Report of Claim for Loss (Schedule 4)
You can use either the Web version or another version of the form from the Alternative Formats section.
Please complete, print and send the form by mail.
Please send to:
Canadian Agricultural Loans Act (CALA)
Financial Guarantee Programs Division
Agriculture and Agri-Food Canada (AAFC)
1341 Baseline Road, Tower 7, 7th Floor
Ottawa, Ontario K1A 0C5
Protected "B" once completed
The information you provide on this document is collected under the authority of the Canadian Agricultural Loans Act for the purpose of obtaining a loan. Personal information will be stored in Personal Information Bank AAFC PPU 165, and will be protected under the provisions of the Privacy Act. The Collection Registration Number is AGR/POL-465-02960.
Alternative FormatsReport of Claim for Loss (Schedule 4) (On-Screen Fillable PDF Form, 580 KB)
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