This form should only be used by dealers who already possess a CA Identification Number. If you wish to apply for a CA Identification Number, please submit your request through the following Online Application.
How much personal information you provide is up to you. To learn how we safeguard your personal information, please read our Privacy Statement. If you don't provide your name and certain other information, it may be impossible for us to respond or refer your request.
Provision of the information requested on this form is voluntary. The information is being collected for the purpose of processing complaints filed with the Competition Bureau as well as providing additional information requested by you. The information will be stored in Personal Information Bank no. IC-PPU-034. Personal information that you provide is protected under the provisions of the Privacy Act. The Act provides you with a right of access to your information.
Mandatory fields are marked with an asterisk (*).
Authorized Official in Canada
Principal Place of Business
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