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.

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Using the online service in My Account for individuals to modify information or to replace an Attestation d'inscription for the Program for Administering the Fuel Tax Exemption for Indians is the fastest, easiest and most environmentally friendly way to send us the information requested in the form.

To complete the form, save it to your computer and open it in Adobe Reader.

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2018-04 version

Fillable PDF Document (87 KB) / CA-1001.M-V / 2018-04 version

PDF Document (49 KB) / CA-1001.M-V / 2018-04 version

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

2018-04 version

Fair. For all.

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