Canadian Chicken Licensing Regulations

(Primary processor) declares that the following products(s), slaughtered at our facility, has/have been purchased by and is/are being claimed by the purchaser to meet the purchaser’s market development commitment for period A-:

• Return to footnote ¹Canadian Food Inspection Agency

Authorized Officer: (Signature)

Name:

Position: DATE:

NOTES:

• 1 This form is to be prepared and signed by the primary processor.

• 2 Within seven (7) days after the day on which this form is signed, the primary processor must submit

  • (a) Copy 1 to the Chicken Farmers of Canada, 1007-350 Sparks Street, Ottawa, ON K1R 7S8;

  • (b) Copy 2 to the Commodity Board; and

  • (c) Copy 3 to the processor claiming the product(s).

• 3 Copy 4 is to be retained by the primary processor for his or her own records.