Client Intake Form

👤Section 1 — Personal Information

Client is an organization / corporation

Full Legal Name of Organization *

Required

General Nature of Business / Activity *

Required

Individual(s) Authorized to Give Instructions

🚨Section 2 — Emergency Contact

Full Name *

Required

Address *

Required

Phone *

Required

Email

Relationship to Client *

Required

📣Section 3 — How Did You Hear About Us?

Referral Source *

Required

Referred By (Name / Firm)

🪪Section 4 — Photo Identification Completed by client

Select your ID type, then follow the steps to photograph it and take a selfie.

🚗
Driver's
Licence

🪪
Ontario
ID Card

📘
Passport

Please select an ID type and capture all required photos

Step 1 — Front of ID

Tap to open camera — point at the front of your ID

Not yet captured

Retake photo

Step 2 — Back of ID

Tap to open camera — flip your ID and photograph the back

Not yet captured

Retake photo

Step 3 — Selfie

Tap the button to open your front camera

Not yet captured

Retake selfie

Step 1 — Passport Photo / Data Page

Tap to open camera — photograph the page with your photo and details

Not yet captured

Retake photo

Step 2 — Selfie

Tap the button to open your front camera

Not yet captured

Retake selfie

✅Section 5 — Identity Verification

Name / Type of Document *

Required

Unique Identification Number *

Required

Date of Issue *

Required

Expiry Date

Place of Issue *

Required

I confirm that the name and photograph match that of the individual being verified. *

Required

I further confirm that the document is an original that is authentic, valid, and current. *

Required

A copy of the document (front and back) is attached and includes all required information. *

Required

Date Identity Verified *

Must verify immediately after engaging in a financial transaction

Required

Lawyer / Staff Who Verified *

Required