Presidential Building Maintenance

"*" indicates required fields

Please fill out the form below and submit it. This ensures that the office receives it as soon as possible.

Full Name:*

Date of Birth:*

Company Name:*

Business Number:

Trade:*

SIN:*

Address:*

Postal Code:*

City:*

Province:*

Email:*

Tel:

Cel:*

Hire Date:*

Person to be notified in case of emergency:*

Telephone:*

Relationship:*

Driver License Number:*

HST #:*

Are you registered with W.S.I.B?*

Yes

If you answered yes to the above question what is your W.S.I.B.#:

Bank:*

Transit Number:*

Account Number:*

Bank Account Type:*

Chequing

Savings

Information Declaration*

I declare that the information provided in this form to be accurate and true and I will notify my EMPLOYER of any changes immediately.

I Agree

Sub Contractor