Government of Ontario: Ministry of Labour

Jobs Protection Office
347 Preston Street, Suite 430
Ottawa  ON  K1S 3J4
Toll Free: 1 888 998-9959
Telephone: 613 288-3847
Fax: 613 727-2900

Contractor Registration Application for Specialized Work

Ontario-Quebec Construction Labour Mobility Agreement

Registration Identification

Company Legal Name
Company Trade Name
Ministry of Government Services Corporate No. (please enclose copy of MGS registration)
Unit No.
Street No.
Street Name
Rural Route
PO Box
City/Town
Province
Postal Code
Telephone No.
Fax No.
Email

If you are exempt from an RBQ licence, please include letter of exemption (with exemption you must also enclose Company profile)

Brochure    Letter    Website Address Website Address - Specify

Describe main tasks and techniques performed and identify the product(s) involved.

Project location(s) and duration in Quebec.

Please describe the specialized instruction/training received from the manufacturer.

Name of Manufacturer
Length of training/instruction
Unit No.
Street No.
Street Name
Rural Route
PO Box
City/Town
Province
Postal Code
Telephone No.
Fax No.
Email

Please list the names, address and job title of employees who have been trained according to the manufacturers requirements regarding the installation/use of this product.

Copy of application sent to CCQ Date (yyyy/mm/dd) 

Applicant Signature

I, the undersigned, declare that the information provided and attached is true and complete. I authorize the Jobs Protection Office to verify all information included in this application.

Falsification of information will lead to cancellation of this application.

Applicant Last Name
Applicant First Name
Telephone No.
Cell No.
Fax No.
Applicant Signature

Date (yyyy/mm/dd)

Ontario Government Use Only