Subcontractor Information Form

Subcontractor Information Form
Please complete the following form to ensure accurate reporting for T4A or T5018 tax purposes. All information provided must be accurate and up to date. Your information will be kept confidential and used solely for tax reporting.

Name of the company you are providing services to*

Are you contracting as an individual or a business?*

IndividualBusiness

Business Information
Legal Business Name*
Business Number*
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Email
example@example.com

Individual's Information
Full Legal Name*

First NameLast Name
SIN *
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com

Authorization & Certification
By submitting this form, I certify that the information provided in this form is true, complete, and accurate to the best of my knowledge. I understand that this information will be used for tax reporting purposes.
Please verify that you are human*
Should be Empty: