AgriInvest New Participant - Participant Identification Number Request

This Web document is not a form. Its purpose is to display the information as found on the form for viewing purposes only. If you wish to submit a form, you must use the version from the Alternative Formats section.

If you cannot access the alternative format, please call 1-866-367-8506.

To participate in AgriInvest you need a Participant Identification Number (PIN). Complete this form to request a PIN if you:

We will send your PIN to you by mail. You must include your PIN when filing your form.

Protected B when complete

Section 1 - Your information

Section 2 - Privacy and certification clause and signature

Agriculture and Agri-Food Canada (AAFC) is committed to protecting the privacy of your information. The information on this form, including your Social Insurance Number, is collected under the authority of Section 4 of the Farm Income Protection Act and will be used by the AAFC exclusively to issue an AgriInvest PIN to you. You have the right to request access to your personal information held by AAFC and to request changes to incorrect personal information. For more information about your rights under the Privacy Act, contact the AAFC Access to Information Privacy Coordinator at ATIP-AIPRP@agr.gc.ca and reference AAFC PPU 183 and/or CRA PPU 005.

By submitting this form, you:

  1. certify that the information provided is complete and correct and
  2. understand it is a criminal offense to make a false statement and that any declarations made are subject to audit.

Your Signature

Date (YYYYMMDD)

Section 3 - Send completed form

Mail or fax

AgriInvest Program
PO Box 3200 Station Main
Winnipeg Manitoba R3C 5R7
Toll-free fax: 1-877-949-4885

Questions?

Call us toll-free at 1-866-367-8506
Monday to Friday, 8:00 am to 5:00 pm (Central Daylight Time (CDT))

Alternative Formats

Help with Alternative Formats

AgriInvest Program: New Participant PIN Request (PDF Version, 35 KB)

Date modified: