Client Identification

The Law Society of British Columbia requires us to obtain the following information from all of our clients. Please complete the applicable sections of this form, then sign and date it where indicated below.

Type of the client

Name of the organization*

Your Name*

First Middle Last

Do you have an incorporation number/BIN?

incorporation number/BIN*

Registered Records Office*

Street Address Address Line 2 City Province Postal Code

Contact Person's Name*

First Middle Last

Contact Person's Phone Number*

Are you a securities dealer?

A securities dealer means an individual or entity authorized under provincial legislation to engage in the business of dealing in securities or any other financial instruments or to provide portfolio management or investment advising services.

Name, occupation, phone number, and email address of all the directors*

Name, address, phone number, and occupation of shareholders with more than 25% interest in the organization*

General nature of the business*

Please describe the day-to-day activities of your organization

Email Address*

Authorized Signatory's Name*

First Middle Last

Authorized Signatory's Email Address*

Position in the organization*

Home Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please upload authorized signatory's ID

Picture ID - Front*

Please upload a front copy of a valid government-issued ID. Example: Driver's License, BC Services Card, etc

Picture ID - Back*

Please upload a back copy of a valid government-issued ID. Example: Driver's License, BC Services Card, etc

Second ID - Front*

Please upload a front copy of a valid Picture/Non-Picture ID showing your name. Example: Driver's License, BC Services Card, Credit Card, etc

Second ID - Back*

Please upload a back copy of a valid Picture/Non-Picture ID showing your name. Example: Driver's License, BC Services Card, Credit Card, etc

Home Phone

Cell Phone*

Occupation(s)*

Please be as detailed as possible

Business Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Business Phone Number

Email Address for Accounts Payable*

Are You In a Current Dispute?

Opposing Party*

Name of the individual/entity you are having an issue with

Are you going into a business with an individual/entity

Name of the individual/entity*

Please provide a brief description about the matter that you would like to discuss.*

Documents/evidence

Drop files here or

If you have any documents/evidence/statements, etc please upload them here. You can upload as many files as you need to however there is a limit of 8MBs/file.

Dated*

Today's Date

Signature*

To certify this form please provide an electronic signature using your mouse/touchscreen

After you submit your information, we will perform a conflict search and if there is no conflict someone from our office will contact you to schedule and an appointment with a lawyer at our firm.

Client Identification