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 IndividualOrganization (Corporation, Trust, Partnership, or Association) [group client-type-individual] First Name * Middle Name Last Name * Email Address * Home Address * Street Address * Address line 2 City * State / Province / Region * ZIP / Postal Code * Country * Picture ID - Front (Max. file zie: 5MB) * Please upload a front copy of a valid government-issued ID. Example: Driver's License, BC Services Card, etc Picture ID - Back (Max. file zie: 5MB) * Please upload a back copy of a valid government-issued ID. Example: Driver's License, BC Services Card, etc Second ID - Front (Max. file zie: 5MB) * 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 (Max. file zie: 5MB) * 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 [/group] [group client-type-organization] Name of the organization * Do you have an incorporation number/BIN? YesNo [group has-bin-yes] incorporation number/BIN * [/group] Registered Records Office * Street Address * Address line 2 City * State / Province / Region * ZIP / Postal Code * Country * Contact Person's Name * First Name * Middle Name Last Name * Contact Person's Phone Number Are you a securities dealer? YesNo [group is-securities-dealer-no] Name, occupation, phone number, and email address of all the directors * [/group] 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 Authorized Signatory's Name * First Name * Middle Name Last Name * Authorized Signatory's Email Address * Position in the organization * Please upload authorized signatory's ID Picture ID - Front (Max. file zie: 5MB) * Please upload a front copy of a valid government-issued ID. Example: Driver's License, BC Services Card, etc Picture ID - Back (Max. file zie: 5MB) * Please upload a back copy of a valid government-issued ID. Example: Driver's License, BC Services Card, etc Cell Phone * Email Address for Accounts Payable * [/group] Are You In a Current Dispute? * YesNo [group current-dispute-yes] Opposing Party * Name of the individual/entity you are having an issue with [/group] [group current-dispute-no] Are you going into a business with an individual/entity YesNo [group business-with-individual-or-entity-yes] Name of the individual/entity * [/group] [/group] Please provide a brief description about the matter that you would like to discuss. * Documents/evidence (Max. file zie: 100MB) * 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 * 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. By using this form you agree with the storage and handling of your data by this website.
