A-114 Demande Renouvellement de licence de pourvoyeur

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Tourist Outfitter's Licence

Applicant's Name

Name of Business

Applicant's Phone Number

Mailing Address

City/Town

State/Province

ZIP/Postal Code

Requested Area of Operation

Please include: place names, latitude/longitude and direction

Describe services to provide:

Type of activities

Outfitting Rates

Daily Rate $

Package Rate $

Persons who will be employed in connection with this licence

Name of Employee	Address	Position
Name of Employee	Address	Position
Name of Employee	Address	Position
Name of Employee	Address	Position
Name of Employee	Address	Position

INSURANCE REQUIREMENTS

Worker's Compensation Insurance

Yes

Worker’s Compensation Insurance is in effect, and a copy is enclosed

Liability Insurance

Yes

Copy of Proof of $2 Million Liabilty Insurance is enclosed

Estimated Value of Equipment

Equipment	Estimated Value
Equipment	$
Equipment	$
Equipment	$
Equipment	$
Equipment	$
Equipment	$

Transportation for clients, where required, has been arranged with

Accommodation for clients, where required, has been arranged with

My experience and/or expertise as an Outfitter and my knowledge of the area in which I intend to operate as an Outfitter is outlined as follows:

Payment of $

Fee, made payable to Government of Nunavut is enclosed.

($75 for residents or $225 for non-residents)

Documents

Unlimited number of files can be uploaded to this field.
100 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

Applicant Signature

Sign above

Date

RETURN THIS APPLICATION, SUPPORTING DOCUMENTS AND FEES TO THE COMMUNITY OPERATIONS OFFICE IN YOUR REGION
Community Operations North Baffin P.O. Box 389, Pond Inlet, NU X0A 0S0 (867) 899-7338 toll-free: (888) 899-7338 Fax: (867) 899-7348	Community Operations Kitikmeot P.O. Box 316, Kugluktuk, NU X0B 0E0 (867) 982-7453 toll-free: (888) 975-5999 Fax: (867) 982-3204
Community Operations South Baffin P.O. Box 612, Pangnirtung, NU X0A 0R0 (867) 473-2679 toll-free: (888)-975-5999 Fax: (867) 473-2663	Community Operations Kivalliq P.O. Bag 2, Rankin Inlet, NU X0C 0G0 (867) 645-8450 toll-free: (888) 975-5999 Fax: (867) 645-8455
email: @email	website: www.edt.gov.nu.ca

NOTE: The Outfitter Regulations published under the authority of the Travel and Tourism Act contain several sections which specifically direct the outfitter to comply with other Government Regulations published by the Government of Canada and the Government of Nunavut and listed in the Outfitter Regulations.

Outfitters Licences are not transferable.
*Outfitters must apply to Regional Inuit Associations for approvals to access Inuit-owned lands.

Étapes

Actuel Tourist Outfitter's Licence
Aperçu
Compléter

Email address

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