Product exclusion request

Word Version

This form pertains to injury inquiries under section 42 and reviews under sections 76.01 and 76.03 of the Special Import Measures Act.

Instructions

Complete a form for each product exclusion request.
File each form no later than the date set out in the inquiry or expiry review schedule.
Use the Canadian International Trade Tribunal’s Secure E-filing Service to electronically file your form(s). The information is fully encrypted.
Include all attachments in an electronic format.
If you want to designate some of the information as confidential, submit two versions to the Tribunal:
- A confidential version containing all the confidential information and marked “PROTECTED” on each page that contains confidential information. In addition, all confidential information should be highlighted by using shading, boldface characters or square brackets;
- A public version of the same document with the confidential information fully deleted (not just masked or hidden) if you’re filing electronically.
Instead of filing a public version, you can file a public summary of the confidential information. The Tribunal may request that you file one if the public version isn’t satisfactory. In either case, the public version or the public summary must give the party opposite and the Tribunal sufficient information to understand the nature of the confidential information.
Don’t include this page when filing your form(s).

Note: The Tribunal may require that the requester serve their request on the Tribunal and counsel for the domestic industry simultaneously. If this is the case, the requester will be informed and provided with the name and contact information of counsel.

Public information

Information requested in this section is public. Complete a form for each product.

Tribunal case name

Tribunal case number

Representative or counsel information

Firm

Representative or counsel

Name

Address

City and province

Postal code

Telephone

Fax

Once completed, this form becomes your notice of participation. If you’ve retained counsel, counsel is required to complete forms II and III, as appropriate.

1. With respect to the product in question, you are:

an end user

an importer

an exporter

a foreign producer

specify

2. Name and full technical description of the product for which an exclusion is requested:

3. In the table below, provide a detailed description of the characteristics of the product and attach any available product literature. These characteristics vary by type of product, but generally include physical characteristics, ranges of sizes or dimensions, qualities, market segments and end uses. The characteristics of an industrial product may also include information on its composition or chemical properties, how it's produced, grades, standards that the product must meet, and professional association specifications. The characteristics of a consumer product may also include styles, finishes or specific components. The characteristics of an agricultural product may also include information on the strain or variety of the product, as well as a description of how it’s produced.

Characteristics of products

Characteristics	Descriptions
Characteristics	Descriptions
Characteristics	Descriptions
Characteristics	Descriptions
Characteristics	Descriptions
Characteristics	Descriptions
Characteristics	Descriptions
Characteristics	Descriptions

4. The 10-digit Harmonized Commodity Description and Coding System classification number under which the product is imported:

5. Is this a proprietary or trademarked product?

Yes

6. Proposed description (in generic or non-proprietary terms if the request concerns a proprietary or trademarked product) of the product for which an exclusion is requested to be included in the Tribunal’s finding or order:

7. Reason for requesting an exclusion:

8. Does the domestic industry that produces the range of products from which you are requesting a product exclusion support or consent to your request for exclusion? If it does, provide written confirmation, if possible.

9. Have you tried to purchase the product for which an exclusion request is being made, or a substitutable product, from Canadian producers? If you have, provide any supporting documentation and designate it as public or confidential.

I certify that the information supplied is complete and correct to the best of my knowledge and belief.

Name of authorized official

Title of authorized official

Date

If you provided confidential information, you must designate it and provide a public summary that contains sufficient detail to convey a reasonable understanding of the substance of the information.

I understand that checking this box constitutes my legally binding signature.

This box must be checked for the form to be considered complete.

Confidential information

Information requested in this section is considered to be confidential and will be treated as such, in accordance with sections 43 to 49 of the Canadian International Trade Tribunal Act.

Company name

10. Name and full technical description of the product for which an exclusion is requested (repeat information provided in question 2):

11. Complete the following table showing the volume, value and unit value of your purchases of imports or sales to Canada of the product for which you are requesting an exclusion. Data should be reported for the last three full calendar years and the current year. Complete a separate table for each subject country.

Units of volume

Subject country
of origin

Year

Current year and period for
which data are reported

Volume

Value ($000)

Unit value ($)

Instructions

Public information

Company information

Representative or counsel information

Characteristics of products

Confidential information

Mandates

Accountability

Resources

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