Current Page 1 Page 2 Preview Personal information on this form is collected for the purpose of evaluating eligibility for Initiative Assistance under the legal authority of section 32(1) of the Freedom of Information and Protection of Privacy Act R.S.P.E.I. 1988, c.F-15.01. If you have any questions about the collection of this personal information, you may contact the Director of Employment Development Agency, 548 Main Street, Montague, P.E.I. Telephone: 902-838-0910. Identification Enter the primary contact and civic address for your business or organization in the fields below. Business/Organization Name Contact First Name Contact Last Name Address 1 Address 2 City, Town, or Community Province Postal Code For example C1B 0X1 or 12345 Country Telephone 1 For example 902-555-5555 Telephone 2 For example 902-555-5555 Fax Number For example 902-555-5555 Email Address Primary Contact Working Title Canada Revenue Agency (CRA) Business Number Workers Compensation Firm Number Is your mailing address different then your civic address? - Select -YesNo Mailing Address Address 1 Address 2 City, Town or Community Province Postal Code For example C1B 0X1 or 12345 Alternate Contact First Name Last Name Working Title Telephone Number For example 902-555-5555 Email Address