and return application with the license fee of $200 for a 2 year
period, payable to the Minister of Finance.
Personal information on this form is collected under Section 31(c)of the Fr
teran plate, this application form must be certified by an authorized
agency and submitted, with the required registration application and fee, to your local Access P.E.I.
office. The registration fee for a veteran pl
Address for Service in PEI:
2. Jurisdiction where business incorporated or otherwise formed:_____________________________________
3. Indicate with an “X
Application is made for registration under the Consumer Reporting Act as a Consumer Reporting Agency and the
following statements of fact are made in respect thereof:
Separate schedules or particulars MUST be attached if space on this form is not sufficient.
1. (a) Name under wh
ke inquiries through the Canadian Police Information Centre (CPIC) and, if necessary,
other police agencies in support of this application. The personal information required under this form is collected on
behalf of and used by the Registrar for purposes of the administration and enforcement of...
Personal information on this form is collected under Section 31(c)of the Freedom of Information and Protection of Privacy Act as it relates
directly to and is necessary to assess your suitability and continued
Microsoft Word - Collection Agency Application.docx
Consumer Services Section
Department of Justice and Public Safety
Province of Prince Edward Island
P.O. Box 2000 Charlottetown, P.E.I. ClA 7N8
Telephone: 902-368-4550 or 1-800-658-1799