third party letter of authorization - ontario · 2019-06-10 · third party letter of...

SR-LD-433E (2019/04) © Queen's Printer for Ontario, 2019 Disponible en français Page 1 of 2

Third Party Letter of Authorization

Instructions• If you are unable to visit a ServiceOntario Centre and are sending someone (third party) to complete transaction(s) on your

behalf, a Third Party Letter of Authorization (LOA) may be required. See section 2 for a list of transactions requiring a Third Party LOA.

• The original Third Party LOA must be presented to ServiceOntario. Faxes, emails or photocopies are not acceptable. Companies must use business letterhead and follow the same guidelines as outlined on this form.

• Form to be completed by vehicle/plate owner(s)/driver who requires the transaction to be processed. Form must be signed by all parties (i.e., vehicle/plate owner(s)/driver and third party).

• Complete in blue or black ink only. Whiteout is not permitted anywhere on the form. Place a single line through an error and have all parties initial beside.

• Third party must present identification that is acceptable, original, valid and includes full legal name, date of birth and signature. For a list of acceptable identification, visit the acceptable identity documents on the ServiceOntario website.

1. Driver or Vehicle/Plate Owner(s) Information (To be completed by driver or vehicle/plate owner(s))• Enter full legal name of driver or vehicle/plate owner(s) as it appears on driver’s licence / vehicle ownership / acceptable

identification document(s) (for a list of acceptable identification, visit the acceptable identity documents on the ServiceOntario website. If vehicle/plate jointly owned, both parties must complete.

• Enter address as it appears on driver's licence/ownership.• Enter driver's licence number or 9-digit registration identification number (RIN) that appears on front of ownership.

Last Name First Name Middle Initial

Driver or Vehicle/Plate Owner (2nd/Joint Owner if applicable)Last Name First Name Middle Initial

Unit Number Street Number Street Name PO Box

City/Town/Village Province Postal Code

Driver or Vehicle/Plate Owner

Driver's Licence Number or Registrant Identification Number (RIN)

For vehicle transactions, complete the following as found on your vehicle ownershipVehicle Identification Number (VIN) Licence Plate Number (if applicable)

Vehicle ModelVehicle Make Vehicle Year Vehicle Colour

2. Authorization (To be completed by driver or vehicle/plate owner(s))List of transactions requiring a Third Party LOA:• Renew driver's licence (if no photo or tests required, completed and signed Driver's Licence Renewal Application

(SR-LD-038) also required)• Reinstate driver's licence, obtain temporary driver's licence and receipt• Surrender suspended driver's licence• Pick-up enhanced driver's licence (EDL)• Renew Ontario photo card (if no photo required)• Change Ontario photo card address• Renew plates with insurance declaration (plate number, full name and address of registrant, Vehicle Licence (Plate)

Renewal Application (SR-LV-042) signed by plate owner or authorized third party and valid insurance card)• Renew plates with fines/fees (LOA only required if reminder letter/ownership/registrant signed renewal form not available)

www.ontario.ca/page/acceptable-identity-documentswww.ontario.ca/page/acceptable-identity-documentswww.ontario.ca/page/acceptable-identity-documents

SR-LD-433E (2019/04) Page 2 of 2

• Pay any and all fines/fees (407 Express Toll Route (ETR) tolls, parking fines, defaulted driver fines, reinstatement fees, demerit point interview fee, etc.) and obtain the receipt

• Transfer vehicle (seller/buyer signed ownership also required)• Original vehicle registration including new/used from out-of-province/out-of-country (seller/buyer signed ownership/titling

document also required, if applicable)• Vehicle data change ‒ colour change, weight change, 2nd temporary validation sticker, etc. (vehicle ownership also required)• Plate refund (LOA only required if refund/credit going to third party)• Replace ownership• Commercial Vehicle Operators Registration (CVOR) level 2 (if required by company, LOA must be original, on business

letterhead, dated within 30 days or specified period noted, signed by corporate officer and designated third party must be clearly listed).

to conduct the following transaction(s) on my/our behalf (write transactions using the above list of transactions):

I/We,

Authorization

Full Legal Name (as it appears on driver's licence / vehicle ownership / acceptable identification documents),

hereby authorizeFull Legal Name of Third Party (Last Name, First Name)

I understand this includes the signing of all required documentation (except signing of vehicle ownership as buyer or seller, or any document relating to a power of attorney) and any additional transactions required to enable the completion of the requested transaction(s).

3. Signatures (To be completed by driver or vehicle/plate owner(s) and third party)Print full legal name as it appears on driver’s licence / vehicle ownership / acceptable identification document(s) (for a list of acceptable identification, visit the acceptable identity documents on the ServiceOntario website. If vehicle/plate jointly owned, both parties must complete and sign.Driver or Vehicle/Plate OwnerLast Name First Name Middle Initial

Signature Date (yyyy/mm/dd)

Driver or Vehicle/Plate Owner (2nd/Joint Owner if applicable)Last Name First Name Middle Initial


Third PartyLast Name First Name Middle Initial


Information in this form is collected under the authority of the Highway Traffic Act. If you have any questions about the collection and use of your personal information collected on this form, please call the Operations Manager, ServiceOntario at 416-235-2999 or 1-800-387-3445 or write to the Supervisor, Ministry of Transportation, Licensing Administration and Support Office, 87 Sir William Hearst Ave, Toronto ON M3M 0B4. Direct general inquiries to ServiceOntario 416-235-2999 or 1-800-387-3445 or visit ServiceOntario.ca.

www.ontario.ca/page/acceptable-identity-documentshttps://www.ontario.ca/page/serviceontario

Third Party Letter of Authorization�Instructions�1. Driver or Vehicle/Plate Owner(s) Information�2. Authorization�3. Signature�

SR-LD-433E (2019/04) © Queen's Printer for Ontario, 2019

Disponible en français

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SR-LD-433E (2019/04)

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Instructions

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Instructions

• If you are unable to visit a ServiceOntario Centre and are sending someone (third party) to complete transaction(s) on your behalf, a Third Party Letter of Authorization (LOA) may be required. See section 2 for a list of transactions requiring a Third Party LOA.

• The original Third Party LOA must be presented to ServiceOntario. Faxes, emails or photocopies are not acceptable. Companies must use business letterhead and follow the same guidelines as outlined on this form.

• Form to be completed by vehicle/plate owner(s)/driver who requires the transaction to be processed. Form must be signed by all parties (i.e., vehicle/plate owner(s)/driver and third party).

• Complete in blue or black ink only. Whiteout is not permitted anywhere on the form. Place a single line through an error and have all parties initial beside.

• Third party must present identification that is acceptable, original, valid and includes full legal name, date of birth and signature. For a list of acceptable identification, visit the acceptable identity documents on the ServiceOntario website.

1. Driver or Vehicle/Plate Owner(s) Information

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1. Driver or Vehicle/Plate Owner(s) Information (To be completed by driver or vehicle/plate owner(s))

• Enter full legal name of driver or vehicle/plate owner(s) as it appears on driver’s licence / vehicle ownership / acceptable identification document(s) (for a list of acceptable identification, visit the acceptable identity documents on the ServiceOntario website. If vehicle/plate jointly owned, both parties must complete.

• Enter address as it appears on driver's licence/ownership.

• Enter driver's licence number or 9-digit registration identification number (RIN) that appears on front of ownership.

Driver or Vehicle/Plate Owner (2nd/Joint Owner if applicable)


For vehicle transactions, complete the following as found on your vehicle ownership

2. Authorization

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2. Authorization (To be completed by driver or vehicle/plate owner(s))

List of transactions requiring a Third Party LOA:

• Renew driver's licence (if no photo or tests required, completed and signed Driver's Licence Renewal Application (SR-LD-038) also required)

• Reinstate driver's licence, obtain temporary driver's licence and receipt

• Surrender suspended driver's licence

• Pick-up enhanced driver's licence (EDL)

• Renew Ontario photo card (if no photo required)

• Change Ontario photo card address

• Renew plates with insurance declaration (plate number, full name and address of registrant, Vehicle Licence (Plate) Renewal Application (SR-LV-042) signed by plate owner or authorized third party and valid insurance card)

• Renew plates with fines/fees (LOA only required if reminder letter/ownership/registrant signed renewal form not available)

• Pay any and all fines/fees (407 Express Toll Route (ETR) tolls, parking fines, defaulted driver fines, reinstatement fees, demerit point interview fee, etc.) and obtain the receipt

• Transfer vehicle (seller/buyer signed ownership also required)

• Original vehicle registration including new/used from out-of-province/out-of-country (seller/buyer signed ownership/titling document also required, if applicable)

• Vehicle data change ‒ colour change, weight change, 2nd temporary validation sticker, etc. (vehicle ownership also required)

• Plate refund (LOA only required if refund/credit going to third party)

• Replace ownership

• Commercial Vehicle Operators Registration (CVOR) level 2 (if required by company, LOA must be original, on business letterhead, dated within 30 days or specified period noted, signed by corporate officer and designated third party must be clearly listed).

I/We,

Authorization

,

hereby authorize

I understand this includes the signing of all required documentation (except signing of vehicle ownership as buyer or seller, or any document relating to a power of attorney) and any additional transactions required to enable the completion of the requested transaction(s).

3. Signature

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3. Signatures (To be completed by driver or vehicle/plate owner(s) and third party)

Print full legal name as it appears on driver’s licence / vehicle ownership / acceptable identification document(s) (for a list of acceptable identification, visit the acceptable identity documents on the ServiceOntario website. If vehicle/plate jointly owned, both parties must complete and sign.


Driver or Vehicle/Plate Owner (2nd/Joint Owner if applicable)

Third Party

Information in this form is collected under the authority of the Highway Traffic Act. If you have any questions about the collection and use of your personal information collected on this form, please call the Operations Manager, ServiceOntario at 416-235-2999 or 1-800-387-3445 or write to the Supervisor, Ministry of Transportation, Licensing Administration and Support Office, 87 Sir William Hearst Ave, Toronto ON M3M 0B4. Direct general inquiries to ServiceOntario 416-235-2999 or 1-800-387-3445 or visit ServiceOntario.ca.

8.0.1291.1.339988.308172

Laurie Fraser

Customer Care Division


ServiceOntario


Section 1. Address. Postal Code.Enter Postal Code in format: letter, digit, letter, digit, letter, digit.

Section 3. Driver or Vehicle or Plate Owner. Signature Date.Enter date in format: year: 4 digits, month: 2 digits, day: 2 digits. Or select date from the drop down calendar (press down arrow to open the calendar, use the arrow keys to navigate by keyboard)

Section 3. Driver or Vehicle or Plate Owner. 2nd or Joint Owner if applicable. Signature Date.Enter date in format: year: 4 digits, month: 2 digits, day: 2 digits. Or select date from the drop down calendar (press down arrow to open the calendar, use the arrow keys to navigate by keyboard)

Section 3. Third Party. Signature Date.Enter date in format: year: 4 digits, month: 2 digits, day: 2 digits. Or select date from the drop down calendar (press down arrow to open the calendar, use the arrow keys to navigate by keyboard)

CurrentPageNumber: NumberofPages: TextField1: initFld: Section 3. Third Party. Last Name : Section 3. Third Party. First Name : Section 3. Third Party. Middle Initial : Section 1. Driver or Vehicle or Plate Owner (2nd or Joint Owner if applicable). Last Name: Section 1. Driver or Vehicle or Plate Owner (2nd or Joint Owner if applicable). First Name: Section 1. Driver or Vehicle or Plate Owner (2nd or Joint Owner if applicable). Middle Initial.: Section 1. Address. Unit Number: Section 1. Address. Street Number : Section 1. Address. Street Name : Section 1. Address. Post Office Box.: Section 1. Address. City or Town or Village : Section 1. Address. Province : postalCode: Section 1. Driver's Licence Number or Registrant Identification Number (RIN) : Section 1. For vehicle transactions, complete the following as found on your vehicle ownership. Vehicle Identification Number (VIN): Section 1. For vehicle transactions, complete the following as found on your vehicle ownership. Licence Plate Number (if applicable): Section 1. For vehicle transactions, complete the following as found on your vehicle ownership. Vehicle Model : Section 1. For vehicle transactions, complete the following as found on your vehicle ownership. Vehicle Make: Section 1. For vehicle transactions, complete the following as found on your vehicle ownership. Vehicle Year: Section 1. For vehicle transactions, complete the following as found on your vehicle ownership. Vehicle Colour : Section 2. to conduct the following transaction(s) on my or our behalf (write transactions using the above list of transactions: Section 2. hereby authorize full legal name of third party (last name, first name) : Section 3. Third Party. Signature: date: Print: Reset:

third party letter of authorization - ontario · 2019-06-10 · third party letter of...

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