Application for RPP Bond

Please complete the application form below and a Surety Specialist will be in touch with you.

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Applicant Legal Name *

Please enter the legal name as it should appear on the bond.

Operating as (if applicable) *

Required only if the applicant is not a legal corporate entity.

Legal Names of Shareholders *

Business Number *

BN 15 digit number (including the RM designation)

Contact Name *

First

Last

Contact Phone Number *

Contact Email *

Address of Operations *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

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Canada Revenue Agency Taxation Branch Region *

• All CBSA Offices in Canada

Is the bond amount $50,000 or less and will the total of all open commercial bonds for this applicant (including this bond) be less than $100,000?

• Yes
• No

Has the applicant, or its shareholders, even been bankrupt or insolvent? *

• Yes
• No

Has any Surety ever declined to issue a bond for this applicant? *

• Yes
• No

Has the applicant (and shareholders if applicable) consented to the collection, use and disclosure of the information requested on this form by WSC for the purposes of risk assessment, providing services, investigating claims, processing claims and any other purpose authorized by law? *

• Yes
• No

Amount of Bond Requested *$5,000$10,000$15,000$20,000$25,000$30,000$35,000$40,000$45,000$50,000

Bond Term Requested *

• 1 Year – $250.00
• 2 Year – $450.00
• 3 Year – $600.00

Bond Term Requested *

• 1 Year – $500.00
• 2 Year – $750.00
• 3 Year – $1,000.00

Payment *

Submit