Non-Compliant Equipment Reporting Form

Equipment Market Surveillance

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

Please attach:

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

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