Region (required)
-- Choose a region -- Quebec Ontario Maritimes Newfoundland Other (Not supported)
Port, Dock or Quay at which survey is to be conducted (required)
-- Choose a port -- 1 Bridge ST., Kawartha Lakes Abbots HR, NS ADM Terminal Windsor Admiral's Beach Anchorage, NL Amherstburg Anse à Beaufils Anse au Griffon Argentia, NF Arichat, NS Arnold's Cove, NF Backbay, NB Baddeck, NS Baie Comeau Baie Sainte Catherine Bas Caraquet, NB Bay Bulls, NF Bay de Verde, NF Bay L'argent, NF Bay Roberts, NF Bay ST. Lawrence, NS Bayfield Bayside, NB Beauharnois Beaver Harbour, NB Bécancour Bell Island, NF Belledune, NB Belleville Berthier-sur-Mer Berthierville Beveridge Lock Station Blacks Harbour, NB Bonavista, NL Borden, PEI Botwood, NF Boutilier Point, NS Brier Island, NS Brockville Bull Arm, NF Burgeo, NF Burin, NF Burlington Burlington, Cciw Burnside, NF Cacouna Campobello Island, NB Canso, NS Cap-aux-Meules Cap-Chat Cape ST.Mary, NS Caraquet, NB Caribou, NS Carmanville, NL Cedar Point Charlottetown, PEI Chester, NS Cheticamp, NS Chocolate Cove, NB Christian Island Clarenville, NF Clark's Harbour, NS Clarkson Cohasset Platform, NL Colliers, NF Collingwood Come-By-Chance, NF Comfort Cove, NS Conception Harbor,NF Conne River, NL Contrecoeur Corner Brook, NF Cornwall Country Harbour, NS Courtright Covehead, PE Cupids, NF Curling, NF Dalhousie, NB Dartmouth, NS Davis Lock Station Deer Island, NB Dennis Point, NS Digby, NS Dover , NL Drummond/North Elmsley Eastern Passage, NS Englishtown, NS Erieau Étang du Nord Fairhaven, NB Farewell, NF Fermeuse , NF Fogo Island, NL Fortune, NF Freeport, NS Gananoque Garden Cove, NL Gaspé Georgetown, PEI Glenora Glovertown, NF Godbout Goderich Gore Bay Grand Bank ,NL Grand Bend Grand Manan, NB Grande Bergeronnes Grande-Entrée Grande-Rivière Green Point, NB Halifax, NS Hamilton Hantsport, NS Harbour Breton , NL Harbour Grace, NF Harrington Harbour Havre Aubert Havre-Saint-Pierre Hermitage, NF Holyrood, NF HR. Grace, NF Ile-aux-Coudres Indian Town, NB Ingonish Beach, NS Iroquois Isle-aux-Coudres Isle-Verte Ivy Lea Jacksons Arm, NF Joe Batts Arm, NL Kingston Kingsville Kirkfield L'Etite, NB La Scie, NL Lahave, NS Lameque, NB Lasalle Lauzon (MIL Davie) Laval Leamington Les Escoumins Les Méchins Lévis Lewisporte, NF Liverpool, NS Lockeport, NS Long Cove, NL Long Harbour, NL Long Pond, NF Longueuil Louisbourg, NS Lower Lance Cove, NF Lunenburg, NS Malpeque, PEI Marystown, NF Matane Meaford Merrickville Meteghan River, NS Meteghan, NS Midland Millhaven Mingan Miramichi, NB Mont-Joli (Sainte-Flavie) Montague, PEI Montmagny Montréal Moosonee Mount Arlington Heights, NL Mount Carmel, NL Mulgrave, NS Murray River, PEI Nanticoke Natashquan New Ferrole, NF New London, PEI Newport Niagara Falls Niagara-On-The-Lake Noddy Bay, NF North Bay North Lake, PEI North Rustico, PEI North Sydney, NS Notre Dame de Pierreville Ontario Oshawa Ottawa Owen Sound Owls Head, NS Parry Sound Pasbebiac Peggy's Cove, NS Pelly's Island, NF Penetanguishene Percé Petit De Grat, NS Petite Forte, NL Petite-Rivière-St-Francois Picton Pictou, NS Pilley's Island , NL Pleasant Bay, NS Point Edward, NS Point Tupper, NS Pointe-au-Pic Pointe-aux-Trembles Port Aux Basques, NF Port Burwell Port Cartier Port Colborne Port Dalhousie Port De Grave, NS Port Dover Port Elgin Port Hawkesbury, NS Port Lambton Port Maitland Port Mouton, NS Port Saunders, NL Port Stanley, ON Port Union, NL Port Weller, ON Portugal Cove, NF Prescott Québec Queenston Ramea, NF Repentigny Rimouski Riverport, NS Rivière au Renard Rivière-du-Loup Rockport Rose Blanche, NF Saint John, NB Saint-Joseph-de-la-Rive Saint-Lambert Saint-Romuald (quai Ultramar) Sainte-Catherine Sainte-Madeleine de la Rivière-Madeleine Sainte-Thérèse de Gaspé Sambro, NS Sarnia Saulnierville, NS Sault Ste Marie Sayward Sept-Iles Shediac, NB Sheet Harbour, NS Shelburne, NS Shippagan, NB Shoal Arm, NF Sombra Sorel-Tracy Souris, Pei South Dildo, NL South East Bight, NL Southampton Springdale , NL St Albans, NL St John's, NF St-Siméon ST. Andrews, NB St. Anthony, NF St. Joseph's, NF Stanley Bridge, PEI Ste-Anne-de-Sorel Ste-Anne-des-Monts Stephenville, NF Summerside, PEI Summerstown Sunnyside, NF Sunnyside, NL Sydney, NS Tadoussac Tantallon, NS Terra Nova Oil Field, NL Terra Nova Park, NL Thorold Thunder Bay Tiverton, NS Toronto Trinity, NL Triton, NL Trois-Pistoles Trois-Rivières Trout River, NF Twillingate, NF Valleyfield Valleyfield, NF Ville Saguenay ( Chicoutimi/ La Baie / Port-Alfred) Virginia Beach Marina, L Simcoe Walpole IS. Wedgeport NS Welland Wesleyville, NF West Head, NS Westport, NS Wheatley Whiffen Head, NF Whitby White Rose Oil Field, NL Windsor Wolfe Island Woodside, NS Woody Point, NL Yarmouth, NS Other
Zone
Precise the port location
Application is hereby made for a radio inspection for
the ship indicated above in accordance with Canadian Law
and International Convention or Treaty as applicable. If
after inspection the radio apparatus is found to comply
with the requirements, it is requested that the
following document(s) be issued.