Authorization to Communicate Information or Power of Attorney
MR-69-V

Complete this form to grant an authorization or power of attorney to a designated person.

In compliance with our language policy, corporations established in Québec must file the French version of this form. To access it, click français.

Did you know?

Using the online service in My Account for individuals, My Account for businesses or My Account for professional representatives to grant, view or revoke an authorization or a power of attorney is the fastest, easiest and most environmentally friendly way to send us the information requested in the form.

This form cannot be used to revoke an authorization or power of attorney.

To revoke an authorization or power of attorney granted to a designated person, you must:

  • use the online service in My Account for revoking an authorization or a power of attorney; or
  • complete form MR-69.R-VRevocation of Authorization to Communicate Information or of Power of Attorney.
Note

Every business that registers for My Account for professional representatives (in French only) is assigned a professional representative number. You must enter it on line 16 of the form.

Note
Note about electronic signatures.

This form can be signed electronically.

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Note

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

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Note

Our downloadable documents may not comply with Web accessibility standards. If you are having problems using them, please contact us.

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2018-11 version

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