Request to Modify Registration Information or to Replace the Attestation d'Inscription Issued to a Band Council, Tribal Council or Band-Empowered Entity
CA-1002.M-V

This form is intended for band councils, tribal councils or band-empowered entities that 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 that has already been filed; 
• obtain additional Attestations d’inscription (registration cards); 
• cancel one or more Attestations d’inscription; or 
• have one or more Attestations d’inscription replaced, in the event of a loss or theft.