USE OF DIGITAL SIGNATURE FOR TEMPORARY GROUNDFISH IVQ REALLOCATION by sir17308

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									         Fisheries         Pêches
         and Oceans        et Océans

Any person wishing to give authorization to someone to use their digital signature on their behalf must fill out this form. Should the
use of the digital signature change at any time, a new form shall be completed. Additional forms are available from the Groundfish
Management Unit at: http://www.pac.dfo-mpo.gc.ca/ops/fm/Groundfish/default_e.htm

The use of this digital signature is limited to the requests for temporary reallocation of groundfish individual quota from the licensed
vessel named below.

           USE OF DIGITAL SIGNATURE FOR TEMPORARY GROUNDFISH IVQ
                            REALLOCATION REQUESTS
TO:      FISHERIES AND OCEANS CANADA
         Groundfish Management Unit
         Fax Number: 604-666-8525


I, _________________________ being either the                     vessel owner,           ZN licence eligibility holder, or

authorized signing authority for the Communal Commercial licence holder to the current conditions of licence

designated to the M/V _________________________, VRN ____________________ and licence

category _____ number _____ (“the Vessel”) do hereby give notice to Fisheries and Oceans Canada that I have

provided a digital version of my signature to:


____________________________ of ______________________________
            Name                                     Company

for the purpose of attaching this digital signature to a temporary groundfish IVQ reallocation request form(s)

from _______________ until _______________. I recognize and accept full responsibility for any reallocation

requests submitted by the person named above and request that Fisheries and Oceans Canada consider and

accept the digital version of my signature as an indication of my desire to reallocate groundfish IVQ from “the

Vessel”.


_________________________                     _________________________                     _________________________
         Name (print)                                      Signature                                    Date


_________________________                     _________________________                     _________________________
         Contact Phone                                     Fax                                          Email

								
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