchased software.

Name of Software Provider

If you have not built your own software, please identify the name of the software and the name of the software supplier that you will be using to transmit your customs information. E.g. ABC Software, XYZ Company

Section 5 - Communication Protocol Method Identify the communication protocol method that you intend to you or that the authorized agent and/or service provider is to use. You may select one or more communication protocol methods to transmit customs information to the CBSA. Complete the following for each communication method that will be utilized. Section 5a - Customs Internet Gateway Will you be using the Customs Internet Gateway?

Select yes if you will be using the Customs Internet Gateway to transmit your customs information to the CBSA. If yes, please provide the certificate numbers, sender identification and mailbox id.

Certificate number in production Certificate number in testing

Provide the certificate number that you will be using in production. Provide the certificate number that you will be using for testing (if applicable).

Sender Identification Mailbox ID

Provide the client defined application send ID as per your GS or UNG segment. Provide your partner ID in the ISA or UNB segment.

EDI Map Version Identify the EDI map version that you will be using to transmit customs information to the CBSA. Section 5b - Direct Connect (DC) or Value Added Network (VAN) Will you be using a Direct Connect or Value Added Select Yes if you will be using a direct connection or value added network to transmit your customs Network? information to the CBSA. If yes, please complete the Name of the DC or VAN, sender identification and mailbox id. Name of Direct Connect Provide the name of the DC or VAN that you plan to utilize. Sender Identification Provide the client defined application send ID as per your GS or UNG segment. Mailbox ID EDI Map Version

Provide your partner ID in the ISA or UNB segment. Identify the EDI map version that you will be using to transmit customs information to the CBSA.

Section 6 - Request EDI Message Please select from the list below, the EDI message(s) that you wish to add to your EDI client profile. At least one message must be selected. IID

By selecting this message you will be able to send electronic release documents as well as receive all acknowledgement and reject messaging regarding the electronic release information.

CSA (future use)

By selecting this message you will be able to send electronic release documents as well as receive all acknowledgement and reject messaging regarding the electronic release information.

DIF

By selecting this message you will be able to send electronic images of LCPO's as well as receive all acknowledgement and reject messaging regarding the electronic release information.

Section 7 - Remove a Company Contact Last name First Name Email Section 8 - Remove a Service Provider Legal Company Name Operating/Trade Name

Provide the last name of the company contact that you wish to remove. Provide the first name of the company contact that you wish to remove. Provide the email address of the company contact that you wish to remove. Provide the legal name of the service provider that you wish to remove. Provide the operating/trade name of the service provider that you wish to remove. (if applicable)

Section 9 - Testing Please select from the list below, the PGA's that you wish to engage in testing. You must select at least one of the Departments listed below. Canadian Food Inspection Agency Canadian Nuclear Safety Commission Environment and Climate Change Canada Fisheries and Oceans Canada Global Affairs Canada Health Canada Natural Resources Canada Public Health Agency of Canada Transport Canada Section 10 - Certification The certification section provides the CBSA with confirmation that all the information within this application is accurate and complete and that all authorizations are approved. We must receive a signed form by the client company. Authorized Person's Name Title Telephone

Provide the name of an authorized person of your company with signing authority. Provide the title of the authorized person that will be certifying this application.

Fax

Provide the fax number of the authorized person. Please ensure that the country and area code is provided. E.g. 01-450-738-9888.

Email Language Preference

Provide the email address of the authorized person.

Signature Date

Provide the telephone number of the authorized person. Please ensure that the country and area code is provided. E.g. 01-450-738-9888.

Select the language preference of the authorized person. Provide the name of an authorized person of your company with signing authority. Provide the date of certification.