CONP12621 – Licence Application – Applicant Information

Jurisdiction: Country: Canada | Province or State: Alberta

What is a CONP12621 – Licence Application – Applicant Information?

This form captures who you are and what you want to license. It is the “applicant information” part of a broader licence application package. Authorities use it to verify identity, confirm business details, and assess eligibility. You complete it when you seek a licence to run a business or a regulated activity in Alberta.

You use this form when you apply for a new licence, renew an existing one, or change key details. It collects information about your legal structure, location, and operations. It also records your consent for verification checks. Without this information, the licensing authority cannot process your application.

Who typically uses this form?

Business owners, directors, partners, and authorized agents. Sole proprietors use it to identify themselves and their trade name. Corporations use it to list their legal name, registration details, and directors. Partnerships list partners and ownership percentages. Non-profits confirm their status and board contacts. You may also use the form as a property manager or consultant authorized to act for a client.

You would need this form when you want to operate legally and avoid enforcement action. Alberta requires licences for many activities. This includes storefronts, home-based businesses, mobile vendors, contractors, and regulated trades. If your activity affects public safety, health, or consumer protection, a licence is likely required. This form helps the authority assess those risks and set conditions.

Typical usage scenarios

• You are opening a new shop or office.
• You may also be moving locations, adding a second site, or changing a legal name.
• You may be expanding services and need an additional licence category.
• You might be renewing a licence before it expires.
• If you acquired a business, this form supports a transfer or change of ownership.
• If your licence lapsed, you may use the form to reinstate it.
• Event operators often use it for temporary or seasonal licences.

The form also covers detailed contact information. It identifies who the authority should contact for inspections or questions. It captures your preferred mailing and email addresses. It notes whether you are the owner of the premises or a tenant. It records landlord consent if needed.

Finally, the form often includes a declaration. You confirm that the information is accurate and complete. You agree to comply with licence conditions. You consent to checks of public records and other verification steps. That declaration is key to getting your licence issued.

When Would You Use a CONP12621 – Licence Application – Applicant Information?

Use this form when you start a business in Alberta that requires a licence. You may be launching a retail shop, a restaurant, a personal services studio, or a mobile service. You may be a contractor who needs a licence to bid or work in a region. Many municipalities and provincial programs require a licence before you open your doors or advertise.

Use it when you change your business structure. For example, you move from a sole proprietorship to a corporation. The authority must update its records and reissue licences accordingly. The same applies if you merge with another company or add partners.

Use it when you change locations. A licence often ties to a specific address. Moving even within the same city can trigger a review. Zoning and building uses differ. The authority will assess your new site for suitability and safety. This form provides the details they need to do that.

Use it when you add a new business activity. For example, a retail shop starts offering personal services. A restaurant adds patio seating or live entertainment. A contractor expands into a new trade. Each new activity may require a licence amendment. The form helps the authority evaluate the change.

Use it when you renew before expiry. Renewal keeps your licence active and avoids penalties. Renewal may be streamlined, but you still confirm key details. You may need to update contacts, insurance, or workers’ coverage.

Use it when you acquire an existing business. Licences do not always transfer automatically. The authority needs to review the new owner’s details. This protects consumers and ensures accountability. You complete this form to record new ownership and responsible persons.

Typical users include owners, directors, and partners. Tenants often complete it when they operate a business on leased premises. Landlords may need to confirm consent for the use. Authorized representatives often complete it for clients. That includes lawyers, accountants, bookkeepers, and licensing consultants. Non-profit administrators use it when they run programs that require licensing.

Legal Characteristics of the CONP12621 – Licence Application – Applicant Information

This form is part of a regulated licensing process. When you sign the declaration, you make legal statements. You confirm that the information is true and complete. You acknowledge that giving false or misleading information can lead to refusal, suspension, or prosecution. Your signature binds the applicant entity. If you sign for a corporation, you must have proper authority.

What ensures enforceability?

The form is enforceable because it sits under enabling legislation and bylaws. Those rules grant the authority power to license and inspect. They allow the authority to set conditions and suspend licences when needed. Your signed consent supports verification steps, including background checks. Your consent also supports information-sharing as permitted by privacy law.

Privacy law governs the collection and use of your personal information. The form should state the legal authority for collection and how your data is used. It should explain who to contact about privacy questions. Read that section carefully. It tells you how long your information may be kept and how you can request access.

If you operate a business with workers, you may need workers’ compensation coverage. If requested, you must provide your account number and a clearance letter. Failure to maintain coverage can affect your licence. Public liability insurance is often required. The form may ask for your insurer, policy limits, and expiry date. You must update records when policies change. Operating without required insurance risks enforcement action.

Many licences require you to meet zoning and building rules. A development permit or change-of-use review may be needed. The form will ask about your premises and the business activities. You must disclose whether construction or alterations are planned. Misstating the use of space can lead to immediate suspension.

Some industries require background screening. You may be asked about past licence suspensions, bankruptcies, or convictions. Provide truthful, complete answers. Omissions can be worse than disclosures. The authority will consider context and rehabilitation. A false statement can bar you from licensing.

Fees are usually non-refundable once processing begins. The fee schedule sets the amount. Fees may be prorated based on the time of year or scope of activity. Make sure you understand the total cost. Include per-vehicle or per-location fees if they apply.

Finally, licence conditions continue after approval. You must notify the authority of changes. This includes ownership changes, location moves, and material changes in operations. Many licences require you to display the licence on site. Inspections may occur without notice. Keep your documents ready for review.

How to Fill Out a CONP12621 – Licence Application – Applicant Information

Follow these steps. Prepare documents as you go. Answer every question accurately. If a field does not apply, write “N/A.”

1) Confirm the licence you need.

• Identify the exact licence type and category. Some activities require multiple licences.
• Check if your location allows the proposed use.
• If you plan a home-based business, confirm any restrictions.

2) Gather your identification and business documents.

• Individuals: Government photo ID and proof of address.
• Corporations: Legal name, incorporation number, jurisdiction, and date of incorporation.
• Partnerships: Partnership agreement or registration record.
• Non-profits: Incorporation or registration details and board authorization.
• All applicants: Trade name registration if you use one. Business number if assigned.

3) Identify the applicant type.

• Tick Individual, Corporation, Partnership, or Non-profit.
• If you act as an agent, tick Authorized Representative and attach an authorization letter.
• Make sure the letter states your authority to bind the applicant.

4) Enter legal name and trade name.

• Use the exact legal name from your registration.
• Enter the trade name you will use with customers.
• Keep spellings consistent across all documents.

5) Provide corporate and registration details.

• List the incorporation or registration number.
• State the jurisdiction of registration.
• Provide any extra-provincial registration details if applicable.
• Enter the date of formation or incorporation.

6) Provide applicant contact information.

• Enter your mailing address and the physical address for the business.
• Provide a main phone number and email monitored during business hours.
• Identify a primary contact person with direct phone and email.

7) Describe your business activities.

• Use clear, plain descriptions of what you will do.
• List all relevant activities under the licence type.
• Include service methods, such as mobile, storefront, or online.
• Provide your planned start date.

8) Provide location and property information.

• State whether you own or lease the premises.
• If you lease, include landlord name and contact details.
• Enter the civic address, unit number, and postal code.
• Describe prior use of the space and any changes you plan.
• Note floor area, seating, occupant load, or equipment, if asked.

9) Confirm zoning and permits.

• Indicate whether you obtained planning or development approvals when required.
• Disclose planned construction, renovations, or signage.
• If you need inspections, expect follow-up before licensing.

10) List owners, directors, and partners.

• Provide full legal names, positions, and percentage of ownership.
• Include residential addresses and contact details for each person.
• If asked, include dates of birth for identification checks.
• Attach a separate schedule if you have more names than the form allows.

11) Answer background and compliance questions.

• Disclose prior licence suspensions, cancellations, or refusals.
• Disclose pending charges or convictions as requested by the form.
• Disclose past bankruptcies or insolvency events affecting the business.
• Explain any “Yes” answers in the space provided or on an attached sheet.

12) Provide workers’ compensation information if applicable.

• Enter your account number if you have workers.
• Attach a clearance letter if requested.
• If you have no workers, state that plainly.

13) Provide insurance details.

• Enter insurer name, policy number, and expiry date.
• Confirm the coverage amount and scope required for your activity.
• Attach a certificate of insurance naming the licensing authority if required.

14) Provide industry certifications if required.

• Attach certifications, course completions, or safety plans for your industry.
• Confirm food safety, equipment approvals, or operator permits as needed.
• Include calibration or inspection records for specialized equipment if asked.

15) Provide vehicle information if relevant.

• List each vehicle’s make, model, year, and plate.
• Attach proof of insurance for each unit if required.
• Use a separate schedule for fleets.

16) Calculate fees.

• Identify the base fee and any surcharges.
• Include per-employee, per-vehicle, or per-location amounts if applicable.
• Confirm whether fees are prorated.
• Prepare payment by approved method.

17) Review privacy and consent language.

• Read how your information will be collected and used.
• Confirm you consent to verification checks.
• Note the contact for privacy questions.

18) Sign the declaration.

• The signatory must have authority to bind the applicant.
• Print name and title clearly and add the date.
• If a witness is required, arrange for that before submission.
• For electronic submission, follow the digital signature instructions.

19) Attach supporting documents.

• Authorization letter for agents, if used.
• Proof of identity for individuals.
• Corporate registry documents.
• Trade name registration confirmation.
• Insurance certificate and workers’ compensation clearance, if applicable.
• Floor plan, site plan, or photos if required.
• Any approvals or permits mentioned earlier.
• Schedules listing additional owners, vehicles, or locations.

20) Final review and submission.

• Check all names, addresses, and numbers for accuracy.
• Ensure attachments match the information in the form.
• Confirm every required field is complete.
• Submit online, by mail, or in person, as allowed by the process.
• Keep copies of the form and all attachments.

Practical examples

• If you run a home-based consulting business, state that you meet home-based rules. Confirm no client visits if that is required.
• If you open a shop, list merchandise, floor area, fitting rooms, and storage.
• If you operate a food service, include seating counts, equipment, and hours.
• If you are a contractor, list the trade, typical project types, and whether you use subcontractors.
• If vehicles form part of your service, list them.

Common mistakes to avoid

• Using a trade name as the legal name.
• Missing or outdated insurance certificates.
• Leaving ownership percentages blank.
• Listing a mailing address as the business location.
• Omitting the unit number for multi-tenant buildings.
• Forgetting landlord consent when required.
• Skipping explanations for “Yes” answers in background questions.
• Signing without proper authority.

If your information changes before approval, update the authority immediately. If you expand your activity after licensing, seek an amendment first. If you close or relocate, notify them within the required timeframe. Keep your licence posted or readily available as required. Maintain records that support inspections and renewals.

Turnaround times vary. Inspections and background checks can extend processing. Respond quickly to requests for clarification. Provide documents in the format requested. Clear, complete applications move faster.

If your application is refused, you may have options. Ask about reasons and whether you can correct deficiencies. You may be able to appeal or reapply with added information. Keep a respectful, solution-focused approach. It improves outcomes and preserves your timeline.

This form is straightforward when you prepare. Gather the right documents. Answer clearly and completely. Sign with authority. Submit and track your application. That keeps your licensing process on schedule and compliant.

Legal Terms You Might Encounter

• Applicant means the person or organization requesting the licence. On the CONP12621 – Licence Application – Applicant Information, you must name the applicant exactly as registered. If you are a business, use the full legal name, not the trade name.
• Authorized representative is the person allowed to act for the applicant. If you complete the form for someone else, you are the authorized representative. The form may ask for your name, position, and contact information, and you may need proof of authority.
• Legal name is the name recorded in official registries or on government ID. For a company, it includes the legal ending if applicable. For a person, it matches government ID. Use the legal name on the form, even if your brand uses a different public name.
• Trade name is the name the business uses with the public that differs from the legal name. If you operate under a trade name, the form may ask for both the legal name and the trade name. Do not swap them. The licence attaches to the legal entity.
• Registered address is the official address on file for a company or the residential address for an individual. Many forms refuse a PO Box for the physical address. If the form asks for both a mailing and a physical address, provide both.
• Corporate structure means how your business is organized, such as corporation, partnership, or sole proprietorship. The CONP12621 – Licence Application – Applicant Information may ask for all owners, directors, or partners. List everyone required, not only major owners.
• Business number or licence number refers to assigned identifiers. If you have prior numbers, list them. If you apply for your first licence, leave “not applicable” if allowed. Do not invent placeholder numbers.
• Consent is your formal permission for collection and use of your information. The form may include a privacy or consent clause. Read it and sign only if you agree. Your consent often allows verification of your information with other bodies.
• Disclosure means information you must reveal about history or status. Examples include prior licences, suspensions, or criminal matters related to your licence category. Answer every disclosure question truthfully. If a question does not apply, say so as directed by the form.
• Declaration and certification is the final statement you sign. Your signature confirms that the information is true and complete. On the CONP12621 – Licence Application – Applicant Information, this is binding. False statements can lead to denial or later revocation.
• Effective date is when a licence becomes active. The form may ask when you want the licence to start. If you name a future date, ensure your coverage or operating plans align.
• Supporting documentation includes documents you attach to verify what you claim. Examples include ID, corporate registration, trade name registration, or letters of authorization. If the form lists required attachments, include them with the correct dates and signatures.
• Background check may be required for some licence types. If the package asks for a check, follow the instructions precisely. If asked on the CONP12621 – Licence Application – Applicant Information, confirm whether you previously submitted one or must submit a new one.
• Contact person is the person who will receive questions about your application. This might be you or another team member. Ensure they are reachable and know the file. Add an alternate contact if the form allows it.
• Renewal refers to extending an existing licence before it expires. The CONP12621 – Licence Application – Applicant Information can be used for initial application and may also support updates when you renew. Keep your saved answers to speed up renewal.

FAQs

Do you need to fill out every field on the CONP12621 – Licence Application – Applicant Information?

Yes, complete every required field. If a field does not apply, use “not applicable” only where the form allows it. Leaving blanks can delay review. Use the notes section if you need to explain an unusual situation.

Do you list the legal name or the trade name on this form?

List the legal name where it asks for “legal name.” If the form asks for a trade name, list that in its own field. If you are unsure, check your corporate registration or government ID. The licence ties to the legal name, not the brand.

Do you have to provide a physical address even if you use a PO Box?

Usually yes. Many forms require a physical address for service and a separate mailing address. If you operate from home, use your residential address. If the form rejects a PO Box for physical address, provide a street address.

Do you need to attach ID or corporate documents with the Applicant Information section?

Attach documents only if the form or checklist asks. Common requests include government-issued ID, corporate registration, trade name registration, or a letter of authorization. Do not send originals unless the instructions say to. Use clear copies.

Do you need to list all owners, partners, or directors?

List everyone the form requires. If it asks for all owners or directors, include them all, not only majority owners. Provide full names, positions, and contact info as requested. Missing people triggers follow-up or rejection.

Do you have to disclose prior licence refusals or discipline?

If asked, yes. Answer disclosure questions completely. Include dates, reasons, and outcomes if requested. If you are unsure whether something counts, add a brief context in the notes. Omitting material facts can be treated as misrepresentation.

Do you need to sign in ink or can you sign electronically?

Follow the signature instructions in your application package. Some accept digital signatures; others require ink. If wet ink is required, print, sign, and date in blue or black ink. Use the exact legal name that matches the applicant.

Do you need to update the form if your details change after submission?

Yes. You must keep your Applicant Information current. If any item changes, such as address, directors, or contact details, notify the licensing office as directed in your package. Timely updates reduce risk of non-compliance or missed notices.

Checklist: Before, During, and After the CONP12621 – Licence Application – Applicant Information

Before you complete or sign

• Confirm the applicant type: individual, corporation, partnership, or other.
• Legal name of the applicant exactly as registered.
• Trade name, if used, and proof of registration if required.
• Physical address and separate mailing address, if different.
• Primary contact name, title, phone, and email.
• Alternate contact, if allowed, for continuity.
• Date of birth (individual) or incorporation/formation date (entity), if requested.
• Government-issued ID details for individuals, if requested.
• Corporate registration or formation documents, if requested.
• Business numbers or registry identifiers, if requested.
• List of owners, partners, or directors with full names and positions.
• Letter of authorization if an agent or consultant signs for the applicant.
• Any prior licence numbers, approvals, or related references.
• Disclosure details: prior refusals, suspensions, or relevant proceedings.
• Supporting documents: copies are clear, current, and complete.
• Any required background check or insurance proof, if applicable to your licence class.
• The requested effective date and reason for any rush, if applicable.

During completion and signing

• Names: match legal documents and ID. Include legal endings for companies.
• Addresses: provide a physical address if required; avoid PO Boxes unless allowed.
• Contact details: confirm phone and email are active and monitored.
• Ownership and control: list all required individuals and roles.
• Disclosure responses: answer yes/no as asked; add brief explanations if needed.
• Dates: use the correct format. Avoid missing or future dates in declarations.
• Attachments: insert all required documents in the order requested.
• Consents and privacy: read, understand, and check the correct boxes.
• Signature block: confirm the signing authority matches the applicant type.
• Ink or e-sign: follow the package instruction exactly.
• Initial where required: some forms require initials on key pages.
• Page count: confirm you included every page, including schedules and addenda.

After completion and signing

• Make a complete copy of the entire package for your records.
• Label the file with applicant name and submission date.
• Submit the form by the method listed: online, mail, or in person.
• If mailing, use a trackable service and keep the receipt.
• If online, save the confirmation page or submission ID.
• Calendar expected processing timelines from your package.
• Assign one contact to watch for follow-up requests.
• Set reminders to update any pending items, such as background checks.
• Store the final signed form and attachments in a secure folder.
• Update your internal compliance checklist with the submission date.

Common Mistakes to Avoid

Using a trade name instead of the legal name

• Consequence: Processing delays or denial. The licence attaches to the legal entity. Don’t forget to include the legal ending if applicable.

Leaving out owners, partners, or directors

• Consequence: Follow-up requests or non-compliance findings. List everyone the form requires. Don’t assume minority owners can be omitted.

Providing a PO Box where a physical address is required

• Consequence: Returned or stalled applications. Add both addresses if needed. Don’t skip the physical location line.

Missing or unauthorized signature

• Consequence: The application is invalid. Ensure the right person signs for the applicant type. Don’t delegate signing without proof of authority.

Unreadable or outdated attachments

• Consequence: The reviewer cannot verify identity or status. Provide clear, current copies. Don’t submit expired IDs or cut-off scans.

What to Do After Filling Out the Form

• File the CONP12621 – Licence Application – Applicant Information using the method stated in your package. If multiple methods are listed, choose the one you can track. Keep proof of submission.
• Monitor your email and phone for any follow-up. Respond to information requests by the deadline given. Use the same contact person listed on the form to avoid confusion.
• If you spot an error after submission, prepare a short correction letter. Include the applicant name, date of submission, and the corrected details. Submit the correction using the same channel, unless the package instructs otherwise.
• If any applicant details change, notify the licensing office promptly. Changes include address, ownership, directors, or contact details. Use the Applicant Information section format to keep details consistent.
• When you receive confirmation, store it with your copy of the form. Save digital and paper versions. Label them with the licence name and the effective date.
• Share the final Applicant Information with the people who need it:
  • Internal compliance or legal team.
  • Operations or site managers who may be inspected.
  • Finance team if fees or renewals use this data.
  • Your authorized representative, if different from the applicant.
• Set a reminder for renewal if your licence has an expiry. Keep a clean copy of this form to speed up the next filing. Update the saved version when any fact changes, so you are always ready to submit.
• If your application is refused, read the reasons carefully. Fix the issues before reapplying. If the form allows a reconsideration or appeal within a specific window, follow the instructions in your package.
• If your application is approved with conditions, track each condition. Assign owners and due dates. Update the Applicant Information if a condition requires it.
• Finally, schedule a quick internal audit 30 days after filing. Confirm the details on the form still match reality. If something drifted, file an update right away.