Form B247 "Canada-Chile Free Trade Agreement Verification of Origin Questionnaire" - Canada

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Download Form B247 "Canada-Chile Free Trade Agreement Verification of Origin Questionnaire" - Canada

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CANADA-CHILE FREE TRADE AGREEMENT
VERIFICATION OF ORIGIN QUESTIONNAIRE
PURPOSE
The purpose of this questionnaire is to request that you provide the Canada Border Services Agency (CBSA), pursuant to
subparagraph E-06(1)(a) of the Canada-Chile Free Trade Agreement (CCFTA), with the information used to determine the
eligibility of the goods for the CCFTA preferential tariff treatment. This information is required to conduct a verification of the
origin of specified goods imported into Canada, pursuant to section 42.1 of the Customs Act (hereinafter referred to as "the Act"),
for which a claim for preferential tariff treatment was made on the basis that the goods originate, as a result of meeting a rule of
origin under the CCFTA.
This questionnaire must be completed, signed and returned by the date specified in the covering letter accompanying this
questionnaire. Failure to complete and return this questionnaire in the prescribed time and manner may, pursuant to
subsection 42.1(2) of the Act, result in the denial of preferential tariff treatment under the CCFTA.
GENERAL
The CBSA may further verify the origin of the goods and/or determine the accuracy of any or all of the information provided in the
completed questionnaire by sending a subsequent verification questionnaire or verification letter, and/or by conducting a
verification visit in accordance with section 42.1 of the Act.
For additional information regarding the completion of this questionnaire, please refer to the Regulations. Information and/or
clarification may also be obtained from the CBSA officer identified in the covering letter. The CBSA Customs D Memoranda are
available at www.cbsa-asfc.gc.ca/menu/D-e.html; the Customs Tariff,
at www.cbsa-asfc.gc.ca/general/publications/customs_tariff-e.html; and the Customs Act,
at laws.justice.gc.ca/en/C-52/index.html.
The CBSA shall, in accordance with section 107 of the Act, protect the confidentiality of all confidential business information
submitted in this questionnaire and shall not, under any circumstances, disclose such information to a third party without prior
consultation with your company.
INSTRUCTIONS ON THE COMPLETION OF THE QUESTIONNAIRE
The information requested in this questionnaire may be received by the CBSA in any suitable format including electronic. For
example, a bill of materials indicating the origin of materials and the respective supplier names and addresses instead of
reproducing the information in the questionnaire will be acceptable to the CBSA.
If you are the exporter of the good being verified and relied on a certificate of origin or a written representation from the producer
to prepare your certificate of origin, provide it, then complete section IV. For all other instances, complete all sections of the
questionnaire. If intermediate materials were used in the production of the good, sections I to III must also be completed for each
intermediate material.
This questionnaire must be completed, signed and dated by the exporter or producer of the goods/material or an individual who
can certify as to the accuracy of the information provided in response to the questionnaire, as the case may be.
Where there is insufficient space in this questionnaire to adequately respond to a request for information, copy and
attach the relevant page.
- 1 -
(Este documento es disponsible también en Español.)
B247 E (06)
BSF318 E
(Ce formulaire existe aussi en français.)
Help
Aide
CANADA-CHILE FREE TRADE AGREEMENT
VERIFICATION OF ORIGIN QUESTIONNAIRE
PURPOSE
The purpose of this questionnaire is to request that you provide the Canada Border Services Agency (CBSA), pursuant to
subparagraph E-06(1)(a) of the Canada-Chile Free Trade Agreement (CCFTA), with the information used to determine the
eligibility of the goods for the CCFTA preferential tariff treatment. This information is required to conduct a verification of the
origin of specified goods imported into Canada, pursuant to section 42.1 of the Customs Act (hereinafter referred to as "the Act"),
for which a claim for preferential tariff treatment was made on the basis that the goods originate, as a result of meeting a rule of
origin under the CCFTA.
This questionnaire must be completed, signed and returned by the date specified in the covering letter accompanying this
questionnaire. Failure to complete and return this questionnaire in the prescribed time and manner may, pursuant to
subsection 42.1(2) of the Act, result in the denial of preferential tariff treatment under the CCFTA.
GENERAL
The CBSA may further verify the origin of the goods and/or determine the accuracy of any or all of the information provided in the
completed questionnaire by sending a subsequent verification questionnaire or verification letter, and/or by conducting a
verification visit in accordance with section 42.1 of the Act.
For additional information regarding the completion of this questionnaire, please refer to the Regulations. Information and/or
clarification may also be obtained from the CBSA officer identified in the covering letter. The CBSA Customs D Memoranda are
available at www.cbsa-asfc.gc.ca/menu/D-e.html; the Customs Tariff,
at www.cbsa-asfc.gc.ca/general/publications/customs_tariff-e.html; and the Customs Act,
at laws.justice.gc.ca/en/C-52/index.html.
The CBSA shall, in accordance with section 107 of the Act, protect the confidentiality of all confidential business information
submitted in this questionnaire and shall not, under any circumstances, disclose such information to a third party without prior
consultation with your company.
INSTRUCTIONS ON THE COMPLETION OF THE QUESTIONNAIRE
The information requested in this questionnaire may be received by the CBSA in any suitable format including electronic. For
example, a bill of materials indicating the origin of materials and the respective supplier names and addresses instead of
reproducing the information in the questionnaire will be acceptable to the CBSA.
If you are the exporter of the good being verified and relied on a certificate of origin or a written representation from the producer
to prepare your certificate of origin, provide it, then complete section IV. For all other instances, complete all sections of the
questionnaire. If intermediate materials were used in the production of the good, sections I to III must also be completed for each
intermediate material.
This questionnaire must be completed, signed and dated by the exporter or producer of the goods/material or an individual who
can certify as to the accuracy of the information provided in response to the questionnaire, as the case may be.
Where there is insufficient space in this questionnaire to adequately respond to a request for information, copy and
attach the relevant page.
- 1 -
(Este documento es disponsible también en Español.)
B247 E (06)
BSF318 E
(Ce formulaire existe aussi en français.)
Restore/Restaurer
PROTECTED
C
(when completed)
CANADA-CHILE FREE TRADE AGREEMENT
VERIFICATION OF ORIGIN QUESTIONNAIRE
Section I
Exporter Information
Company
Telephone Number
Address
Facsimile Number
E-mail
Fiscal period
You are completing the questionnaire as (check the appropriate box):
You are completing the questionnaire as (check the appropriate box):
Exporter
Exporter/Producer
Producer of Good
Producer of Material
If you are the producer of good, indicate the manufacturing plant address:
Description of Good, including HS Tariff Classification (8 digits)
Description of Production Process
Section II
Material(s) or Component(s) – Non-originating or of Unknown Origin
Description of the material(s) or component(s)
HS tariff classification
Number of units
Cost per unit
Material(s) or Component(s) – Originating
Under origin basis, indicate what kind of information was relied upon to determine the originating status (affidavit, certificate of origin, etc.)
Description of the material(s) or
Origin basis
Name and address of supplier or manufacturer
Self-produced (Y/N)
Number of units
Cost per unit
component(s)
(Este documento es disponsible también en Español.)
B247 E (06)
BSF318 E
(Ce formulaire existe aussi en français.)
- 2 -
Section III
Additional Information
Yes
No
1. Has a classification ruling been issued with respect to any of the good, material(s) or component(s) produced? If yes, attach a copy of the ruling.
Yes
No
. . . . . . . . . . . . . . .
2. Was the de minimis provision used? If yes, indicate the de minimis value under the transaction value (TV), net cost (NC) or total
TV
weight (TW), as applicable.
NC
TW
3. Was the sale of the good/material to a related person or was the purchase of material(s)/component(s) from a related person? If yes, attach a
Yes
No
list of customers and/or suppliers and their addresses.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . .
4. If the good was determined to be an originating fungible good, which inventory management method was used?
LIFO
Average
Specific
FIFO
Identification
5. If any of the materials or components used in the production of the good/material are fungible materials, which inventory management method
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
was used? Attach a list of the fungible materials.
LIFO
Average
Specific
FIFO
Identification
Yes
No
. . . . . . . . . . . . . . . . . . . . .
6. Was a regional value content (RVC) required to meet the specific rule of origin? If yes, continue. If no, go to Section IV.
%
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
a) What was the RVC determined for the good?
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NC
TV
b) Which method was used to determine the RVC?
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Direct labour
c) If net cost method was used, indicate the value of:
Overhead
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
d) Was accumulation used? If yes, attach a list of suppliers and their addresses.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
e) What is the period over which the RVC is calculated?
Section IV
Certification, print or type (except for the signature)
I certify that the information on this document is true and accurate. I agree to maintain, and present upon request, all records and documents
necessary to support the representations made in response to this questionnaire. I understand that I am liable for any false statements or omissions
made on or in connection with this document.
Title
Signature
Date
Name
Telephone number
Facsimile number
Company name
(Este documento es disponsible también en Español.)
B247 E (06)
BSF318 E
(Ce formulaire existe aussi en français.)
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