Get 5981a 55 - Soci T De L'assurance Automobile Du Qu Bec

Filling out the 5981A 55 - Soci T De L'assurance Automobile Du Qu Bec form online can streamline the process of obtaining a driving record. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully complete the form online.

1. Press the ‘Get Form’ button to retrieve the 5981A 55 form and open it for editing.
2. In the 'Information on Applicant' section, enter the name of your company or agency, followed by the last name and first name of the individual authorized to act on behalf of the applicant. Provide the complete address, including the number, street, apartment, municipality or province, postal code, and telephone numbers with extensions.
3. In the 'Information on Intermediary' section, fill in the name of the company or agency acting as the intermediary, along with the authorized individual's last name and first name. Include their address, municipality or province, postal code.
4. Under 'Authorization of Licence Holder', enter the driver's licence number in all 13 spaces, as well as the last name and first name of the licence holder. Provide the date of birth in the specified format (year, month, and day), and include both home and work telephone numbers with extensions.
5. Ensure that the licence holder signs and dates the form. Remember, the authorization is valid for twelve months from the date of signature.
6. Review the completed form for any errors or omissions. Make sure no information has been altered, crossed out, or erased.
7. Once all sections are accurately completed, save your changes. You may download the form, print it for your records, or share it as needed.

Complete your 5981A 55 form online today for a seamless experience!