Are you a new customer? *
What tax year are you filing for? *2020 2019 2018 2017 2016
Suivant
Family name
First name
Are you a person living alone? *Yes No
social Security number (NAS) *
Date of Birth *
GenderMale Female
Civil status *Married common-law partner Widower Divircated Separated Single
Do you have dependent children? *Yes No
Correspondence language *French English
Phone number *
Email *
Address *
Additional address
City *
Province *
Postal code
Country *
Do you have private drug insurance with your work? *
How many months were you insured in this tax year?
Who is the holder of private insurance at work?
Do you have a lease for your accommodation? *Yes No
How many people are in your deed of lease? *
Maximum RÉER eligible
What was your income last year?
How many jobs have you had in this tax year? *
Did you have any other employment income during this tax year? *Yes No
If yes, please indicate other sources of income
If you became a resident of Canada during the current tax year, indicate your date of entry into Canada:
If you ceased to be a resident of Canada during the current tax year, indicate your date of departure from Canada: Supporting documents – Principal
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Declaration of spouse
Please fill in all mandatory fields. Family name
First name
Are you a single person? *Yes No
Social insurance number (SIN) *
Date of birth *
GenderMale Female
Civil status *Married common-law partner Widower Divorced Separated Single
Do you have dependent children? *Yes No
Correspondence language *French English
Phone number *
Email *
Address *
Additional address
City *
Province *
Postal code
Country *
Do you have private drug insurance with your work? *Yes, Group insurance No, Quebec drug insurance
How many months were you insured in this tax year?
Who is the holder of private insurance at work?
Do you have a lease for your accommodation? *Yes No
How many people are in your deed of lease? *
Maximum eligible RRSPs
What was your income last year?
How many jobs have you had in this tax year? *
Did you have any other employment income during this tax year? *Yes No
If yes, please indicate other sources of income If you became a resident of Canada during the current tax year, indicate your date of entry into Canada:
If you ceased to be a resident of Canada during the current tax year, indicate your date of departure from Canada: Supporting documents – Spouse
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Dependent children
Family name
First name
Date of birth *
GenderMale Female
Family name
First name
Date of birth *
GenderMale Female
Family name
First name
Date of birth *
GenderMale Female
Family name
First name
Date of birth *
GenderMale Female
Family name
First name
Date of birth *
GenderMale Female
Family name
First name
Date of birth *
GenderMale Female
Family name
First name
Date of birth *
GenderMale Female
Family name
First name
Date of birth *
GenderMale Female Other supporting documents – Child (ren)
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I authorize Centre cga to prepare our tax file with the information I have provided. Centre cga is not responsible if I forget any leaflets or other items. If in doubt, please consult the checklist provided to guide you. When the file is finished by Groupecga we contact you.Yes Please enter your email address for communication Please enter your signature here (Write your name) * Précédent
