P-40.1, r. 3 - Regulation respecting the application of the Consumer Protection Act

Section 79.14 Disposition versions

2019-02-01

79.14. The contract entered into by a debt settlement service merchant must include, as a schedule to the copy of the contract the merchant sends to the consumer and on a separate document, a cancellation form complying with the following standard form:

CANCELLATION FORM

TO BE COMPLETED BY THE MERCHANT

TO:.........................................................

(name of debt settlement service merchant)

...........................................................

...........................................................

(address of debt settlement service merchant)

Telephone number of debt settlement service merchant, where applicable:

(......) .....................

Where applicable, technological address of debt settlement service merchant: ........................................

TO BE COMPLETED BY THE CONSUMER

DATE: ........................ (date on which form is sent)

Under section 214.17 of the Consumer Protection Act, I hereby cancel the contract No. ......... (contract number, if any) entered into on ........... (date on which contract is entered into) at:

.......................................................................................

........................................................................................

(place where contract is entered into)

..............................................

(name of consumer)

......................................................................................

(signature of consumer)

O.C. 994-2018, s. 48.