This form is required to be used by accredited verification bodies (AVBs) to provide a written declaration that attests to whether or not there is a reasonable level of assurance that: 1) a GHG report contains no material discrepancy; and, 2) the report was prepared in accordance with the regulation.

The form is used to confirm a physician's qualifications to provide the requested services prior to processing a request to affiliate to a particular ICHSC. The licensee must ensure that the physician has been affiliated to the centre before they begin to provide licensed services.

This form is required to be used by accredited verification bodies (AVBs) to provide a written declaration that attests to whether or not there is a reasonable level of assurance that: 1) a GHG report contains no material discrepancy; and, 2) the report was prepared in accordance with the regulation.