Operating Name

Business Ownership Type*
- Sole Proprietorship
- General Partnership
- Existing Corporation
Existing Corporation Name*
Existing Corporation Number*
Filing Type
Business Name*
Business Identification Number
Please enter the Business Identification Number, found on the Master Business Licence of the existing business you are renewing
Business Activity*
Products Sold & Services Provided
Will your business operate in Ontario?*
- yes
- no
Have you or will you hire employees?*
- yes
- no
Will your business have an estimated annual payroll greater than $450,000?
- yes
- no
Do you have or have you already applied for an Employer Health Tax number?
- yes
- no
Have you or will you hire contractors?*
- yes
- no
Date help was first employed or will be employed
Date Format: DD slash MM slash YYYY
Do you have or have you already applied for an account with the Workplace Safety & Insurance Board?*
- yes
- no
Do you want personal coverage under the Workplace Safety and Insurance Act, 1997?
- yes
- no
Business Address
Business Address: Street Number
Business Address: Street Name
Business Address: Suite/Apartment Number
Business Address: City
Business Address: Province
Ontario

Business Address: Country
Canada
Business Address: Postal Code
Business Phone Number
Mailing Address
Same as business address?
Mailing Address: Street Number
Mailing Address: Street Name
Mailing Address: Suite/Apartment Number
Mailing Address: City
Mailing Address: Province
Ontario

Mailing Address: Country
Canada
Mailing Address: Postal Code
Registrant Information
Registrant: First Name
Registrant: Middle Name
Registrant: Last Name
Please enter the address of the Existing Corporation
Registrant Address: Street Number
Registrant Address: Street Name
Registrant Address: Apartment/Suite Number
Registrant Address: City
Registrant Address: Province
Ontario

Registrant Address: Country
Canada
Registrant Address: Postal Code
Registrant Phone Number
Partner Information
Number of Partners
Please enter a number greater than or equal to 2.
Partner 1
Partner 1: First Name
Partner 1: Middle Name
Partner 1: Last Name
Partner 1: Phone Number
Partner 1 Address
Partner 1: Street Number
Partner 1: Street Name
Partner 1: Apartment/Suite Number
Partner 1: City
Partner 1: Province
Ontario

Partner 1: Country
Canada
Partner 1: Postal Code
Partner 2
Partner 2: First Name
Partner 2: Middle Name
Partner 2: Last Name
Partner 2: Phone Number
Partner 2 Address
Partner 2: Street Number
Partner 2: Street Name
Partner 2: Apartment/Suite Number
Partner 2: City
Partner 2: Province
Ontario

Partner 2: Country
Canada
Partner 2: Postal Code
Partner 3
Partner 3: First Name
Partner 3: Middle Name
Partner 3: Last Name
Partner 3: Phone Number
Partner 3 Address
Partner 3: Street Number
Partner 3: Street Name
Partner 3: Apartment/Suite Number
Partner 3: City
Partner 3: Province
Ontario

Partner 3: Country
Canada
Partner 3: Postal Code
Partner 4
Partner 4: First Name
Partner 4: Middle Name
Partner 4: Last Name
Partner 4: Phone Number
Partner 4 Address
Partner 4: Street Number
Partner 4: Street Name
Partner 4: Apartment/Suite Number
Partner 4: City
Partner 4: Province
Ontario

Partner 4: Country
Canada
Partner 4: Postal Code
Partner 5
Partner 5: First Name
Partner 5: Middle Name
Partner 5: Last Name
Partner 5: Phone Number
Partner 5 Address
Partner 5: Street Number
Partner 5: Street Name
Partner 5: Apartment/Suite Number
Partner 5: City
Partner 5: Province
Ontario

Partner 5: Country
Canada
Partner 5: Postal Code
For General Partnerships with more than 5 partners please call us.
Corporate Officer
Information of the Corporate Officer authorizing this registration.
Officer: First Name
Officer: Middle Name
Officer: Last Name
Officer: Phone Number
Corporate Officer Address
Officer: Street Number
Officer: Street Name
Officer: Apartment/Suite Number
Officer: City
Officer: Province
Ontario

Officer: Country
Canada
Officer: Postal Code
Product Name
Total
$ 0.00 CAD

Subtotal
Options
Total

Operating Name quantity

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2

Operating Name

Business Address

Mailing Address

Registrant Information

Partner Information

Partner 1

Partner 1 Address

Partner 2

Partner 2 Address

Partner 3

Partner 3 Address

Partner 4

Partner 4 Address

Partner 5

Partner 5 Address

For General Partnerships with more than 5 partners please call us.

Corporate Officer

Corporate Officer Address

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