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Licensed Insolvency Trustee (LIT) Request to Register a BIA Insolvency Counsellor

PDF versions

Form A: Individual licence

382 KB, 6 pages

Form B: Corporate licence

329 KB, 2 pages

Form A

Description of Form A

FORM A: REGISTRATION AGAINST AN INDIVIDUAL LICENSED INSOLVENCY TRUSTEE (LIT) LICENCE

(TO BE COMPLETED BY THE REGISTRANT AND THE LIT)

□ Original   □ Amended

Version 1.1


Advisory to LITs:

LIT compliance with Directive No. 1R6, Counselling in Insolvency Matters (the Directive) is a licence condition. The accuracy, correctness, and completeness of information provided by signatories to this registration request will be considered by the Office of the Superintendent of Bankruptcy (OSB) for compliance purposes. Reference should be made to the Directive and the Registration Guide in order to ensure all registration requirements are met.


SECTION 1: IDENTIFYING INFORMATION OF THE REGISTRANT


Given name(s):

Last name:

Date of birth (YYYY-MM-DD):

Registration number (to be completed if the registrant was previously registered under Directive No. 1R4 or Directive No. 1R5):

Work address of registrant

Address (street number, street name, city, province):

Postal code:

Work e-mail:

Work phone:

Note: The registrant must provide the LIT with acceptable government-issued identification to validate their name and date of birth. The OSB does not require a copy.


SECTION 2: OCCUPATIONAL INFORMATION


Current employee of the LIT or LIT firm submitting this request: □ Yes □ No

If yes, duration of employment with the LIT or LIT firm submitting this request:
Years:
Months:

List any other occupation or employer (including LITs) in the past twelve (12) months:

Note: If you are self-employed or a consultant, provide your business name or indicate that you carry on business under your given name.

1: Employer or business name:
From (YYYY-MM-DD):
To (YYYY-MM-DD):
Address (street number, street name, city, province):
Postal code:
Job title/description:

2: Employer or business name:
From (YYYY-MM-DD):
To (YYYY-MM-DD):
Address (street number, street name, city, province):
Postal code:
Job title/description:

3: Employer or business name:
From (YYYY-MM-DD):
To (YYYY-MM-DD):
Address (street number, street name, city, province):
Postal code:
Job title/description:

Required additional SECTION 2 documentation:

  • Enclose/attach registrant résumé (see mandatory content requirements in the Registration Guide).

SECTION 3: EDUCATION

(Pursuant to paragraphs 10(a) or 29 of the Directive)


I have:

□ a high school diploma or high school equivalency certificate (having passed the General Educational Development (GED) test), plus one of:

□ (i) a minimum of three (3) years of relevant practical work experience supporting an LIT or registered BIA Insolvency Counsellor; or

□ (ii) a minimum of thirty (30) credit hours of post-secondary study completed in a diploma or degree program from a recognized post-secondary institution.

OR,

Pursuant to paragraph 29 of the Directive, I

□ (iii) was already registered as a BIA Insolvency Counsellor with the OSB before January 29, 2018; and

□ (iv) have five (5) years of related work experience.

Required additional SECTION 3 documentation:

  • If applicable, enclose/attach a copy of transcripts validating (ii)
  • If applicable, enclose/attach a copy of the approved registration form validating (iii)

SECTION 4: KNOWLEDGE AND ABILITY TO DELIVER BIA INSOLVENCY COUNSELLING

(Pursuant to paragraph 10(b))


I have:

□ a Practical Course on Insolvency Counselling (PCIC) Certificate

Certificate number:

OR,

□ an Insolvency Counsellor’s Qualification Course (ICQC) Certificate.

Required additional SECTION 4 documentation:

  • Enclose/attach a copy of the PCIC or ICQC Certificate.

SECTION 5: EXPERIENCE REQUIREMENT

(Pursuant to paragraph 10(f))


□ I have obtained experience, to the LIT’s satisfaction, in providing insolvency counselling in each of the different required insolvency counselling sessions pursuant to this Directive to individual bankrupts or consumer debtors. This experience could have been acquired, for example:

  • (i) by delivering a minimum of ten (10) insolvency counselling sessions under the direct observation of the registering LIT, an LIT of the same firm as the registering LIT, or a BIA Insolvency Counsellor registered against an LIT’s licence through the OLAA who already has a minimum of one (1) year of experience in providing insolvency counselling for the registering LIT or for an LIT of the same firm as the registering LIT, or
  • (ii) by delivering a minimum of ten (10) insolvency counselling sessions as a BIA Insolvency Counsellor previously registered against an LIT’s licence through the OLAA, pursuant to this Directive and within thirty-six (36) months prior to the date of the application.

SECTION 6: REGISTRANT DECLARATION


I, the registrant, attest to the best of my knowledge and belief that all information and supporting documentation I have provided in this registration form is accurate, correct, and complete.

I also acknowledge and agree that:

  • the information in this form, and any enclosed/attached documentation that I provide to the Licensed Insolvency Trustee, may be validated by the LIT and/or the Office of the Superintendent of Bankruptcy (OSB) for review and compliance validation purposes
  • if the registration request is validated, my name will be published as being registered against the individual and/or corporate licence of the LIT indicated herein; and
  • the OSB may notify other individual and corporate LITs against whose licence I may be registered, when an LIT’s registration of my name expires or is canceled.

Registrant signature
Space to insert Registrant signature

Date (YYYY-MM-DD):
Space to insert date


SECTION 7: IDENTIFYING INFORMATION OF THE LIT


Given name(s):

Last name:

LIT firm:

LIT licence number (individual):


SECTION 8: INELIGIBILITY

(Pursuant to paragraph 11 of the Directive)


□ I have conducted sufficient due diligence, including documentation review and appropriate enquiry, to determine that the registrant is not ineligible pursuant to paragraph 11 of the Directive.


SECTION 9: KNOWLEDGE OF THE BIA INSOLVENCY COUNSELLING CURRICULUM AND VALIDATION OF COMPETENCY

(Pursuant to paragraphs 10(c-f) of the Directive)


The registrant:

□ has demonstrated, to the LIT’s satisfaction, a knowledge of the insolvency counselling curriculum as specified in this Directive and as personally validated by the LIT. One method the LIT could use to validate this knowledge is, for example, by directly observing the individual providing a minimum of ten (10) insolvency counselling sessions pursuant to paragraph 10(f) of this Directive.

□ possesses the necessary competencies, is known by the LIT to be of good character, and has the capabilities, knowledge, skills, and proficiency to provide insolvency counselling in accordance with this Directive as personally validated by the LIT. One method the LIT could use to validate these attributes is, for example, by directly observing the individual providing a minimum of ten (10) insolvency counselling sessions pursuant to paragraph 10(f) of this Directive.


SECTION 10: LIABILITY INSURANCE

(Pursuant to paragraph 10(g) of the Directive)


The registrant (check one):

□ is covered by my professional liability insurance and employee dishonesty (also known as fidelity)insurance; or

□ in the case of a non-employee, has provided me current documentation demonstrating that he or she is covered by adequate professional liability insurance of their own.

Required additional SECTION 10 documentation:

  • Enclose/attach copy of the insurance policy certificate in the case of a non-employee (see mandatory content requirements in the Registration Guide).

SECTION 11: DELIVERY

(Pursuant to paragraph 16 of the Directive)


Where requested by the debtor and circumstances warrant, I will provide for BIA counselling, by exception, at a third-party location in accordance with paragraph 16(2), while ensuring that the third-party location(s) meet the definition in paragraph 1 of the Directive.
□ Yes □ No

If yes, the address(es) where the registrant will provide counselling are:
□ Same as registrant work address, and/or:

1: Address (street number, street name, city, province):

Postal code:

2: Address (street number, street name, city, province):

Postal code:

3: Address (street number, street name, city, province):

Postal code:


SECTION 12: LIT DECLARATION

(Pursuant to paragraphs 9-11 and 29 of the Directive)


I, the Licensed Insolvency Trustee, attest to the best of my knowledge and belief that all information and supporting documentation I have provided in the Bankruptcy and Insolvency Act Insolvency Counsellor (BIA Insolvency Counsellor) Registration Form is accurate, correct, and complete, including that:

  • the registrant meets registration requirements in Directive No. 1R6; and
  • I have witnessed the registrant’s declaration and have validated their identity.

I undertake to ensure that the Office of the Superintendent of Bankruptcy is notified of any material changes which may impact on registrant eligibility.

Licensed Insolvency Trustee signature
Space to insert Licensed Insolvency Trustee signature

Date (YYYY-MM-DD):
Space to insert date

Form B

Description of Form B

FORM B: REGISTRATION AGAINST A CORPORATE LICENCE

(TO BE COMPLETED BY THE LICENSED INSOLVENCY TRUSTEE (LIT)-IN-CHARGE)

□ Original   □ Amended

Version 1.1


Advisory to LITs-in-Charge:

LIT-in-Charge compliance with Directive No. 1R6, Counselling in Insolvency Matters (the Directive) is a licence condition. The accuracy, correctness and completeness of information provided by signatories to this registration request will be considered by the Office of the Superintendent of Bankruptcy for compliance purposes. Reference should be made to the Directive and the Registration Guide in order to ensure all registration requirements are met.

Note: Form B must be submitted together with or subsequent to a Form A submission for the same registrant.


SECTION 13: IDENTIFYING INFORMATION OF THE LIT-IN-CHARGE


Corporate firm:

Corporate licence number:


SECTION 14: IDENTIFYING INFORMATION OF THE REGISTRANT


Given name(s):

Last name:

Date of birth (YYYY-MM-DD):

Registration number (to be completed if the registrant was previously registered under Directive No. 1R4 or Directive No. 1R5):


SECTION 15: ELIGIBILITY

(Pursuant to paragraph 12 of the Directive)


I, the LIT-in-Charge, confirm that the registrant:

□ is already or is concurrently being validly registered by one of the firm’s individual LITs as a BIA Insolvency Counsellor pursuant to the requirements of the individual registration process specified in the Directive;

□ is employed by the corporate LIT;

□ is not employed by, associated with, nor receiving compensation from, intermediaries, referral arrangers, individuals who are ineligible to be registered against an LIT’s licence pursuant to paragraph 11 of the Directive, or any other unlicensed third party operating in the debt advisory industry;

□ other than with our firm, does not have professional activities, investments, or financial interests related to insolvent persons; and

□ is covered as an employee under the corporate LIT’s professional liability and employee dishonesty (also known as fidelity) insurance.


SECTION 16: LIT-IN-CHARGE DECLARATION


I, the Licensed Insolvency Trustee-in-Charge, attest to the best of my knowledge and belief that all information in section 12 of the Bankruptcy and Insolvency Act Insolvency Counsellor (BIA Insolvency Counsellor) Registration Form is accurate, correct, and complete.

I undertake to ensure that the Office of the Superintendent of Bankruptcy is notified of any material changes which may impact on the BIA Insolvency Counsellor’s eligibility for registration against a corporate licence.

LIT-in-Charge signature
Space to insert LIT-in-Charge signature

Date (YYYY-MM-DD):
Space to insert date

Date modified: