Current Page 1 Page 2 Page 3 Preview 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-15.01 as it relates directly to and is necessary for the administration of the PEI Employment Development Agency’s programs and will be used for determining program eligibility and maintaining program data for statistical purposes. If you have any questions about this collection of personal information, you may contact the Executive Director of the PEI Employment Development Agency, 548 Main Street, PO Box 1180, Montague, PE, C0A 1R0, Telephone 902-838-0910. Identification 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 Revenue Canada Payroll Number Workers Compensation Board Number Business Name Registry Number Are you interested in having an Employer account created for you on WorkPEI.ca on your behalf? WorkPEI is a one-stop employment website connecting local employers and job seekers in Prince Edward Island. - Select -YesNoAlready a member Is your mailing address different than your civic address? - Select -YesNo Mailing Address Address 1 Address 2 City, Town or Community Province Alternate Contact Contact First Name Contact Last Name Telephone Number For example: 902-555-5555 Email Address A copy will no longer be emailed. You will need to print a copy.