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Medical Devices Regulations (SOR/98-282)

Regulations are current to 2019-07-01 and last amended on 2019-06-17. Previous Versions

SCHEDULE 3(Section 89)Export Certificate for Medical Devices

UNDER THE Medical Devices Regulations

I, blank line, certify that I have knowledge of all matters contained in this certificate and that

  • 1 I am (check applicable box)

    • (a) where the medical device described in this certificate is exported by a corporation

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        the exporter’s senior executive officer,
      •  
        the exporter’s senior regulatory officer,
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        the authorized agent of the exporter’s senior executive officer, or
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        the authorized agent of the exporter’s senior regulatory officer; and
    • (b) where the medical device described in this certificate is exported by an individual

      •  
        the exporter, or
      •  
        the exporter’s authorized agent.

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    blank line, (State name and address of exporter or, if a corporation, name and address of principal place of business in Canada).

  • 2 On the blank line day of blank line, blank line, a package containing blank line (description of device, including serial number, model name, lot number and quantity, as applicable; if additional space required, attach as Appendix “A”) is/will be consigned to blank line (name and address of consignee).

  • 3 The package is marked in distinct overprinting with the word “Export” or “Exportation”.

  • 4 The medical device was not manufactured for consumption in Canada.

  • 5 The medical device is not sold for consumption in Canada.

  • 6 The package and its contents do not contravene any known requirement of the law of the country of blank line (state country of consignee).

  • 7 All relevant information is contained in this certificate and no relevant information has been knowingly withheld.

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Signature

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Position title

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Date

 
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