Authorization of signature(s) for Area B and Area H temporary salmon ITQ/ITE reallocation request, use of digital signature and/or designation form

To:

• Fisheries and Oceans Canada
• Fisheries Management
• Email: Heather.Braun@dfo-mpo.gc.ca

I, __________ being either the owner of the M/V __________ VRN __________ (“the Vessel”) and/or the Category A licence eligibility holder, or the authorized signing authority for the Communal Commercial F or N licence holder, do hereby grant the following authorization(s) for the license(s) indicated in Part A below:

Part A: Area B or Area H licence information

Part B: Signing authorization

I do hereby give notice to Fisheries and Oceans Canada that I authorize the person(s) identified below to request and to sign on my behalf or affix a digital version of my signature to any temporary salmon ITQ/ITE reallocation request form for the Vessel and/or the above indicated licence(s) for the fishery(ies) listed.

Name of Designate (please print) __________ of (Company and/or Contact Number) __________, Signature of Designate __________ and
Name of Designate (please print) __________ of (Company and/or Contact Number) __________, Signature of Designate __________

I recognize and accept full responsibility for any reallocation request(s) signed by the above person(s) and/or for any reallocation request(s) to which the above person(s) have affixed my digital signature.

Part C: Designations

I do hereby authorize Fisheries and Oceans Canada to release the following document(s) for the above license(s) for the period(s) specified to the person(s) named below:

Name (please print) __________ Name (please print) __________ Name (please print) __________

Part D: Signature

Name of licence holder (please print) __________ Signature __________ Date (day / month / year) __ / __ / ____

Contact Phone (___) _______ Email __________

DFO use only: Date received __________ Date verified __________ Initials __________

Instructions for completing the Authorization of Signature(s) for Area B and Area H Temporary Salmon ITQ/ITE Reallocation Request, Use of Digital Signature and/or Designation Form

Please read this carefully: This form is for (a) the Authorization of signature(s) for temporary salmon ITQ/ITE reallocation request (b) the Use of digital signature for temporary salmon ITQ/ITE reallocation request forms and/or (c) designation.

Any person wishing to give authorization to another party to sign on his/her behalf:

1. a Temporary Reallocation Request for Sockeye Salmon or Pink Salmon ITQ Holdings request form or;
2. a Temporary Reallocation Request for Chum Salmon ITQ/ITE Holdings request form or;
3. to authorize use of Digital Signature for either 1 or 2 above or;
4. to designate individual(s) to request licence amendment(s), licence status report (LSR), reallocation history detail report and /or quota status report (QSR) must complete and sign this form.
   • Should the designated signatories change at any time, a new form shall be completed in full, signed and submitted to the Salmon Quota Officer as a pdf file by e-mail to: Heather.Braun@dfo-mpo.gc.ca. Additional forms are available from the Commercial fishing licence information website

Instructions:

• Print the name of the person completing the form (Vessel owner, Category A Licence eligibility holder, or authorized signing authority for the Communal Commercial F or N licence holder) in the space indicated at the top of page one, along with the Vessel Name and VRN, and check all boxes that apply. If you are the eligibility holder of multiple Category A licences, you may list them on this form but leave the Vessel and VRN blank.
• PART A: Indicate all the licences held on the vessel to which the authorizations and designations will apply. Under "Licence Prefix" list the licence prefix (AS, AT, AG, FAS, FAT, FAG, NAG); under "Number" list the licence number; and under "Fishery" indicate for which fishery the authorization is granted. There is room for 8 licences in part A. If you need to provide authorizations for other licences you must complete a second form. Please note: Authorizations given as indicated on this form, only apply for the current fishing season, although they may be cancelled at any point during the season.
• PART B: If you wish to authorize any individual(s) to request temporary salmon ITQ/ITE reallocation(s) from the vessel and licences, either by signing on your behalf or affixing a digital version of your signature that you have provided to them, you must complete PART B. Indicate whether you wish to authorize them to sign on your behalf or use a digital version of your signature by checking the appropriate box. Enter the individual(s), company affiliation (if applicable), and have them sign in the space provided. If you do not wish to grant authorizations for signature or for use of a digital signature, leave Part B blank or strike through.
• PART C: If you wish to authorize individual(s) to request amendments, licence status reports (LSR), reallocation history detail reports, and/or quota status report (QSR), you must complete PART C. Please check the boxes of the reports which the authorized designate may request by printing the name(s) of the individual(s) in the space provided. If you do not wish to grant authorizations for release of amendment, licence status report (LSR), quota status report (QSR), or reallocation history detail report, leave Part C blank or strike through.
• PART D: To complete the authorization form, only the Vessel owner, Category A Licence eligibility holder or authorized signing authority for the Communal Commercial F or N licence holder must complete PART D. In the spaces provided please print your name, sign, note the date signed, and add your contact information. NOTE: An authorized designate may not complete this form and sign in PART D.
• Please submit in writing (and email to Heather.Braun@dfo-mpo.gc.ca) if a previously submitted Authorization of Signature, Use of Digital Signature or Designation is to be terminated.
• Contact Heather Braun (Quota Officer) Heather.Braun@dfo-mpo.gc.ca or 250-240-0713 with any change(s) to contact information (phone or email).
• Once completed, this form must be emailed to Heather.Braun@dfo-mpo.gc.ca. If you have any questions regarding the completion of this form please contact Area B and H Resource Management: Heather Braun (Quota Officer) Heather.Braun@dfo-mpo.gc.ca or Jeff Denison (Area B and Area H Resource Manager) Jeff.Denison@dfo-mpo.gc.ca