Request to Modify Registration Information or to Replace the Attestation d'Inscription Issued to Indians

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.
Did you know?

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.


This form can be signed electronically.

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

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2018-04 version

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