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AgriStability and AgriInvest - Address Change Form (AgriStability)

Instructions for completing this form

You can use either the PDF (331 KB) version of the form or the Web version below.

Complete this form to change your address for AgriInvest (except if you farm in Quebec) and AgriStability if you farm in Manitoba, Newfoundland and Labrador, Nova Scotia, New Brunswick or Yukon.

Contact your provincial administration to change your address for AgriInvest if you farm in Quebec and AgriStability if you farm in British Columbia, Alberta, Saskatchewan, Ontario, Quebec or Prince Edward Island.


Protected B when completed

Part 1 - Participant Identification

Part 2 - Previous address

Part 3 - New address

Part 4 - Confidential information and participant consent

Agriculture and Agri-Food Canada (AAFC) is committed to protecting the privacy of your information. The information on this form is collected under the authority of Section 4 of the Farm Income Protection Act and will be used by AAFC to issue AgriStability and/or AgriInvest correspondence 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 aafc.atip-aiprp.aac@canada.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
  2. understand it is a criminal offense to make a false statement and that any declarations made are subject to audit

You or an authorized representative (if the participant is an entity) must sign this form. An authorized representative is an owner, officer or director of the entity.

Print name of authorized representative:

Signature (Participant or authorized representative):

Part 5 - Send your signed and completed form

Mail or fax

AgriStability and AgriInvest
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)

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