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Application for a Community Volunteer
Income Tax Program Computer
You must meet all of the mandatory requirements set out in Part 1 to get a laptop from the Community Volunteer Income Tax Program
(CVITP) computer donation program.
You must sign the agreement in Part 4. This agreement includes the terms and conditions your organization agrees to follow in the
event that you are given a computer. If you do receive a donated computer, the Canada Revenue Agency (CRA) will also sign the
agreement and give you a copy with the computer.
Give this completed form to your CRA coordinator.
Part 1 CVITP mandatory requirements
My organization:
Yes No
Is a registered charity or a non-profit organization.
Agrees to electronically transmit returns using the tax software provided by the CRA.
Commits to participating in the CVITP for the next three years.
Has at least one person who knows how to set up and operate a computer.
Is willing to set up and pay for Internet access to file returns electronically using EFILE.
Agrees to assume all costs associated with the operation, maintenance, repairs, support and any future
upgrades for the donated computer once it is transferred into our possession.
Part 2 Community organization identification
Name of organization
Number of
computers needed
Postal code
Contact name
Telephone number
Email address
Part 3 Signature
I certify that the information given on this form is, to the best of my knowledge, correct, complete and current. I acknowledge that
the Canada Revenue Agency (CRA) has access to a limited number of used computers for donation under this program and that
my organization is not guaranteed to be selected to receive a computer through the submission of this application form.
I understand that if my organization merges, amalgamates or enters into a coalition process prior to the completion of the
application evaluation process, a new application for a computer donation will have to be filed with my CRA coordinator.
I authorize the CRA to verify my organization's suitability using the information provided on this form and the information already
collected and stored about my organization.
Print name
Print title
Year Month Day
RC320 E (17) (Ce formulaire est disponible en français.)
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Part 4 Agreement
BETWEEN The Canada Revenue Agency
(hereinafter referred to as the "CRA")
AND The organization registered under the Community Volunteer Income Tax Program (CVITP)
(hereinafter referred to as the "Organization")
Subject to the terms and conditions of this agreement, the CRA hereby donates the surplus used computer described below to
the Organization.
Make/model (e.g. Dell D830) Serial number
Terms and conditions
1. The Organization shall indemnify and save harmless the CRA and its officers, employees and agents from and against any
and all claims, damages, losses, costs and expenses which may occur or suffer at any time as a result of, or arising out of,
any injury to persons, or loss or damage to the property of others which may be alleged to be caused or suffered as a result
of the possession or use of the computer donated or part thereof.
2. The Organization shall:
a) be registered with the CVITP;
b) notify the CRA if the material is not received in good condition;
c) prepare and file returns for CVITP clients using EFILE online and the software approved and provided by the CRA;
d) pay for all required services, components, peripherals, supplies, and all maintenance and repair costs for the computer;
e) ensure that confidential and tax related client information is saved to an encrypted USB flash drive and not to the hard
drive of the computer.
3. This agreement supersedes all prior negotiations, understanding or agreements, whether oral or written, between the two
parties with respect to the subject of this agreement.
This agreement is hereby executed by the parties concerned:
For the CRA (signature)
Print name
Year Month Day
For the Organization (signature)
Print name
Year Month Day
Personal information is described in Personal Information Bank CRA PPU 100. Under the Privacy Act, individuals have a right of to have their personal information protected.
They also have the right to access, correct or notate this information and to file a complaint with the Privacy Commissioner of Canada regarding our handling of their information.
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