Contact information Name (required) Email (required) Phone (required) Organization name (required) Address (required) Device information Device type (required) Device type (required) - Select -Electric vehicle supply equipmentElectricity meterElectricity transformerGas meter, auxiliary device or associated measuring deviceLinear measuring deviceMultiple dimension measuring deviceScale or scale componentThermal energy meterTimber dimension measuring deviceVolumetric liquid measuring device or auxiliary deviceOther… Enter other… Model name(s) (required) Manufacturer's name and address Is this a new approval or a change to an existing approval? (required) New approval Change Approval number Describe your device(s) or the changes to your approvals/device(s) (required) Does this device use legally relevant software? (Legally relevant software is software subject to legal control that performs functions other than collecting measurement data.) (required) Yes No Are you applying for approval under one of the following options? Yes No Choose an option - None -United States/Canada mutual recognition arrangementInternational organization of legal metrology certification systemRT-01—Recognition of test results from ISO 17025 accredited test facilities programBulletin G-23 Reminder: If you select United States/Canada mutual recognition arrangement, you must also submit an application to NTEP for the US/Can MRA. Device features (choose all that apply) Scale or scale component Device composition - None -Complete deviceIndicating element onlyLoad receiving element only Device subtype - None -Bench scaleFloor scaleCrane scaleHopper scaleRail scaleVehicle scaleOn-board weighing systemOverhead scale Other features Automatic Audit trail In-motion Electricity transformer Transformer device subtype Voltage Current Milliamp Transformer weight (including packaging) Transformer dimensions (including packaging): Length x Width x Height Volume measuring device Volume measuring device subtype - None -DispenseRefuellerBulk meter (positive displacement)Bulk meter (turbine)Bulk meter (other)Mass flow meter (Coriolis)Milk measuring systemElectronic registerPressure transmitterOther electronic components Measured product (liquid): - None -Petroleum productsSolventsLiquefied compressed gasesAgricultural liquidsChemicalsCryogenic liquidsOther Thermal energy meter Component - None -Combined deviceComplete deviceHybrid deviceCalculator onlyFlow sensor onlyTemperature sensor pair only Gas meter, ancillary device or associated measuring device Gas meter, ancillary device or associated measuring device subtype - None -Diaphragm meterRotary meterTurbine meterOrifice meterCoriolis mass flow meterUltrasonic meterFluidic oscillation gas meterCone-shaped differential pressure meterMechanical volume conversion deviceElectronic volume corrector / Flow computerPulse deviceGas chromatographDispenser for natural gasPressure regulatorTransmitterDensitometerFlow conditionerOther Files If applicable, attach one or more of the following: Specification sheet(s) When submitting multiple devices for approval, a table indicating the differences with respect to features, capacity, flow rates, unit sizes, etc. Picture(s) of the device(s) Upload Upload requirementsUnlimited number of files can be uploaded to this field.200 MB limit.Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods. Measurement Canada will respond within 20 business days to discuss the next steps in obtaining your notice of approval. Billing information Legal business name (required) Email (required) Phone (required) Address (required) Does your organization have a Canadian office? (required) Yes No Canada Revenue Agency business number GST/HST number Does your organization require purchase order (PO) numbers to pay invoices? (required) Yes No PO Number Shipping information Measurement Canada may require one or more samples of your device(s) to evaluate its/their design. If these samples are needed, Measurement Canada will send a request detailing the samples needed. Please do not send samples to Measurement Canada unless requested to do so. In the event that samples are needed, Measurement Canada will need to know where to return them. Please indicate that address below Shipping address (required) Shipping contact email (required) Shipping contact phone (required) Applicant statements On behalf of the organization mentioned above, I hereby request type approval pursuant to Section 9 of the Electricity and Gas Inspection Act Section 8 of the Weights and Measures Act Statements I hereby certify that, to the best of my knowledge, all the information provided in this form and in all accompanying material are true and complete. I hereby certify that the class, type or design of the device described herein meets all applicable requirements of the Act, regulations and specifications relating to that type of device. I hereby agree to pay all eligible expenses incurred by Measurement Canada’s Approval and Calibration Services Laboratory, whether type approval is granted or not. If you have any questions, please send an email to mcacsl-mclsae@ised-isde.gc.ca. Submit