Canada Shareholder Certification and Indemnity for Lost Share Certificate

Has a shareholder lost their share certificate?

Use this downloadable template to prepare a Shareholder Certification and Indemnity to be signed by a shareholder in a Canadian company, and tendered to the company with a request for a new share certificate.

• The shareholder certifies that a certificate representing shares in the company issued in the shareholder's name is missing and requests a replacement certificate.
• The shareholder indemnifies the company against any claims with respect to the loss and reissue of the share certificate.
• The form also includes a Resolution of the Directors authorizing the issuance of a replacement certificate.

This Canada Shareholder Certification and Indemnity for Lost Share Certificate is in MS Word format and can be easily edited.