Request to Modify Registration Information or to Replace the Attestation d'Inscription Issued to Indians
CA-1001.M-V

This form is intended for Indians who are registered for the Program for Administering the Fuel Tax Exemption for Indians. Complete this form if you wish to

• modify information on a registration application you have already filed; or 
• have your Attestation d’inscription (registration card) replaced, if it was lost or stolen.