The Manitoba Government is authorized to collect personal
information on this form by section 36(1)(b) of The Freedom of Information and
Protection of Privacy Act (FIPPA). The information will be used to:
- process this submission for the Small Business Minimum Wage Adjustment
Program financial support;
- determine and verify eligibility for financial support;
- for research, planning and reporting purposes; and
- to administer and evaluate the Program with other provincial
departments.
I/we consent to and authorize the disclosure and release by any person,
individual, corporation, organization, or by any government or government agency
(including but not restricted to any federal or provincial government department
or
crown corporation), of any information or documents including, but not limited
to,
any personal information as defined in The Freedom of Information and Protection
of
Privacy Act or The Income Act [Canada] or The Income Tax Act,[Manitoba] or The
Tax
Administration and Miscellaneous Taxes Act requested by the Province of Manitoba
for
any purpose respecting the administration of the Small Business Minimum Wage
Adjustment Program for my benefit by the Manitoba Department of Economic
Development, Investment and Trade and Labour, Consumer Protection, and
Government
Services or its successors.
I/we consent to the Manitoba Minister of Economic Development, Investment
and Trade and the Manitoba Minister of Labour, Consumer Protection, and
Government
Services or his/her designate(s) to release to government or government agency
(federal, provincial/territorial or municipal government department or crown
corporation), any information or documents (including, but not limited to, any
personal information as defined in The Freedom of Information and Protection of
Privacy Act or the Income Tax Act [Canada] or The Income Tax Act, [Manitoba] or
The
Tax Administration And Miscellaneous Taxes Act for any purpose respecting the
administration of the Small Business Minimum Wage Adjustment Program.
I/we further consent to authorize Canada Revenue Agency to provide the
Manitoba Government Department of Economic Development, Investment and Trade and
Labour, Consumer Protection, and Government Services with information from
my/our
Income Tax Returns, and if applicable, other required taxpayer information of
the
applicant corporation or other relevant documents that Canada Revenue Agency
possesses, whether supplied by me/us or a third party. The information so
provided
will be used solely for the determination and verifying the eligibility and
entitlement for funding under the Small Business Minimum Wage Adjustment Program
and
will not be used or communicated for any other purpose.
My/our consent may be withdrawn by contacting mwap@gov.mb.ca.
I consent: