Business Closure – Change of Ownership

Please check:*
- Business Closure
- Change of Ownership
Date of closure:*
MM slash DD slash YYYY
Date of change of ownership:*
MM slash DD slash YYYY
Owner Name:*
First Last
Business Name:*
Address*
Street Address ZIP / Postal Code
Phone*
Email
New owner name is:*
First Last
Address*
Street Address ZIP / Postal Code
Business Name:*
Phone*
Email
Consent*
I agree to the privacy policy stated below.
The City of Corner Brook uses this web form to collect your information in order to better administer programs and services that citizens use and rely on. The City of Corner Brook committed to protecting the privacy of individuals who chose to utilize these services.
This information is collected in compliance with the Access to Information and Protection of Privacy Act, 2015 (ATIPPA, 2015) and will only be used by authorized staff to fulfill the purpose for which it was originally collected, or for a use consistent with that purpose unless you expressly consent otherwise. This information is not disclosed to other public bodies or individuals except as authorized by ATIPPA, 2015.