Ministry of Agriculture, Food and Rural Affairs

Application for a Distributor and Distributor/Dealer Registration
(under the Farm Implements Act Section 6)

Note, you will be asked to attach:

Names and addresses of dealers in your Ontario dealer network
Names and addresses of implement manufacturers which you represent
A list of all makes (brands) of farm implements offered for sale

The registration fee is $300.00.

Type of Application (required)

New

Renewal

Client Number (FI-9999) (required if a renewal)

Type of Business (required)

Corporation

Partnership

Individual

Contact Information

Last Name (required)

First Name (required)

Business Name (required)

Canada Revenue Agency (CRA) Business Number (nine-digit) (required)

Telephone Number (required)
(Format: Must be 10 numbers)

Extension

Email Address (required)
(Example: name@example.com)

Note: A confirmation will be sent to the email address you provide.

Confirm Email Address (required)
(Example: name@example.com)

Website

Address of principal place of business serving Ontario

Postal Code or Zip Code(required)

For example: Postal Code M2M 1H6 / Zip Code 12345 or 12345-1234

(if necessary, continue to select the Postal Code Lookup button until your correct street name is shown or complete the address fields with the correct information)

Unit Number

Street Number (required)

Street Name (required)

PO Box

County

City/Town (required)

Province or State (required)

Province

State

Country (required)

Owner/General Manager Information

Last Name (required)

First Name (required)

Telephone Number (required)
(Format: Must be 10 numbers)

Attachments (required)

Please attach:

Names and addresses of dealers in your Ontario dealer network.
Names and addresses of implement manufacturers which you represent.
A list of all makes (brands) of farm implements offered for sale.

List of documents:

To attach supporting documents, click the "Browse" button. Most common file types (e.g., Word, PDF, JPEG files) are acceptable excluding video or audio files due to their file size. The total file size of all attachments is limited to 8 MB.
To attach more files, click "Add Attachments ( + )"; to remove the last attached file, click "Delete ( - )".

Select a file to upload

Browse

Attachment Description

I certify that the information submitted in this application is true and correct to the best of my knowledge.

For questions contact the Agricultural Information Contact Centre (AICC): 1-877-424-1300.

Confirmation: (required)

I have read and agree to the Declaration and have read, agree and consent to the Collection and Use of Information as stated above.

I do not agree and consent.

Name (First and Last Name) (required)

Title

Date:

You must agree to both the Declaration and the Collection and Use of Information stated on the previous page to submit this form online.

You will receive an email confirmation which contains a confirmation number for your records.

Unfortunately, we are unable to process your request at this time.

Please check your internet connection and try again later.

Submission ID

Submit Status

User Type

Application Language

Application Version

Form ID

Form Number

Form Title

Form Template Path

Applicant Email Address

Applicant CC Email Address

Applicant Email Body

Applicant Subject

Applicant From Email Address

Program Area Email Address

Program Area CC Email Address

Program Area Email Body

Program Area Email Subject

Program From Area Email Address

Do Encrypt

Do Attach XML

Do PDF Applicant

Include Attactment In Email

Success Message

Error Message

JSON Path

Application for a Distributor and Distributor/Dealer Registration
(under the Farm Implements Act Section 6)

Application for a Distributor and Distributor/Dealer Registration
(under the Farm Implements Act Section 6) (application in progress)

Application for a Distributor and Distributor/Dealer Registration
(under the Farm Implements Act Section 6) (application in progress)

Application for a Distributor and Distributor/Dealer Registration
(under the Farm Implements Act Section 6) (application in progress)

Application for a Distributor and Distributor/Dealer Registration
(under the Farm Implements Act Section 6) (application in progress)

Application for a Distributor and Distributor/Dealer Registration
(under the Farm Implements Act Section 6) (application in progress)

Application for a Distributor and Distributor/Dealer Registration
(under the Farm Implements Act Section 6) (application in progress)

Application for a Distributor and Distributor/Dealer Registration
(under the Farm Implements Act Section 6) (application in progress)

Application for a Distributor and Distributor/Dealer Registration
(under the Farm Implements Act Section 6) (application in progress)

Declaration

Collection and Use of Information

Application for a Distributor and Distributor/Dealer Registration
(under the Farm Implements Act Section 6)(application in progress)

Application for a Distributor and Distributor/Dealer Registration
(under the Farm Implements Act Section 6) (application in progress)

Summary Review

1. Business Information

Contact Information

Address of principal place of business serving Ontario

Owner/General Manager Information

2. Equipments

Type of Equipment

Attachments

3. Collection and Use of Information

Collection and Use of Information

Declaration

Application for a Distributor and Distributor/Dealer Registration
(under the Farm Implements Act Section 6) (application in progress)

Application for a Distributor and Distributor/Dealer Registration
(under the Farm Implements Act Section 6) (application in progress)

Application for a Distributor and Distributor/Dealer Registration (under the Farm Implements Act Section 6)

Application for a Distributor and Distributor/Dealer Registration (under the Farm Implements Act Section 6) (application in progress)

Application for a Distributor and Distributor/Dealer Registration (under the Farm Implements Act Section 6) (application in progress)

Application for a Distributor and Distributor/Dealer Registration (under the Farm Implements Act Section 6) (application in progress)

Application for a Distributor and Distributor/Dealer Registration (under the Farm Implements Act Section 6) (application in progress)

Application for a Distributor and Distributor/Dealer Registration (under the Farm Implements Act Section 6) (application in progress)

Application for a Distributor and Distributor/Dealer Registration (under the Farm Implements Act Section 6) (application in progress)

Application for a Distributor and Distributor/Dealer Registration (under the Farm Implements Act Section 6) (application in progress)

Application for a Distributor and Distributor/Dealer Registration (under the Farm Implements Act Section 6) (application in progress)

Declaration

Collection and Use of Information

Application for a Distributor and Distributor/Dealer Registration (under the Farm Implements Act Section 6)(application in progress)

Application for a Distributor and Distributor/Dealer Registration (under the Farm Implements Act Section 6) (application in progress)

Summary Review

1. Business Information

Contact Information

Address of principal place of business serving Ontario

Owner/General Manager Information

2. Equipments

Type of Equipment

Attachments

3. Collection and Use of Information

Collection and Use of Information

Declaration

Application for a Distributor and Distributor/Dealer Registration (under the Farm Implements Act Section 6) (application in progress)

Application for a Distributor and Distributor/Dealer Registration (under the Farm Implements Act Section 6) (application in progress)

Application for a Distributor and Distributor/Dealer Registration
(under the Farm Implements Act Section 6)

Application for a Distributor and Distributor/Dealer Registration
(under the Farm Implements Act Section 6) (application in progress)

Application for a Distributor and Distributor/Dealer Registration
(under the Farm Implements Act Section 6) (application in progress)

Application for a Distributor and Distributor/Dealer Registration
(under the Farm Implements Act Section 6) (application in progress)

Application for a Distributor and Distributor/Dealer Registration
(under the Farm Implements Act Section 6) (application in progress)

Application for a Distributor and Distributor/Dealer Registration
(under the Farm Implements Act Section 6) (application in progress)

Application for a Distributor and Distributor/Dealer Registration
(under the Farm Implements Act Section 6) (application in progress)

Application for a Distributor and Distributor/Dealer Registration
(under the Farm Implements Act Section 6) (application in progress)

Application for a Distributor and Distributor/Dealer Registration
(under the Farm Implements Act Section 6) (application in progress)

Application for a Distributor and Distributor/Dealer Registration
(under the Farm Implements Act Section 6)(application in progress)

Application for a Distributor and Distributor/Dealer Registration
(under the Farm Implements Act Section 6) (application in progress)

Application for a Distributor and Distributor/Dealer Registration
(under the Farm Implements Act Section 6) (application in progress)

Application for a Distributor and Distributor/Dealer Registration
(under the Farm Implements Act Section 6) (application in progress)