Voluntary Disclosure Program Application Form

Current Section 1 – Contractor and Authorized Representative
Section 2 – Application Criteria
Section 3 – Terms and Conditions
Section 4 – Contractor Declaration and Signature
Complete

Our Voluntary Disclosure Program (VDP) enables contractors to assess their own compliance and comply with the regulations without incurring penalties that would have resulted had they not voluntarily stepped forward. As well, participation in the program keeps the contractors enforcement history off of the public registry, which helps preserve their reputation.

Find out more information about our Voluntary Disclosure Program.

Complete the Voluntary Disclosure Program application form below to be considered for entry into the program.

* indicates required field.

Date of Application

Applicant Details

Name of Business

Name Doing Business As

Contractor Licence

Certificate of Qualification Number (if applicable)

Technology

Primary Contact

First Name

Middle Initial

Last Name

Position Title

Phone Number (office)

Phone Number (cell)

Primary Email

Confirm your email address

Business Address

Address

Address 2

City/Town

Province

Postal Code

Is you mailing address different from your business address?

Yes

Mailing Address