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What you need to know about the Products Containing Mercury Regulations: appendices


The most up-to-date version of this document can be found here


Appendix 1: Sample permit application form

Note: This is not a mandatory form. It is intended to provide guidance.

Products Containing Mercury Regulations

Information to be contained in an application for a permit

Is this a submission of additional information requested by the Minister?
◻ Yes   ◻ No

If yes, complete parts 1, 5 and any other parts of this application where additional information was requested. Previously reported information that is unchanged need not be resubmitted.

Is this permit a renewal application?   ◻ Yes   ◻ No

If yes, indicate the number of the permit _______________________









For Environment Canada use


 

1. Applicant information

Name of applicant (e.g., corporation):

________________________________________
Telephone:

__________________

 

Civic and postal addresses:

________________________________________

________________________________________

________________________________________
Fax (if any):

__________________

Email (if any):

___________________________________

 

Name and title of duly authorized representative:

________________________________________
Telephone:

__________________

 

Civic and postal addresses:

________________________________________

________________________________________

________________________________________
Fax (if any):

__________________

Email (if any):

___________________________________

 

2. Information respecting the product for which the application is made

Common or generic name Trade name
(if any)
Total quantity of mercury in the product (mg) Estimated quantity of products to be manufactured per calendar year
(number)
Estimated quantity of products to be imported per calendar year
(number)
         
   ◻

I am enclosing an identification and description of each known use of the product.

 

3. Declaration respecting the provision of information

   ◻

I am enclosing evidence that there are no technically or economically feasible alternatives to or substitute for the product that achieve a similar result as would be achieved by using the product containing mercury, and have a less harmful effect on the environment or on human health than the product containing mercury.

 

   ◻

I am enclosing a copy of the plan prepared identifying and describing the measures that will be taken by the applicant to minimize or eliminate any harmful effect that the mercury contained in the product has or may have on the environment and human health, including measures to ensure that the mercury is handled safely and is not released into the environment during the normal use of the product and at the end of its useful life.

 

   ◻

The plan will be fully implemented within 30 days after the day on which the permit is issued.

 

4. Civic and postal addresses of the location where information, supporting documents and the certification are kept

Civic and postal addresses:

______________________________________________________
______________________________________________________
______________________________________________________

 

5. I declare that the information in this application and in all enclosed documents is accurate and complete.

 

__________________________________
Date, place
____________________________________________
Signature of applicant or duly authorized representative

Appendix 2: Definitions

  • A compact fluorescent lamp (CFL) is a single-ended fluorescent lamp with a bent discharge tube of small diameter (10-16 mm) to form a very compact unit.

  • A straight fluorescent lamp for “general lighting purposes” means a straight lamp, bulb or tube up to 50” in length that has a medium bi-pin or miniature bi-pin base, and that operates on an instant-start, rapid-start or programmed-start ballast, and that provides functional illumination for indoor residential, indoor commercial or outdoor use. A linear fluorescent lamp for general lighting purposes does not include any of the following specialty lighting products: appliance, black light, germicidal, bug, coloured, high output, plant light, reflector, shatter resistant, sign service or very high output fluorescent lamps.

    When describing straight fluorescent lamps, the letter “T” refers to their “tubular” shape. The number following the “T” indicates its thickness or diameter in eighths of an inch.

    • T12 = 12/8 of an inch in diameter (1.5 inches)
    • T8 = 8/8 of an inch in diameter (1 inch)
    • T5 = 5/8 of an inch in diameter (5/8 inch)

    T5s are the most energy efficient, whereas T12 are the least efficient.

  • A lamp for “general lighting purposes” means a lamp, bulb or tube that provides functional illumination for indoor residential, indoor commercial and outdoor use.

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2026-03-06

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