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2021 AgriStability Interim Application Schedule 1 — Additional Information

This HTML document is not an application form. Its purpose is to display the information as found on the form for viewing purposes only.

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2021 AgriStability Interim Application Schedule 1 – Additional Information (PDF Version, 166 KB)

If you wish to submit an application form, please use the PDF version. If you cannot access the PDF version or require printed copies of this publication, please contact us at 1-866-367-8506.

The Privacy Act protects information you give on this form which is kept in personal information bank number AAFC PPU 183.

Participant Identification Number (PIN):

a) Participant identification

b) Contact person information

If you would like someone else to provide additional information on your behalf, provide all details in this section.

By providing a contact person's name, you are authorizing the AgriStability Administration to receive information from and to disclose information to the contact person, and to make changes to your applications as directed by the contact person.

c) Business structure

d) Change to business structure

Please identify how your business structure has changed:

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