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
Ontario-Quebec Construction Labour Mobility Agreement
New Registration Amendment Renewal
Yes No
Yes No If “Yes”, please complete Worker Registration Form
Contractor Legal Name Trade Name, if different from legal name
Unit No. Street No. Street Name PO Box City/Town Province Postal Code
Telephone No. Cell No. Fax No. Email
Telephone No. Cell No. Fax No. Email Ministry of Government Services Corporate No.
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.
Last Name First Name Position/Title Telephone No. Cell No. Fax No. Applicant Signature Date (yyyy/mm/dd)
Processor Name Processor Date (yyyy/mm/dd) Approver (Manager, Jobs Protection Office) Approver Date (yyyy/mm/dd) Proof of business status Proof of business status Date (yyyy/mm/dd)