How to complete the Refund request form

The first four fields are common throughout the requests.

Name of Business
To avoid processing delays, enter the name exactly as registered under the Business Number.

Business Number (BN)
Requests cannot be processed without a valid 15-character BN.

Name of Authorized Requestor
If the requestor is not an authorized person for the BN, a request cannot be processed.

Requestor's Telephone Number
Include the area code. If you are outside North America, also include the country and/or city code. Use only numbers; do not use punctuation marks such as brackets or dashes. Only one number can be entered.

The fields below are specific to this type of request.

Amount to be refunded

Enter the amount to be refunded in dollars and cents only. For example, for $1,525.18, enter "1525.18" in the payment amount field. You have to use the decimal point for cents but do not use a comma to separate the thousands.

Reporting Period where the credit resides

Enter the reporting period end date where the credit currently resides in year/month/day format.

Note
A reporting period end, reporting period, filing year, period covered and taxation year end are terms that are used interchangeably.

Briefly explain your request

This space holds approximately 125 words. You may use this space to provide additional information, if necessary, that may assist us in processing your request.

Request this form