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erlea Boulevard, Suite 300, Toronto ON M4H 1P1 (Collège Boréal)

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OMVIC Individual Application – Payment Information – Page 1
2021/04/13
65 Ov
erlea Boulevard, Suite 300, Toronto ON M4H 1P1
Tel: 416-226-4500 Toll Free: 1-800-943-6002
email: registration@omvic.on.ca www.omvic.on.ca
This application can be filed online if you are seeking registration as a salesperson or to reapply for
salesperson registration. To take advantage of our online services, please visit www.omvic.on.ca to
create your account and check the status of your application online.
For office use only
Reg #:
P-Ref:
Onl
y applicants seeking registration or reapplying as a salesperson must complete this section and submit a fee.
(Salesperson defined in Section H.)
Applicant’s Name:
The application processing fee is $250.
Cheque
Bank Draft or Money Order – Payable to the “Ontario Motor Vehicle Industry Council.”
For faster service, we encourage you to submit this application using OMVIC’s Online Services at www.omvic.on.ca.
If y
ou wish to continue with this paper application and pay by Visa or Mastercard, please call OMVIC two (2)
business days after emailing your application. Do not include any credit card information on this form. You must
contact us at 1-800-943-6002 x3197.
Note: OMVIC will not start the review of your application until payment is received.
Refund requests will be considered only if received, in writing, within 48 hours from when this application is
received. A $35 service charge will apply for all NSF cheques or declined credit card payments, and the registration
(if granted) may be cancelled.
OMVIC Individual Application - 2021/04/13 - Page 1 of 10 Continued on next page →
65 Over
lea Boulevard, Suite 300, Toronto ON M4H 1P1
Tel: 416-226-4500 Toll Free: 1-800-943-6002
email: registration@omvic.on.ca
www.omvic.on.ca
For office use only
Reg #:
P-Ref:
W - ID:
A - ID:
This application is to be completed by individuals seeking registration as a salesperson and any individuals who are
involved in the trade of motor vehicles. This form may also be completed by sole proprietors, officers, directors, partners,
shareholders, persons in charge, interested and associated persons (details on page 9).
A $250 fee is required only if you
are applying for registration as a salesperson. If you are applying as a sole proprietor, the $250 fee is not required.
Before completing this application, please review Section H of this form. For the purpose of this form, the “applicant” is
the individual identified in Section A. All sections (A – F) must be completed in full.
WARNING – it is an offence to provide false information as part of this application.
Provid
ing false, misleading and/or incomplete information may result in your disentitlement to registration.
This application can be filed online if you are seeking registration as a salesperson or to reapply for
salesperson registration. To take advantage of our online services, please visit www.omvic.on.ca to
create your account and check the status of your application online.
All ap
plicants must complete this section.
Applic
ation Type:
Information and Review*
Reapply - provide Registration Number (if available):
*Check this box if you are an associated or interested individual who is not applying for registration.
Individua
l Information:
Attach clear copies of two separate pieces of legal identification with signature. Check the appropriate boxes to identify
what you have attached. Please note: we do not accept health cards.
Gender: M F Other
Birth Date
(YYYY/MM/DD)
:
1-Valid Photo ID (one of the following):
Driver’s licence (preferred)
Canadian Passport
2-Proof of eligibility to work in Canada (one of the following): Canadian birth certificate Canadian citizenship card
Canadian work permit
Permanent resident card
Landed immigration papers
Canadian Passport
First Name:
Middle Name:
Last Name:
Known As:
OMVIC Individual Application - 2021/04/13 - Page 2 of 10 Continued on next page →
Home Phone:
Mobile Phone:
Alternate Phone:
Business Email:
Personal Email:
Reside
nce Address:
Street #:
Street:
Unit #:
City: Province: Postal Code:
Posit
ion(s):
1. Will you be the “Person in Charge” of the dealership? A “Person in Charge” is at the dealership on a day-to-day basis
and has been designated with and accepted primary responsibility for ensuring compliance with the Motor Vehicle
Dealers Act (Act) and its Regulations and has authority over employees engaged in the “trade” of motor vehicles.
Yes
No
Check
the appropriate box(es) to identify the position(s) you will occupy:
Office
r
Director
Sole Proprietor (Owner)*
Partner
Interested/Associated Person
Shareholder (10% or more)
Signing Authority - Bank
Signing Authority - Trust
Signing Authority - Dealership
Sales
person*
General Manager*
Sales Manager*
Business Manager*
Marketing Manager* (i.e. the person responsible for advertising content)
General Sales Manager*
Leasing Manager*
Finance Manager*
New Car Manager*
Used Car Manager*
Fleet Manager*
Other (involved in “trade” of motor vehicles)*
* An individual who will “trade” on behalf of their dealership must be registered. “Trade” includes buying, selling, leasing,
advertising or exchanging an interest in a motor vehicle or negotiating, inducing or attempting to induce the buying, selling,
leasing or exchanging of an interest in a motor vehicle.
All a
pplicants must complete this section.
1. Has the a
pplicant ever had a registration under the Motor Vehicle Dealers Act refused, revoked, suspended or
cancelled?
Yes
No
If “yes,” attach a statement with detailed and complete information, signed and dated by you and an authorized
individual at the dealership. As required by Section 12 of the Act, further application may be made only if the time
prescribed to reapply has passed since the date of the refusal, revocation or refusal to renew (2 years) and there is new
or other evidence or material circumstances have changed. Please also include this information in your statement, if
applicable.
2. Has t
he applicant previously, or do they presently own or operate a business that is in default with the Motor Vehicle
Dealers Compensation Fund or Retail Sales Tax?
Yes
No
If “yes,” what arrangements has the applicant made to pay monies owed and has the applicant complied with those
arrangements? Please provide details on a signed and dated statement, as well as a copy of the repayment
agreement and payment confirmation.
OMVIC Individual Application - 2021/04/13 - Page 3 of 10 Continued on next page →
3. Have you completed the OMVIC certification course within the last two years, from the date of this application?
Note: all first-time applicants and individuals re-applying (your registration expired or has been inactive for more than two
years since the date of this application) must complete the OMVIC Certification course before registration can be granted.
Yes
No
If “yes
,” please provide your (if available):
Georgian College Student ID:
Certification Date
(YYYY/MM/DD)
:
If “no,
” select one or more of the following reasons:
You are a Person in Charge and are currently registered as a salesperson at a dealership, without any break
in registration that amounts to two consecutive years.
You are re-applying for your salesperson registration, which has been inactive or expired less than two
years from the date of this application and you will not be a Person in Charge.
You are one of the officers, directors or partners, and you will not be a Person in Charge nor involved in the
trading of motor vehicles on behalf of the dealership. (Note: If the applicant is a corporation or partnership,
at least one of the officers, directors or partners must have completed the certification course within the
last two years.)
Your position (as indicated on page 2) at the dealership does not involve the trading of motor vehicles on
behalf of the dealership.
You will complete the certification course prior to the registration being granted.
All applicants must complete this section.
Provi
de your employment or other activities for the last five years and/or since your most recent OMVIC registration.
Include instances where you have been (or are) an officer, director, owner, partner or operator of any business/company.
Ensure the information is consecutive and covers the entire time period, in any jurisdiction.
Start Date (YYYY/MM):
End Date (YYYY/MM):
Employed
Unemployed
Student
Other - Please explain:
Name of Business/ School: Type of Business/Program:
Location of Business/ School:
Reason for Leaving:
Position:
Name of Company Owner/President:
Name of Supervisor (if different):
Phone #:
Email:
Start Date (YYYY/MM):
End Date (YYYY/MM):
Employed
Unemployed
Student
Other - Please explain:
Name of Business/ School:
Type of Business/Program:
Location of Business/ School:
Reason for Leaving: Position:
Name of Company Owner/President:
Name of Supervisor (if different):
Phone #:
Email:
OMVIC Individual Application - 2021/04/13 - Page 4 of 10 Continued on next page →
Start Date
(YYYY/MM)
:
End Date
(YYYY/MM)
:
Employed
Unemployed Student Other - Please explain:
Name of Business/ School:
Type of Business/Program:
Location of Business/ School:
Reason for Leaving:
Position:
Name of Company Owner/President:
Name of Supervisor (if different):
Phone #: Email:
If you r
equire additional space you may attach supplementary sheets to this application. All attachments must be signed
and dated by the applicant and an authorized individual at the dealership.
All applicants must complete this section.
1. Does t
he applicant currently hold a valid Ontario driver’s licence?
Yes
No
2. Has th
e applicant ever had a commercial, professional or business registration certification or licence of any kind
refused, suspended, revoked, cancelled or currently is/has been a party to such a proceeding including disciplinary
action, in any jurisdiction?
Yes
No
3. Are there a
ny active or unsatisfied judgements, collections or court orders (including family support payments which
are in arrears) against the applicant, in any jurisdiction?
Yes
No
4. Will the
applicant be involved in commercial, professional or business activities other than those related to this
application?
Yes
No
5. Is the applicant currently (or has the applicant ever been) an officer, director, owner, partner or operator of a
business/company that has been charged or convicted of an offence under
any law or been involved in bankruptcy
proceedings, filed a commercial proposal or had a petition filed against it under any bankruptcy or insolvency
legislation, in any jurisdiction?
Yes
No
6. Has the ap
plicant’s wages, earnings, or other income ever been and/or currently is subject to garnishment,
attachment or other similar orders, in any jurisdiction?
Yes
No
7. Has the ap
plicant ever been involved in bankruptcy proceedings, filed a consumer proposal, a commercial proposal or
had a petition filed under any bankruptcy or insolvency legislation, in any jurisdiction?
Yes
No
If “yes,” attach a complete copy of the statement of affairs and certificate of discharge if applicable.
OMVIC Individual Application - 2021/04/13 - Page 5 of 10 Continued on next page →
8. Has the applicant ever been charged with an offence under any law, within or outside of Canada?
Please select all that apply.
a) Yes,
charges are still pending or before the courts
b) Yes, charges were stayed
c) Yes, charges resulted in a finding of guilt, conviction, absolute or conditional discharge
d) No, never been charged, or charges were withdrawn, dismissed or resulted in a finding of not guilty
Note: If you answered “yes” to any of the above, you will be required to provide further details.
9. In suppor
t of this application, you are required to provide either BackCheck or Criminal Record and Judicial Matters
(CRJM) check. Note: this record must be dated within the last six months. For BackCheck, go to
www.backcheck.net/OMVIC/
to submit your report. See page 10 for details.
Have you submitted your BackCheck or attached your original CRJM check?
Yes No
If “no,” provide an explanation.
You may be required to provide additional police report(s) from other jurisdictions.
If you answered “no” to Question 1, “yes” to any of Questions 2-8 or “no” to Question 9 above, please provide
detailed and complete information on an attached statement signed and dated by you and an authorized individual
at the dealership. Please also attach any supporting documentation.
WARNING – it is an offence to provide false information as part of this application.
Providing false, misleading and/or incomplete information may result in your disentitlement to registration.
If you have any questions about the information you must disclose, please contact OMVIC
.
OMVIC Individual Application - 2021/04/13 - Page 6 of 10 Continued on next page →
All ap
plicants must read and complete this section.
I confirm that I have not misrepresented or omitted any facts in any statement or document made in support of this
application. I understand that the information provided as part of this application is subject to verification. I understand it
is an offence to provide a false statement. I further understand that the provision of false, misleading and/or incomplete
information may result in the refusal, suspension or revocation of my registration.
I consent to the collection, use and disclosure of any information provided as part of this application, as authorized under
the Motor Vehicle Dealers Act, 2002 (“the Act”) and its Regulations. I understand that this information will be used to
determine whether I am entitled to registration and/or to ensure compliance with the Act. I further consent to the sharing
of any information as may be necessary in the course of determining whether I am entitled to registration and/or as
contemplated by the Act. In order to complete or verify the information provided and for other requirements under the Act,
it may be necessary for OMVIC to collect additional information from, or to share information with, government agencies
and other third parties. On request by OMVIC, I agree to furnish any required authorization or release to obtain such
information, if such authorization or release is required.
I unders
tand that my consent to the collection, use and sharing of information remains ongoing throughout the
application process and any period of registration. I further consent to the sharing of this information with current
dealers or potential dealers to which I am/may be employed and registered to as a salesperson.
I understand that I must notify OMVIC in writing within five days of any changes to the information that has been
provided as part of this application, and that this obligation continues throughout any period of registration. I confirm
that I have retained a copy of this application for my records.
I understand that I may not “trade” on behalf of a motor vehicle dealer unless I am registered under the Act as a
salesperson to that dealer. I acknowledge that “trade” includes buying, selling, leasing, advertising or exchanging an
interest in a motor vehicle or negotiating, inducing or attempting to induce the buying selling, leasing or exchanging of an
interest in a motor vehicle. This refers to any form of discussion, representation or negotiation and is not limited to the
signing of contracts. I understand that this also includes attendance at auctions or being employed/retained in the
positions commonly referred to as Sales Manager, Finance and Insurance Manager and Business Manager.
I confi
rm that I have read and understand the information provided in the INDIVIDUAL APPLICATION INFORMATION
section of this application.
I confirm that I understand that providing a false statement or false information in support of this application is an
offence under the Act punishable by fine or imprisonment and/or by refusal, suspension or revocation of registration.
I solemnly affirm that the information provided in support of this application is, to the best of my knowledge and belief,
true.
Print name of Applicant
Signature of Applicant
Date Signed (YYYY/MM/DD):
CHECK THE STATUS OF THIS APPLICATION ONLINE AT WWW.OMVIC.ON.CA
OMVIC Individual Application - 2021/04/13 - Page 7 of 10 Continued on next page →
Affirmation of Advisor/Translator
This s
ection must be completed by any person who advised the applicant how to respond to questions on this form or
who completed this form on their behalf.
I confirm I have a good understanding of written English and have faithfully explained the questions on this form to the
applicant and am satisfied the information provided herein accurately reflects the applicant’s answers.
Print name of Advisor/Translator
Signature of Advisor/Translator
Date Signed (YYYY/MM/DD):
This se
ction is to be completed by the dealer.
I cer
tify I have personally and fully discussed the response to each question on the completed application with the
applicant prior to signing this document and I am satisfied the information given by the applicant is true to the best of my
knowledge and belief.
I cert
ify that I am an authorized representative of the dealer/organization (i.e., an officer, director, partner, sole
proprietor).
Legal Name of Dealership
Dealership Registration#
(if available)
Business (Trade) Name (if applicable)
Print Name of Authorized Employer/Individual
Position of Authorized Employer/Individual
Signature of Authorized Employer/Individual
Date Signed
(YYYY/MM/DD)
Dealership Address and Phone:
Street #:
Street:
Unit #:
City:
Province:
Postal Code:
Business Phone:
Business Fax:
Business Email:
OMVIC Individual Application - 2021/04/13 - Page 8 of 10
Continued on next page →
Have yo
u attached:
Clear copy of photo ID, e.g. passport or driver’s licence. See Section A: General Information
Clear copy of proof of eligibility to work in Canada, e.g. Canadian birth certificate, Canadian citizenship card,
permanent resident card, landed immigration papers. See Section A: General Information
Signed and dated statement if you answered “yes” to Question 1 in Section B: Preconditions to Registration
Signed and dated statement and copies of the repayment agreement and payment confirmation if you answered
“yes” to Question 2 in Section B: Preconditions to Registration
Signed and dated statement if you answered “no” to Question 1, “yes” to any of Questions 2-8 or “no” to Question 9
in Section D: Eligibility and any supporting documentation
BackCheck clearance report OR original Criminal Record and Judicial Matters check. See Question 9 in Section D:
Eligibility
$250 fee if you are applying for registration (sales positions include but are not limited to: Salesperson, Person in
Charge, General Manager, Sales Manager, Business Manager, Marketing Manager, General Sales Manager,
Leasing Manager). See the Payment Information section.
Note: If you are applying as a Sole Proprietor, the $250 fee is not required.
OMVIC Individual Application - 2021/04/13 - Page 9 of 10 Continued on next page →
The following information is provided as a guideline only. All applicants are encouraged to review the relevant sections of The Motor
Vehicle Dealers Act, 2002 (“the Act”) and its regulations and to consult with a lawyer if they have any questions. After reviewing this
information, please contact OMVIC at registration@omvic.on.ca or by phone at 416-226-4500 (Toronto) or toll-free at 1-800-943-6002 for
questions about completing this form.
SECTION A: GENERAL INFORMATION
Trade – Includes buying, selling, leasing, advertising or exchanging an interest in a motor vehicle or negotiating, inducing or attempting
to induce the buying, selling, leasing or exchanging of an interest in a motor vehicle.
Salesperson – An individual who is employed by a motor vehicle dealer to trade in motor vehicles on the dealer’s behalf. This includes,
but is not limited to, sales positions such as: General Manager, Sales Manager, Business Manager, Marketing Manager, General Sales
Manager, Leasing Manager and Finance Manager.
Employ – Means to employ, appoint, authorize or otherwise arrange to have another person act on the applicant’s behalf, on the
applicant’s behalf, including as an independent contractor.
Person in Charge – Is the person who is at the dealership on a day-to-day basis and has been designated with and accepted primary
responsibility for ensuring compliance with the Act and Regulations and has authority over employees engaged in the trade (as defined
in the MVDA) of motor vehicles (e.g. the General Manager or Dealer Principal).
First, Middle, Last and “Known As” Names – The first, middle and last name on this application form should match the names on the
applicant’s identification. The “known as” name is the name by which they are commonly known (if different from their identification).
Residence – The place where the applicant lives on a day-to-day basis.
Motor Vehicle Dealer – An individual or company that trades in motor vehicles, whether for their own account or the account of any
other individual or business, or who holds themselves out as trading in motor vehicles.
Officer – Includes the chair and any vice-chair of the board of directors, the president and any vice-president, the secretary and assistant
secretary, the treasurer and assistant treasurer and the general manager and the assistant general manager of a corporation or a
partner or general manager and assistant manager of a partnership; any other individual designated as an officer by by-law or
resolution or any other individual who performs functions normally performed by an individual occupying such office.
Shareholder – Includes any person (or group of related persons) who will have beneficial ownership or control of at least 10% of the
equity shares of a corporation. This includes shareholders previously reported to OMVIC who have increased their holdings.
Shareholders are also considered Interested Persons.
Signing Authorities – The regulations to the Act require dealers to report to OMVIC any changes regarding who will have signing
authority on the dealer’s bank account, trust account (if applicable) or who will have authority to sign on behalf of the dealership. The
individuals reported on this application may be required to submit an Individual Application because they are deemed to be “interested
persons” or “associated persons.”
Interested and Associated Persons – Section 6 of the Act empowers the Registrar to refuse, revoke or suspend registration based on the
conduct of “interested persons” and “associated persons” as defined under Section 1(2) and 6(4) of the Act (see below). The applicant
must make reasonable efforts to identify to OMVIC any person who may be an “interested person” or “associated person.” In the course
of processing this application, the applicant may be required to answer questions regarding persons who are deemed to be “interested
persons” or “associated persons.”
From the Motor Vehicle Dealers Act, 2002:
1(2) For the purpose of this Act, one person is associated with another person in any of the following circumstances:
1. One person is a corporation of which the other person is an officer or director.
2. One person is a partnership of which the other person is a partner.
3. Both persons are partners of the same partnership.
4. One person is a corporation that is controlled directly or indirectly by the other person.
5. Both persons are corporations and one corporation is controlled directly or indirectly by the same person who controls directly or
indirectly the other corporation.
6. Both persons are members of the same voting trust relating to shares of a corporation.
7. Both persons are associated within the meaning of paragraphs 1 to 6 with the same person.
6(4) For the purposes of this section, a person shall be deemed to be an interested person in respect of another person if the person is
associated with the other person or if, in the opinion of the Registrar:
(a) The person has or may have a beneficial interest in the other person’s business;
(b) The person exercises or may exercise control either directly or indirectly over the other person, or;
(c) The person has provided or may have provided financing either directly or indirectly to the other person’s business.
OMVIC Individual Application - Page 10 of 10
2021/04/13
SECTION B: PRECONDITIONS TO REGISTRATION
Previous Refusal or Revocation – If the applicant has previously been revoked or refused registration by OMVIC, the Registrar will not
consider an application for a period of two years after he/she was refused or revoked.
Person in Charge – Is the person who is at the dealership on a day-to-day basis and has been designated with and accepted primary
responsibility for ensuring compliance with the Act and Regulations and has authority over employees engaged in the trade (as defined in
the MVDA) of motor vehicles (e.g., the General Manager or Dealer Principal).
Certification Requirements – The OMVIC certification course is a correspondence course offered through the Automotive Business
School of Canada (ABSC) at Georgian College. Enrollment forms are available from OMVIC or ABSC. Enrollment forms should be
submitted to ABSC.
If the applicant has not completed the certification course designated by the Registrar, he/she will be required to complete this course
before registration as a salesperson can be granted (unless he/she was registered as a salesperson before January 1, 2010 and is
reapplying within two years of having been terminated or inactive, for any reason). Please note that the certification course designated
by the Registrar changed on January 1, 2009. Reapplying applicants who were first registered after January 1, 2010 will need to have
completed a current version of the course within the preceding two years.
SECTION D: ELIGIBILITY
BackCheck – BackCheck is a provider of online Criminal Record Checks.
If you have no criminal or other federal conviction history/pending charges, you should request your report from the BackCheck landing
page on OMVIC’s website at https://www.omvic.on.ca/portal/DealersSalespersons/RegistrationServices/BackCheckReport.aspx.
Using the BackCheck landing page on OMVIC’s website will ensure your results are sent to OMVIC the next business day.
If you have any findings of guilt or convictions, as an adult, for which you have not received a pardon/record suspension, consider the
following options:
1) If you have convictions for which you recall the specific details (offence, date of conviction, location of conviction, and
penalty/disposition) you may request your report from the BackCheck landing page on OMVIC’s website at
https://www.omvic.on.ca/portal/DealersSalespersons/RegistrationServices/BackCheckReport.aspx. You will be prompted to
self-disclose all convictions for which you have not received a pardon/record suspension. Details provided must accurately
represent those listed in the National Repository of Criminal Records. If this is done incorrectly, you will need to pay an
additional fee to redo your BackCheck report or obtain a report from your local police.
2) If you do not recall specific details (offence, date of conviction, location of conviction, and penalty/disposition) or have pending
charge(s) do NOT submit a BackCheck report. You should go directly to your local police and request a Criminal Records and
Judicial Matters check. Note: a Police Criminal Record Check (CPIC) report will not be sufficient.
3) If you chose to provide a local police report (Criminal Records and Judicial Matters check), provide OMVIC with the original
report along with the application you completed to obtain it. OMVIC will not accept any reports that are more than six months
old and any 3rd party police report.
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erlea Boulevard, Suite 300, Toronto ON M4H 1P1 (Collge Boral)

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