Add a Name to an Existing Account Form

Account Holder Information

Account Number: Note: Must start with "29" and have 12 digits in total

Name of Account Holder:

Account Address:

New Person Information

Reason for adding this person:
To be financially responsible To have access to account information only

Name of Individual to be Added:

Date of Birth:

Email:

Phone:

First Nation Band Name:

Certificate of Indian Status Card Number: Note: Must be 10 digits

GST / HST Tax Exemption
I claim exemption from GST / HST under the following category:

Status Indian that is using electricity on a reserve. Indian owned sole proprietorship or partnership that is using electricity on a reserve. Indian Band Office / Band empowered schools, hospitals or Social Service entities that are using electricity on a reserve. Incorporated Band empowered entities for band management activities that are using electricity on a reserve.

Certification

To the best of my knowledge, the information contained in this form is accurate and complete.

Comments:

Account Holder Information

New Person Information

GST / HST Tax Exemption I claim exemption from GST / HST under the following category:

Certification

GST / HST Tax Exemption
I claim exemption from GST / HST under the following category: