Application for a Fuel Tax Refund in Respect of Gasoline Used to Supply the Engine of a Commercial Vessel

Complete this form to claim a refund of the fuel tax paid by a person (individual or corporation) on the purchase of gasoline in Québec after July 11, 2013, to supply the engine of a commercial vessel.

Note about electronic signatures.

This form can be signed electronically.

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2017-06 version

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