NAV CANADA
Fleet Data Submission Input Form

How to Complete this Form

Once completed please print and return this form to:

NAV CANADA Customer Service
E-mail: service@navcanada.ca
Mail: NAV CANADA
Revenue Services
151 Slater Street, 10th Floor, Suite 120.
Ottawa, ON
Canada
K1P 5H3
Questions regarding this form can be directed to NAV CANADA Customer Service
1-800-876-4693(4). (disregard the last digit when dialing within North America).

Asterisk (*) indicates mandatory fields.
Customer Information
* Name:
* Street Address:
* City:
* Province/State:
* Country:
* Postal Code/Zip:
* Telephone #:
    Fax #:
* Account #:
* E-mail Address:

Aircraft Weight Billing Preference (Weight Calculation Information)

Option 1:
Specific weight of
aircraft flown

Option 2:
Average weight by
aircraft type

Current Fleet

Aircraft #1
* Aircraft Type (ICAO DOC. 8643):
* Model/Version:
* Registration Marking:
* Serial/Construction Number:
* Exact maximum take-off weight (Kgs/Lbs):
Aircraft Ownership Indentification #1
* Owner and/or Operator:
* Street Address:
* City:
* Province/State:
* Country:
* Postal Code/Zip:
* Telephone Number:


I certify that the information on this from is true, correct and complete to the best of my knowledge:

* Name:
* Title:
* Date: