Bootcamp Clone of CRA Business Consent Authorization

Business Consent Authorization
Business Consent Authorization request - signature page
x Enable printing and EFILE of this authorization request
Select "EFILE the Business Consent" under the "EFILE" menu to file this authorization.
Instructions:
1. Print this page and have it signed and dated by the authorized person of the business.
2. Retain a copy of the signed and dated authorization request in your files for six years from the date that this information is transmitted to the Canada Revenue Agency (CRA). Do not send the authorization request to CRA by mail or fax unless requested to do so.
I authorize the representative mentioned below:
Individual Representative ID:
X Organization Firm BN: 731438883
Group Group ID:
Representative phone number: 1 (613) 480-5024 Ext:
To represent the following business:
Business Name:*
Business Number:
Level of Authorization: 02
Expiry date (Optional)

List of authorization(s) - If blank, the authorization is for all accounts.
Program Identifier Reference Number

Certification
By signing and dating this page, you authorize the Canada Revenue Agency to interact with the representative mentioned above.
Name
First NameLast Name
Signature
Clear
Date Signed
MonthDayYear
Date
Phone Number*
Please enter a valid phone number.
Should be Empty: