This HTML document is not an application form. Its purpose is to display the information as found on the form for viewing purposes only.
PDF forms
If you have problems opening a PDF form in your Internet browser, you need to:
- Use your computer. The forms may not open on mobile devices (iPads, tablets, mobile phones).
- Make sure you have Adobe Reader 11 (or higher) already installed on your computer. If not, download Adobe Reader 11 or higher for free. Adobe has help for solving common issues.
- You must save the file on your computer in a place you can remember.
- Open the file on your computer using Adobe Reader 11 or higher.
- If you can't open the form with Adobe Reader 11 or higher, contact the program.
How to download and open a PDF form
-
Microsoft Windows Operating System computers using "Internet Explorer" or "Microsoft Edge" as your browser
- Right-click on the link you want to save
- Select "Save target as" or "Save link as"
- Choose the location on your computer where you would like to save the file
- Select "Save"
- Open Adobe Reader 11 or higher
- Select "File"
- Select "Open"
- Go to the location where you saved the file
- Select the PDF file
- Select "Open"
-
Microsoft Windows Operating System or Apple computers using "Chrome" or Firefox" as your browser
- Right-click on the link you want to save
- When the option menu appears, choose "Download link file" or "Download link file as"
- Choose the location on your computer where you would like to save the file. Your computer will start the download once you have selected a location.
- Open Adobe Reader 11 or higher
- Go to the location where you saved the file
- Select the PDF file
- Select "Open"
2024 AgriStability Interim Application Schedule 1 – Additional Information (PDF Version, 166 KB)
If you wish to submit an application form, please use the PDF version. If you cannot access the PDF version or require printed copies of this publication, please contact us at 1-866-367-8506.
- If you answered "Yes" to question 1a on the Interim application, complete all sections a, b, c.
- If you answered "Yes" to question 1b on the Interim application, only complete the sections that have changed from your last application.
The Privacy Act protects information you give on this form which is kept in personal information bank number AAFC PPU 183. Details of the collection, use, disclosure, and retention of personal information are described in the Personal Information Bank, the Net Income Stabilization Account (NISA), AAFC PPU 183.
Participant identification number (PIN):
a) Participant identification
- Name (individual or entity)
- Address:
- City/Town:
- Province/Territory:
- Postal code:
- Telephone number:
- Fax number:
- Email address:
- Social insurance number (SIN):
- Business number:
- Trust number:
b) Contact person information
If you would like someone else to provide additional information on your behalf, provide all details in this section.
- Name (individual):
- Business name:
- Address:
- City/Town:
- Province/Territory:
- Postal Code:
- Telephone:
- Fax number:
By providing a contact person's name, you are authorizing the AgriStability Administration to receive information from and to disclose information to the contact person, and to make changes to your applications as directed by the contact person.
c) Business structure
- Fiscal period from (Year/Month/Day) to Fiscal period end: (Year/Month/Day):
- Main farmstead location:
- Province/Territory:
- District/County/Municipality number:
- District/County/Municipality name:
- Farm type:
- individual
- corporation
- limited partnership
- communal organization
- co-operative
- trust
- member of a partnership
- Status Indian farming on a reserve
- Band farm
Band number:
d) Change to business structure
Please identify how your business structure has changed:
- incorporated
- formed a partnership
- changed your fiscal year-end
- changed your method of accounting
- other (please provide details)