Application for Collector's License

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Personal information on this form is collected under Section 1.1 of the Collection Agencies Act, Regulations as it relates directly to and is necessary for an application to collect debt. If you have any questions about this collection of personal information you may contact the Consumer, Corporate and Financial Services, Prince Edward Island, 902-368-4550.

For example C1B 0X1 or 12345
For example 902-555-5555
For example 902-555-5555
For example 902-555-5555
Enter the four or five digit PEI Collection Agency License Number