Initial Contact Information
Lobbyists Registration - Office of the Ethics Commissioner of Alberta, Canada
Initial Contact Information
Designated Filer Contact Information (for internal use only)
This information will be used by the Lobbyists Registry ("LR") to establish a contact database entry for the Lobbyist or Senior Officer for your company. This contact information will be included on all subsequent registrations posted to the public registry EXCEPT the email address which is used for internal purposes only.

...indicates required fields.

Designated Filer Information

This field defines what type of Lobbyist you are.

For more information on determining your lobbyist type, please click on the question mark icon to open the section in the act on Lobbyists Types.  Lobbyist Type:   Consultant Organization

Are you the senior officer in your organization or are you a small firm and the only Lobbyist?
For more information click on ? icon to open the Act  Is the designated filer named below:
a) the senior officer of an organization who occupies the highest ranking position in that organization and receives payment for the performance of his or her functions?
b) if there is no senior officer, the consultant lobbyist?
a) the senior officer of an organization who occupies the highest ranking position in that organization and receives payment for the performance of his or her functions?
b) if there is no senior officer, the organization lobbyist?




First Name:
Middle
Initial:

Last Name:







Telephone:
Ext:





(not available to the public) eg. 123-456-7890
FAX:

Email (not available to the public):




Mailing Address of Designated Filer


Address1:
Address2:





City:
Province:
Country:






Postal Code:

Web Site Address:




Business Information

Firm Name (Full Legal Name):

Division Name:



Business Address of Firm/Organization

Does the Firm/Organization have a different mailing address from the one you have entered for the designated filer?

If so, please enter it here.  Is the Business Address of the Firm/Organization different from the Designated Filer?   Yes No


Address1:
Address2:





City:
Province:
Country:






Postal Code:



Primary Contact

Will you be filling out the Registration forms yourself or will you have an assistant or secretary do this work for you?

If someone else will be doing it, please fill in this section as they will get a separate login to access your registrations. By law, you are not allowed to have someone login as you and file the Registrations directly as you. They need a Primary Contact ID to allow them to enter your information and send the completed Registrations to you, but you must be the one to proof read and click the "submit" button. Do you wish to have someone enter your data on your behalf?   Yes No



First Name:
Middle
Initial:

Last Name:







Telephone:
Ext:





(not available to the public) eg. 123-456-7890

Email (not available to the public):




Certification

 By section 9 of the Lobbyists Act, the designated filer is required to certify the accuracy of the information being filed.
The filing of inaccurate information can lead to the imposition of an Administrative Penalty pursuant to sections 18 and 19 of the Act I hereby Certify that I have read the User Agreement, understand and agree to the terms and conditions contained therein, and that:
  • I am aware of the obligations imposed on “lobbyists” by the Lobbyists Act and I agree to adhere to those obligations; and
  • To the best of my knowledge and belief the information contained herein is true and correct, and provided in accordance with, and for the purposes required by the Act.