Registration Form
Producer
1 866 270-4319
1 866 473-4033 @
info@attestra.com Page 6 of 8
SAC-112(FOR)A
Attestra reserves all property rights. Full or partial reproduction, electronic transmission or by any other form or means, content
modification, use for commercial purposes or public release are prohibited without Attestra’s written consent.
Important Message
As manager of Quebec’s identification and traceability system, Attestra must, on behalf of MAPAQ, collect all the necessary
information for the identification and traceability system. This information is necessary to become registered with Attestra and to
open your file which will allow you to place your identifier orders, make your traceability declarations with regard to the Regulation
respecting the identification and traceability of certain animals (P-42), consult your animal inventory, etc.
Your personal information is important to Attestra. For this reason, Attestra wishes to inform you that the personal information
collected in the enrolment form will remain confidential, in accordance with the provisions of the Act respecting access to
documents held by public bodies and the protection of personal information.
Also, you are responsible for updating the information provided to Attestra.
You have the right to refuse to provide certain information. However, in such a case, your file cannot be opened.
Instructions for Filling Out the Registration Form
The following instructions provide more details on certain aspects of the registration form in order to assist you in filling it out.
Should you need additional information, we would invite you to contact Attestra’s Customer Service from Monday to Friday, from
8:30 a.m. to 12:00 p.m. and from 1:00 p.m. to 4:30 p.m., at the following number: 1 866 270-4319.
Part 1. Enterprise Information
1.1 Enterprise Information
Legal name: This is the name that has been legally registered with the Registraire des Entreprises for general partnerships,
limited partnerships, companies, cooperatives and associations. For an individual or a joint venture whose name does not appear
in the registry for enterprises, the last and first name of the individual or individuals who own the company must be entered.
For more information: www.registreentreprises.gouv.qc.ca/en
Legal status: In Quebec, any and all enterprises operate in a legal form. Please indicate your enterprise’s legal form.
For more information: Entreprises Québec (French only).
Quebec Enterprise Number (NEQ): The NEQ is a unique numerical identifier that is assigned to each enterprise registered in
the enterprise register. Only an individual and certain joint ventures are not required to appear in the enterprise registry.
For more information: www.registreentreprises.gouv.qc.ca/en
Mailing address for correspondence: You must enter the postal address where you wish to receive mail from Attestra.
E-mail address for correspondence: If it is possible to communicate with you by e-mail, enter your company’s main e-mail
address (the one you use most regularly). Please note that by giving your e-mail address, you authorize Attestra to communicate
with you by e-mail.
An e-mail address must contain a "@" character to be valid.