Application for a classification certificate form 1 STEP 12 STEP 23 STEP 34 STEP 45 STEP 5 Form creation date1. ESTABLISHMENTPublic informations.1.1 Name*The name that will appear on the certification sign. Make sure it respects the various rules and regulations relating to signs. Letters and numbers only. No special characters (Ex. $% # ❤)1.2 Address*Address of the establishment where the rental units are located or address of the location used to welcome or register guests (if the units are located nearby).1.2.1 Appartment, office or local1.3 City*1.3.1 Borough*1.4 Postal Code*1.5 Telephone (main) (for reservations)These numbers will be published. They are for taking reservations.1.6 Telephone other1.7 Toll-free number (by priority)Exemple : 888-555-55551.8 Fax1.9 Establishment E-mail 1.10 Website 2. CLASS / ACCOMODATION UNITS2.1 Choose a establishment category*Bed and breakfastEducational institutionHotel establishmentOther establishmentResortTourist homeYouth establishment* Establishment that offers hotel services such as daily housekeeping and reception on site.* Establishment offering, for an all-inclusive price, including breakfast served on the premises, accommodation in rooms in a private residence where the operator resides and rents a maximum of 5 rooms receiving a maximum of 15 persons.* Furnished apartment, house or cottage, rented in its entirety, to the same client or a group, including a complete kitchen and a bathroom. No separate room rental is possible.* Establishment that offers, for an all-inclusive price, accommodation, including food services or kitchen facilities, recreational or entertainment services, and recreational facilities and equipment. Must have a well-defined program of activities.* Establishment that offers accommodation in rooms, or in beds in one or more dormitories, including food services or kitchen facilities and full-time (24/24, 7/7) supervision.* Establishments that offer accommodation in an educational institution, governed by whichever Act, except if the accommodation units are rented to students of the institution only;* Tourist accommodation establishments that belong to none of the other classes.2.2 Number of accomodation unitsRoom(s)*Please enter a number from 0 to 500.Suite(s)*Please enter a number from 0 to 500.Apartment(s)*Please enter a number from 0 to 500.House(s)*Please enter a number from 0 to 500.Dormitory bed(s)*Please enter a number from 0 to 500.Cottage(s)*Please enter a number from 0 to 500.Site(s) to camp*Please enter a number from 0 to 500.Does the bedrooms are separated from the kitchen?*YesNoIs the establishment offered for rent your principale residence?*YesNoIs your rental establishment located in a divided co-ownership building?*YesNoA divided co-property is a dwelling independent of the others and that has its own unique cadastre number. 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)*OwnerTenant3.2 The owner or tenant is an*Physical personCorporation (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.ca3.3 Number of tenants*12345Indicate the number of tenants of the establishment.3.3a Gender and full name of the tenantName of the individual tenant.Tenant 1 - Gender*Mr.Mrs.MissTenant 1 - First Name and Last Name*Tenant 2 - Gender*Mr.Mrs.MissTenant 2 - First Name and Last Name*Tenant 3 - Gender*Mr.Mrs.MissTenant 3 - First Name and Last Name*Tenant 4 - Gender*Mr.Mrs.MissTenant 4 - First Name and Last Name*Tenant 5 - Gender*Mr.Mrs.MissTenant 5 - First Name and Last Name*3.3 Number of owners*12345Indicate the number of owners of the establishment.3.3a Gender and full name of ownersName of the individual owners.Owner 1 - Gender*Mr.Mrs.MissOwner 1 - First Name and Last Name*Owner 2 - Gender*Mr.Mrs.MissOwner 2 - First Name and Last Name*Owner 3 - Gender*Mr.Mrs.MissOwner 3 - First Name and Last Name*Owner 4 - Gender*Mr.Mrs.MissOwner 4 - First Name and Last Name*Owner 5 - Gender*MrMrs.MissOwner 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 AfghanistanAfrique du SudÄland IslandAlbanieAlgérieAndorreAngolaAnguillaAntarctiqueAntigua-et-BarbudaAntilles néerlandaisesArgentineArménieArubaAustraliaAutricheAzerbaïdjanBahamasBahreïnBangladeshBarbadeBélarusBelgiqueBelizeBéninBermudaBhoutanBolivieBosnie-HerzégovineBotswanaBouvet, ÎleBrésilBrunéi DarussalamBulgarieBurkina FasoBurundiCambodgeCamerounCanadaCap-VertCayman IslandCentrafricaine, RépubliqueChiliChineChristmas, ÎleChypreCocos (Keeling), ÎlesColombieComoresCongoCongo, République démocratique duCook, ÎlesCorée du NordCorée du SudCosta RicaCôte d’IvoireCroatieCubaDanemarkDeutschlandDjiboutiDominicaine, RépubliqueDominiqueÉgypteEl SalvadorÉquateurÉrythréeEspagneEstonieÉtat de la Cité du VaticanÉthiopieFalkland, Îles (Malvinas)Féroé, ÎlesFidjiFinlandeFranceGabonGambieGéorgieGéorgie du Sud et les Îles Sandwich du SudGhanaGibraltarGrèceGrenadeGroenlandGuadeloupeGuamGuatemalaGuerneseyGuinéeGuinée équatorialeGuinée-BissauGuyanaGuyane françaiseHaïtiHeard, Île et McDonald, ÎlesHondurasHong-KongHongrieÎle de ManÎles mineures éloignées des États-UnisÎles Vierges britanniquesÎles Vierges des États-UnisIndeIndonésieIranIraqIslandeIsraëlItalieJamaïqueJaponJerseyJordanieKazakhstanKenyaKingdom of Saudi ArabiaKirghizistanKiribatiKoweïtLaosLesothoLettonieLibanLibériaLibyeLiechtensteinLituanieLuxembourgMacaoMacédoineMadagascarMalawiMalaysiaMaldivesMaliMalteMariannes du Nord, ÎlesMarocMarshall, ÎlesMartiniqueMauriceMauritanieMayotteMexicoMicronésie, États fédérés deMoldovaMonacoMongolieMonténégroMontserratMozambiqueMyanmarNamibieNauruNederlandNépalNicaraguaNigerNigériaNiuéNorfolk, ÎleNorvègeNouvelle-CalédonieNouvelle-ZélandeOcéan Indien, Territoire britannique de l’OmanOugandaOuzbékistanPakistanPalaosPalestinien occupé, TerritoirePanamaPapouasie-Nouvelle-GuinéeParaguayPérouPhilippinesPitcairnPolognePolynésie françaisePorto RicoPortugalQatarRepublic of IrelandRéunionRoumanieRussie, Fédération deRwandaSahara occidentalSaint-BarthélemySainte-HélèneSainte-LucieSaint-Kitts-et-NevisSaint-MarinSaint-Martin (coté français)Saint-Pierre-et-MiquelonSaint-Vincent-et-les GrenadinesSalomon, ÎlesSamoaSamoa américainesSao Tomé-et-PrincipeSénégalSerbieSeychellesSierra LeoneSingaporeSlovaquieSlovénieSomalieSoudanSri LankaSuèdeSuisseSurinameSwazilandSyrieTadjikistanTaïwanTanzanie, République-Unie deTchadTchèque, RépubliqueTerres australes françaisesThaïlandeTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisieTurkménistanTurks et Caïques, ÎlesTurquieTuvaluUnited StatesUkraineUnited Arab EmiratesUnited KingdomUruguayVanuatuVenezuelaViêtnamWallis et FutunaYémenZambieZimbabwe 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 Fax3.12 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?*YesNoTo 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 REPRESENTATIVE3.14 AUTHORIZED AGENT INFORMATIONSPrivate informations3.15 Authorized agent informations is a*Physical personCorporation (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.caAddress* 3.16 Address 3.16.1 Appartment, office or local 3.17 City 3.18 State / Province 3.19 Postal Code 3.20 Country AfghanistanAfrique du SudÄland IslandAlbanieAlgérieAndorreAngolaAnguillaAntarctiqueAntigua-et-BarbudaAntilles néerlandaisesArgentineArménieArubaAustraliaAutricheAzerbaïdjanBahamasBahreïnBangladeshBarbadeBélarusBelgiqueBelizeBéninBermudaBhoutanBolivieBosnie-HerzégovineBotswanaBouvet, ÎleBrésilBrunéi DarussalamBulgarieBurkina FasoBurundiCambodgeCamerounCanadaCap-VertCayman IslandCentrafricaine, RépubliqueChiliChineChristmas, ÎleChypreCocos (Keeling), ÎlesColombieComoresCongoCongo, République démocratique duCook, ÎlesCorée du NordCorée du SudCosta RicaCôte d’IvoireCroatieCubaDanemarkDeutschlandDjiboutiDominicaine, RépubliqueDominiqueÉgypteEl SalvadorÉquateurÉrythréeEspagneEstonieÉtat de la Cité du VaticanÉthiopieFalkland, Îles (Malvinas)Féroé, ÎlesFidjiFinlandeFranceGabonGambieGéorgieGéorgie du Sud et les Îles Sandwich du SudGhanaGibraltarGrèceGrenadeGroenlandGuadeloupeGuamGuatemalaGuerneseyGuinéeGuinée équatorialeGuinée-BissauGuyanaGuyane françaiseHaïtiHeard, Île et McDonald, ÎlesHondurasHong-KongHongrieÎle de ManÎles mineures éloignées des États-UnisÎles Vierges britanniquesÎles Vierges des États-UnisIndeIndonésieIranIraqIslandeIsraëlItalieJamaïqueJaponJerseyJordanieKazakhstanKenyaKingdom of Saudi ArabiaKirghizistanKiribatiKoweïtLaosLesothoLettonieLibanLibériaLibyeLiechtensteinLituanieLuxembourgMacaoMacédoineMadagascarMalawiMalaysiaMaldivesMaliMalteMariannes du Nord, ÎlesMarocMarshall, ÎlesMartiniqueMauriceMauritanieMayotteMexicoMicronésie, États fédérés deMoldovaMonacoMongolieMonténégroMontserratMozambiqueMyanmarNamibieNauruNederlandNépalNicaraguaNigerNigériaNiuéNorfolk, ÎleNorvègeNouvelle-CalédonieNouvelle-ZélandeOcéan Indien, Territoire britannique de l’OmanOugandaOuzbékistanPakistanPalaosPalestinien occupé, TerritoirePanamaPapouasie-Nouvelle-GuinéeParaguayPérouPhilippinesPitcairnPolognePolynésie françaisePorto RicoPortugalQatarRepublic of IrelandRéunionRoumanieRussie, Fédération deRwandaSahara occidentalSaint-BarthélemySainte-HélèneSainte-LucieSaint-Kitts-et-NevisSaint-MarinSaint-Martin (coté français)Saint-Pierre-et-MiquelonSaint-Vincent-et-les GrenadinesSalomon, ÎlesSamoaSamoa américainesSao Tomé-et-PrincipeSénégalSerbieSeychellesSierra LeoneSingaporeSlovaquieSlovénieSomalieSoudanSri LankaSuèdeSuisseSurinameSwazilandSyrieTadjikistanTaïwanTanzanie, République-Unie deTchadTchèque, RépubliqueTerres australes françaisesThaïlandeTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisieTurkménistanTurks et Caïques, ÎlesTurquieTuvaluUnited StatesUkraineUnited Arab EmiratesUnited KingdomUruguayVanuatuVenezuelaViêtnamWallis et FutunaYémenZambieZimbabwe 3.21 Telephone (main)*3.22 Telephone (other)3.23 Fax3.24 E-mail agent REPRESENTATIVENote that the CITQ allows only one physical person access to the file, by delegation of authority.3.25 Name of representative* Mr.Mrs.Miss Gender First name Last name 3.26 E-mail of representative* 3.27 Telephone of representative3.28 Language of correspondence (check one)*EnglishFrench3.29 Mailing address (check one)*Same as mandatary addressSame as operator address (see 3.4)Same as the rental establishment addressOther adresse3.29 Mailing address (check one)*Same as operator address (see 3.4)Same as the rental establishment addressOther adresseOther adresse* 3.30 Address 3.31 Municipality 3.32 Province 3.33 Postal Code AfghanistanAfrique du SudÄland IslandAlbanieAlgérieAndorreAngolaAnguillaAntarctiqueAntigua-et-BarbudaAntilles néerlandaisesArgentineArménieArubaAustraliaAutricheAzerbaïdjanBahamasBahreïnBangladeshBarbadeBélarusBelgiqueBelizeBéninBermudaBhoutanBolivieBosnie-HerzégovineBotswanaBouvet, ÎleBrésilBrunéi DarussalamBulgarieBurkina FasoBurundiCambodgeCamerounCanadaCap-VertCayman IslandCentrafricaine, RépubliqueChiliChineChristmas, ÎleChypreCocos (Keeling), ÎlesColombieComoresCongoCongo, République démocratique duCook, ÎlesCorée du NordCorée du SudCosta RicaCôte d’IvoireCroatieCubaDanemarkDeutschlandDjiboutiDominicaine, RépubliqueDominiqueÉgypteEl SalvadorÉquateurÉrythréeEspagneEstonieÉtat de la Cité du VaticanÉthiopieFalkland, Îles (Malvinas)Féroé, ÎlesFidjiFinlandeFranceGabonGambieGéorgieGéorgie du Sud et les Îles Sandwich du SudGhanaGibraltarGrèceGrenadeGroenlandGuadeloupeGuamGuatemalaGuerneseyGuinéeGuinée équatorialeGuinée-BissauGuyanaGuyane françaiseHaïtiHeard, Île et McDonald, ÎlesHondurasHong-KongHongrieÎle de ManÎles mineures éloignées des États-UnisÎles Vierges britanniquesÎles Vierges des États-UnisIndeIndonésieIranIraqIslandeIsraëlItalieJamaïqueJaponJerseyJordanieKazakhstanKenyaKingdom of Saudi ArabiaKirghizistanKiribatiKoweïtLaosLesothoLettonieLibanLibériaLibyeLiechtensteinLituanieLuxembourgMacaoMacédoineMadagascarMalawiMalaysiaMaldivesMaliMalteMariannes du Nord, ÎlesMarocMarshall, ÎlesMartiniqueMauriceMauritanieMayotteMexicoMicronésie, États fédérés deMoldovaMonacoMongolieMonténégroMontserratMozambiqueMyanmarNamibieNauruNederlandNépalNicaraguaNigerNigériaNiuéNorfolk, ÎleNorvègeNouvelle-CalédonieNouvelle-ZélandeOcéan Indien, Territoire britannique de l’OmanOugandaOuzbékistanPakistanPalaosPalestinien occupé, TerritoirePanamaPapouasie-Nouvelle-GuinéeParaguayPérouPhilippinesPitcairnPolognePolynésie françaisePorto RicoPortugalQatarRepublic of IrelandRéunionRoumanieRussie, Fédération deRwandaSahara occidentalSaint-BarthélemySainte-HélèneSainte-LucieSaint-Kitts-et-NevisSaint-MarinSaint-Martin (coté français)Saint-Pierre-et-MiquelonSaint-Vincent-et-les GrenadinesSalomon, ÎlesSamoaSamoa américainesSao Tomé-et-PrincipeSénégalSerbieSeychellesSierra LeoneSingaporeSlovaquieSlovénieSomalieSoudanSri LankaSuèdeSuisseSurinameSwazilandSyrieTadjikistanTaïwanTanzanie, République-Unie deTchadTchèque, RépubliqueTerres australes françaisesThaïlandeTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisieTurkménistanTurks et Caïques, ÎlesTurquieTuvaluUnited StatesUkraineUnited Arab EmiratesUnited KingdomUruguayVanuatuVenezuelaViêtnamWallis et FutunaYémenZambieZimbabwe 3.34 Country 4. Attach your documentsMaximum 6 MB for each file in (.jpeg or pdf) formatThe name of your documents must not contain special characters (blank space, apostrophe, accents, punctuation, &, ', é, à, and so on.).Scanned copy (.jpeg or pdf) of the proof of civil liability insurance of $2,000,000 per event*Accepted file types: jpg, jpeg, pdf.Scanned copy (.jpeg or pdf) of the property title*Accepted file types: jpg, jpeg, pdf.Document certifying that the owner of a land holding (ex. building, land, etc.) is truly the owner. (bill of sale, municipal tax statement, etc.).Scanned copy (.jpeg or pdf) of the rental contract or lease*Accepted file types: jpg, jpeg, pdf.Scanned copy (.jpeg or pdf) of the owner’s authorization (see model below)Accepted file types: jpg, jpeg, pdf.Mandatory if the rental contract/lease contains no provision allowing for the operation of the establishment for purposes of tourist accommodation.Owner's Authorization Form ModelScanned copy (.jpeg or pdf) of the authorization of the association of co-owners or the declaration of co-owners (see model below)*Accepted file types: jpg, jpeg, pdf.Condominium Association Authorization Form Model 5.1 STARTING DATE OF OPERATION* Date Format: DD dash MM dash YYYY The date of beginning operations is the date on which you started or plan to start operating your establishment (rental of rooms, of your cottage, etc.).5.2 How did you hear about the CITQ?*Agency (Booking, Airbnb, etc.)InsurerSanction noticeWord of mouthInspection noticeOperator already an establishment at the CITQWebTraditional mediaOrganism (municipality, ATR, etc.)Inspection visitOtherSpecify*The opening form was completed by (First name and Las name):*A confirmation of the opening form will be sent to this email address:* Reference numberThank you for completing the form. You should receive an e-mail acknowledgement of receipt of your request within a few minutes. If you do not, please contact us at 1-866-499-0550.