Non-Compliance Equipment Reporting Form Product (marketing) name (required) Product brand and / or manufacturer name (required) Type of product (description) (required) Where did you see the product? Where is it offered? (store, online) Describe the non-compliance (e.g. labelling, do not meet technical requirements, non-certified, etc.)? Do you have evidence of the non compliance such as photo, test reports, etc.? Yes No Attachments Upload Upload requirementsOne file only.200 MB limit.Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. Do you wish to send a sample unit to ISED Yes No Please ship the unit to: Certification & Engineering Bureau 3701 Carling Avenue, Building 94, Ottawa, ON, K2H 8S2 contact_information Your contact information (If we need more information) Note: This is optional but recommended First name Last name Telephone Email (e.g., name@example.com) If you are a business registered or incorporated in Canada, please provide your Business Number (enter first nine digits) Are you a... Consumer Manufacturer Distributor Other Please specify Submit Reset
