Licence Renewal for Handler of a Regulated Substance

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Personal information on this form is collected under section 31(c) of the Freedom of Information and Protection of Privacy Act R.S.P.E.I. 1988, c. F-15.0.1 as it relates directly to and is necessary for the processing of the renewal application. If you have any questions about this collection of personal information, you may contact the Chief Boiler Inspector at 31 Gordon Drive, Charlottetown, PE, C1A 7N8 or by telephone at: 902-368-5567.

Identification
For example C1B 0X1 or 12345
For example 902-555-5555
Contact Information
For example: 902-555-5555