Form 7- Declaration of Last Supply

Required Fields *

Name of Supplier*

A supplier of services or materials to an improvement being made to:*

declares that:

1. The following services or materials were supplied:*

2. These services or materials were supplied under a contract (or subcontract) with*

dated the:*

Services date

3. The last supply of services or materials made by the supplier to the improvement under contract (or subcontract) was made on:*

Date of last supply

4. No further services or materials will be supplied under the contract (or subcontract).

Declared before me at the*

Name of County/District/Regional Municipality/Town/City*

in the

Province/Territory*

on the

Date declaration signed*

Signature of supplier, a commissioner, etc.*

I verify and confirm that: (1) I have received, and can provide if requested, all the requisite signatures and authorizations to publish this certificate; (2) the form has been duly signed by the supplier and a commissioner, etc.; (3) the information I am submitting is true, accurate, and correct; and (4) I understand and acknowledge that by submitting this information I am bound by the terms and conditions at https://canada.constructconnect.com/terms-of-use

Job/PO Number

(only if applicable)

Certificate Upload

Please upload the original certificate you wish to have published on our website

Accepted file types: pdf, doc, docx, jpg, jpeg, gif, png, tif, Max. file size: 15 MB.

Accepted file types: pdf, doc, docx, jpg, jpeg, gif, png, tif

Notify other parties

Provide the email addresses of any parties you wish to notify when your certificate/notice is published. Please ensure the addresses are correct and that the recipients wish to receive this notification.

Contact Email

Submitted by

First Name*

Last Name*

Email*

Company Name*

Company Type*

Special Instructions

Please provide any special instructions below. If your company is eligible for any affinity discount programs, you may request the discount here by providing details of eligibility, and we will apply it before finalizing your invoice.

Disclaimer:

Those placing certificates or notices are responsible for ensuring Daily Commercial News’ receipt, whether by fax or otherwise, of all necessary information and for reviewing Daily Commercial News upon publication for any errors or omissions and advising Daily Commercial News at once. Daily Commercial News will make good any errors or omissions attributable to it in the next available issue but will otherwise bear no liability whatsoever for any error or omission, including failure to publish any certificate or notice, however caused and even if arising from Daily Commercial News’ own negligence.

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