Application for a classification certificate form

3. OPERATOR

* Private informations. The operator must own or rent the establishment (see s. 10.1(2) and s. 1 of the Regulation respecting tourist accommodation establishments).

3.1 Type (choose one)*

Owner
Tenant

3.2 The owner or tenant is an*

Physical person
Corporation (company)

3.2a Corporation's Name*

The operator must own or rent the establishment (see s. 10.1(2) and s. 1 of the Regulation respecting tourist accommodation establishments).

3.2b NEQ Contain 10 digits start with 11, 22, 33 or 88*

Quebec enterprise number: http://www.registreentreprises.gouv.qc.ca

3.3 Number of tenants*

Indicate the number of tenants of the establishment.

3.3a Gender and full name of the tenant

Tenant 1 - Gender*

Tenant 1 - First Name and Last Name*

Tenant 2 - Gender*

Tenant 2 - First Name and Last Name*

Tenant 3 - Gender*

Tenant 3 - First Name and Last Name*

Tenant 4 - Gender*

Tenant 4 - First Name and Last Name*

Tenant 5 - Gender*

Tenant 5 - First Name and Last Name*

3.3 Number of owners*

Indicate the number of owners of the establishment.

3.3a Gender and full name of owners

Owner 1 - Gender*

Owner 1 - First Name and Last Name*

Owner 2 - Gender*

Owner 2 - First Name and Last Name*

Owner 3 - Gender*

Owner 3 - First Name and Last Name*

Owner 4 - Gender*

Owner 4 - First Name and Last Name*

Owner 5 - Gender*

Owner 5 - First Name and Last Name*

Address*

3.4 Address 3.4.1 Appartment, office or local 3.5 City 3.6 State / Province 3.7 Postal Code 3.8 Country

Address of the person (or company) operating the establishment.

3.9 Telephone (main)*

The operator's telephone numbers will not be published.

3.10 Telephone (other)

Other number for reaching the operator (cell, pager, office, etc.).

3.11 Fax

3.12 Operator's e-mail

3.13 Do you have a contract of mandate issued by the operator, authorizing you to submit this application for a classification certificate on his or her behalf?*

Yes
No

To be completed if a company is mandated and you have a mandate contract issued by the operator to complete this application for certification.

OPERATOR'S REPRESENTATIVE

3.14 AUTHORIZED AGENT INFORMATIONS

Private informations

3.15 Authorized agent informations is a*

Physical person
Corporation (company)

3.15a Name of mandatary*

Name of mandatary, i.e. the firm mandated by the operator to manage its CITQ file.

3.15b Coporation's name*

Name of mandatary, i.e. the firm mandated by the operator to manage its CITQ file.

3.15c NEQ Contain 10 digits start with 11, 22, 33 or 88*

Quebec enterprise number: http://www.registreentreprises.gouv.qc.ca

Address*

3.16 Address 3.16.1 Appartment, office or local 3.17 City 3.18 State / Province 3.19 Postal Code 3.20 Country

3.21 Telephone (main)*

3.22 Telephone (other)

3.23 Fax

3.24 E-mail agent

REPRESENTATIVE

Note that the CITQ allows only one physical person access to the file, by delegation of authority.

3.25 Name of representative*

Gender First name Last name

3.26 E-mail of representative*

3.27 Telephone of representative

3.28 Language of correspondence (check one)*

English
French

3.29 Mailing address (check one)*

Same as mandatary address
Same as operator address (see 3.4)
Same as the rental establishment address
Other adresse

3.29 Mailing address (check one)*

Same as operator address (see 3.4)
Same as the rental establishment address
Other adresse

Other adresse*

3.30 Address 3.31 Municipality 3.32 Province 3.33 Postal Code 3.34 Country

1. ESTABLISHMENT

2. CLASS / ACCOMODATION UNITS

3. OPERATOR

OPERATOR'S REPRESENTATIVE

3.14 AUTHORIZED AGENT INFORMATIONS

REPRESENTATIVE

4. Attach your documents