{"id":11,"date":"2026-10-19T14:20:38","date_gmt":"2026-10-19T14:20:38","guid":{"rendered":"http:\/\/iractestsite.mywp.info\/?page_id=11"},"modified":"2026-10-19T15:04:14","modified_gmt":"2026-10-19T15:04:14","slug":"petroleum-forms","status":"publish","type":"page","link":"https:\/\/iractestsite.mywp.info\/","title":{"rendered":"Petroleum Forms"},"content":{"rendered":"\n<style>\n\/* Theme overrides apply only where this homepage portal is present. *\/\nbody:has(#irac-portal){margin:0;padding:0;background:#f4f6f8;overflow:hidden}\nbody:has(#irac-portal) .wp-site-blocks{padding:0!important}\nbody:has(#irac-portal) .wp-site-blocks>header,body:has(#irac-portal) .wp-site-blocks>footer,body:has(#irac-portal) .wp-block-post-title{display:none!important}\nbody:has(#irac-portal) .wp-site-blocks>main,body:has(#irac-portal) .wp-site-blocks>main>.wp-block-group,body:has(#irac-portal) 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.portal-brand{flex-wrap:wrap}\n@media(max-width:760px){#irac-portal .portal-logo{width:180px}#irac-portal .portal-brand{font-size:15px;gap:8px 12px}#irac-portal .portal-brand small{display:none}}\n#irac-portal button:disabled{opacity:.6;cursor:wait}.submission-receipt{font-size:13px;font-weight:700;border:1px solid #a7bed7;background:#edf4fc;padding:12px;color:#1b365d;white-space:pre-wrap}\n\n<\/style>\n<div id=\"irac-portal\">\n<header class=\"portal-header\"><a class=\"portal-brand\" href=\"#IRAC503\"><img loading=\"lazy\" decoding=\"async\" class=\"portal-logo\" src=\"https:\/\/irac.pe.ca\/wp-content\/uploads\/2021\/03\/IRAC-Website-Logo.png\" width=\"220\" height=\"42\" alt=\"Island Regulatory and Appeals Commission\"><span>Petroleum Forms<small>IRAC Test \u00b7 Application workspace<\/small><\/span><\/a><div class=\"header-help\">Complete. Submit. Print to PDF.<\/div><\/header>\n<div class=\"portal-workspace\"><aside class=\"portal-sidebar\" aria-label=\"Form selection\"><div class=\"sidebar-top\"><h2>Application forms <span>12<\/span><\/h2><label for=\"irac-search\" class=\"sr-only\">Search forms by name or number<\/label><input type=\"search\" id=\"irac-search\" placeholder=\"Search forms or IRAC number\u2026\" aria-controls=\"irac-form-nav\"><p id=\"search-count\" aria-live=\"polite\">12 forms available<\/p><\/div><nav id=\"irac-form-nav\" aria-label=\"Application forms\"><section class=\"nav-group\"><h3>Retail outlets<\/h3><button type=\"button\" class=\"form-link\" data-form=\"IRAC501\" aria-controls=\"page-IRAC501\"><span>New retail outlet<\/span><small>IRAC501<\/small><\/button><button type=\"button\" class=\"form-link\" data-form=\"IRAC507\" aria-controls=\"page-IRAC507\"><span>New propane-only outlet<\/span><small>IRAC507<\/small><\/button><button type=\"button\" class=\"form-link\" data-form=\"IRAC508\" aria-controls=\"page-IRAC508\"><span>Add propane to existing outlet<\/span><small>IRAC508<\/small><\/button><button type=\"button\" class=\"form-link\" data-form=\"IRAC503\" aria-controls=\"page-IRAC503\"><span>Retail outlet annual renewal<\/span><small>IRAC503<\/small><\/button><button type=\"button\" class=\"form-link\" data-form=\"IRAC509\" aria-controls=\"page-IRAC509\"><span>Outlet amendment or change<\/span><small>IRAC509<\/small><\/button><\/section><section class=\"nav-group\"><h3>Tank trucks<\/h3><button type=\"button\" class=\"form-link\" data-form=\"IRAC505\" aria-controls=\"page-IRAC505\"><span>New tank truck<\/span><small>IRAC505<\/small><\/button><button type=\"button\" class=\"form-link\" data-form=\"IRAC520\" aria-controls=\"page-IRAC520\"><span>Tank truck annual renewal<\/span><small>IRAC520<\/small><\/button><\/section><section class=\"nav-group\"><h3>Retail distributors<\/h3><button type=\"button\" class=\"form-link\" data-form=\"IRAC504\" aria-controls=\"page-IRAC504\"><span>New retail-distributor<\/span><small>IRAC504<\/small><\/button><button type=\"button\" class=\"form-link\" data-form=\"IRAC519\" aria-controls=\"page-IRAC519\"><span>Retail-distributor annual renewal<\/span><small>IRAC519<\/small><\/button><\/section><section class=\"nav-group\"><h3>Wholesale distributors<\/h3><button type=\"button\" class=\"form-link\" data-form=\"IRAC514\" aria-controls=\"page-IRAC514\"><span>Wholesale initial application<\/span><small>IRAC514<\/small><\/button><button type=\"button\" class=\"form-link\" data-form=\"IRAC515\" aria-controls=\"page-IRAC515\"><span>Wholesale renewal<\/span><small>IRAC515<\/small><\/button><button type=\"button\" class=\"form-link\" data-form=\"IRAC516\" aria-controls=\"page-IRAC516\"><span>Wholesale amendment<\/span><small>IRAC516<\/small><\/button><\/section><\/nav><p id=\"no-results\" hidden>No matching forms. Try a form name or number.<\/p><div class=\"sidebar-footer\"><a href=\"https:\/\/irac.pe.ca\/petrol\/petroleum-forms\/\" target=\"_blank\" rel=\"noopener\">Official forms &amp; guidance \u2197<\/a><small>Entries stay in this tab while the page is open. Print a copy before leaving.<\/small><\/div><\/aside>\n<main class=\"portal-main\" aria-label=\"Selected webform\"><div class=\"workspace-toolbar\"><div><span class=\"toolbar-eyebrow\">YOUR APPLICATION<\/span><h1 id=\"active-title\">Retail outlet annual renewal<\/h1><p id=\"active-description\">IRAC503 \u00b7 Retail outlets<\/p><\/div><div class=\"toolbar-actions\"><button type=\"button\" class=\"button-secondary\" id=\"select-form-toggle\" aria-expanded=\"false\" aria-controls=\"irac-form-nav\">Choose form<\/button><button type=\"button\" class=\"button-secondary\" id=\"reset-form\">Clear form<\/button><button type=\"button\" class=\"button-primary\" id=\"review-form\">Submit &amp; print \/ PDF<\/button><\/div><\/div><p id=\"irac-status\" class=\"workspace-status\" role=\"status\">Submitting saves your answers to this website and assigns an application number before printing.<\/p><div class=\"form-scroll\"><section class=\"form-page\" id=\"page-IRAC501\" data-code=\"IRAC501\" hidden aria-labelledby=\"heading-IRAC501\"><div class=\"form-container\"><div class=\"form-header\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/irac.pe.ca\/wp-content\/uploads\/2021\/03\/IRAC-Website-Logo.png\" width=\"250\" height=\"48\" alt=\"Island Regulatory and Appeals Commission\"><h2 id=\"heading-IRAC501\" tabindex=\"-1\">Application for Retail Petroleum Outlet License &#8211; New Retail Outlet (IRAC501)<\/h2><p>ALL APPLICABLE QUESTIONS MUST BE ANSWERED<\/p><\/div><div class=\"form-context\"><a href=\"https:\/\/irac.pe.ca\/wp-content\/uploads\/2020\/08\/IRAC501-New-Retail-Outlet.pdf\" target=\"_blank\" rel=\"noopener\">View source PDF <span aria-hidden=\"true\">\u2197<\/span><\/a><span>IRAC501 \u00b7 Webform<\/span><\/div><div class=\"form-notice\">Review both pages of the source PDF, including the information for applicants, before submitting.<\/div><form id=\"form-IRAC501\" class=\"irac-form\" autocomplete=\"off\"><fieldset><legend>1 &#8211; 2. Applicant and proposed outlet<\/legend><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC501_applicant\">1. Name of applicant <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC501_applicant\" name=\"IRAC501_applicant\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC501_outlet_street\">2. Proposed outlet address &#8211; Street <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC501_outlet_street\" name=\"IRAC501_outlet_street\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC501_outlet_town\">Town \/ community <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC501_outlet_town\" name=\"IRAC501_outlet_town\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC501_outlet_province\">Province <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC501_outlet_province\" name=\"IRAC501_outlet_province\" required value=\"P.E.I.\"><\/div><div class=\"form-group\"><label for=\"IRAC501_outlet_postal\">Postal code <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC501_outlet_postal\" name=\"IRAC501_outlet_postal\" required value=\"\"><\/div><\/div><\/fieldset><fieldset><legend>Owner and operator<\/legend><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC501_owner_name\">3. Owner of outlet \/ property <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC501_owner_name\" name=\"IRAC501_owner_name\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC501_owner_address\">4. Owner mailing address <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC501_owner_address\" name=\"IRAC501_owner_address\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC501_operator_name\">5. Operator of outlet <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC501_operator_name\" name=\"IRAC501_operator_name\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC501_operator_address\">6. Operator mailing address <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC501_operator_address\" name=\"IRAC501_operator_address\" required value=\"\"><\/div><\/div><\/fieldset><fieldset><legend>7 &#8211; 12. Licensing and proposed operations<\/legend><fieldset class=\"choice-field\"><legend>7. Previously licensed under the Petroleum Products Act? <span class=\"required\">*<\/span><\/legend><div class=\"radio-group\"><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC501_previously_licensed\" id=\"IRAC501_previously_licensed_0\" value=\"Yes\" required>Yes<\/label><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC501_previously_licensed\" id=\"IRAC501_previously_licensed_1\" value=\"No\" required>No<\/label><\/div><\/fieldset><div class=\"form-row\"><div class=\"form-group full-width\"><label for=\"IRAC501_previous_license_details\">If yes, specify previous licensing details<\/label><input type=\"text\" id=\"IRAC501_previous_license_details\" name=\"IRAC501_previous_license_details\" value=\"\"><\/div><\/div><fieldset class=\"choice-field\"><legend>8. Proposed methods of dispensing<\/legend><div class=\"checkbox-group\"><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC501_methods\" id=\"IRAC501_methods_0\" value=\"Full-serve\">Full-serve<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC501_methods\" id=\"IRAC501_methods_1\" value=\"Split-serve\">Split-serve<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC501_methods\" id=\"IRAC501_methods_2\" value=\"Self-serve\">Self-serve<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC501_methods\" id=\"IRAC501_methods_3\" value=\"Keylock\">Keylock<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC501_methods\" id=\"IRAC501_methods_4\" value=\"Cardlock\">Cardlock<\/label><\/div><\/fieldset><fieldset class=\"choice-field\"><legend>9. Type of proposed outlet<\/legend><div class=\"checkbox-group\"><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC501_outlet_type\" id=\"IRAC501_outlet_type_0\" value=\"Service Station\">Service Station<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC501_outlet_type\" id=\"IRAC501_outlet_type_1\" value=\"C-Store\/General Store\">C-Store\/General Store<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC501_outlet_type\" id=\"IRAC501_outlet_type_2\" value=\"Marine\">Marine<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC501_outlet_type\" id=\"IRAC501_outlet_type_3\" value=\"Other\">Other<\/label><\/div><\/fieldset><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC501_outlet_type_other\">Other outlet type<\/label><input type=\"text\" id=\"IRAC501_outlet_type_other\" name=\"IRAC501_outlet_type_other\" value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC501_supplier\">10. Proposed supplier <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC501_supplier\" name=\"IRAC501_supplier\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC501_products\">11. Products to be sold <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC501_products\" name=\"IRAC501_products\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group full-width\"><label for=\"IRAC501_services\">12. Services \/ businesses to operate with petroleum sales, including proposed propane dispensing <span class=required>*<\/span><\/label><textarea id=\"IRAC501_services\" name=\"IRAC501_services\" required rows=\"3\"><\/textarea><\/div><\/div><\/fieldset><fieldset><legend>13 &#8211; 18. Facility details<\/legend><div class=\"form-row\"><div class=\"form-group full-width\"><label for=\"IRAC501_buildings\">13. Building descriptions and dimensions <span class=required>*<\/span><\/label><textarea id=\"IRAC501_buildings\" name=\"IRAC501_buildings\" required rows=\"3\"><\/textarea><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC501_islands\">14. Number of proposed pump islands <span class=required>*<\/span><\/label><input type=\"number\" id=\"IRAC501_islands\" name=\"IRAC501_islands\" required value=\"\" min=\"0\" step=\"any\"><\/div><div class=\"form-group\"><label for=\"IRAC501_pumps\">Number of proposed pumps <span class=required>*<\/span><\/label><input type=\"number\" id=\"IRAC501_pumps\" name=\"IRAC501_pumps\" required value=\"\" min=\"0\" step=\"any\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC501_weekday_full\">15. Weekdays &#8211; full-service hours<\/label><input type=\"text\" id=\"IRAC501_weekday_full\" name=\"IRAC501_weekday_full\" value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC501_weekday_self\">Weekdays &#8211; self-service hours<\/label><input type=\"text\" id=\"IRAC501_weekday_self\" name=\"IRAC501_weekday_self\" value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC501_holiday_full\">Sundays \/ holidays &#8211; full-service hours<\/label><input type=\"text\" id=\"IRAC501_holiday_full\" name=\"IRAC501_holiday_full\" value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC501_holiday_self\">Sundays \/ holidays &#8211; self-service hours<\/label><input type=\"text\" id=\"IRAC501_holiday_self\" name=\"IRAC501_holiday_self\" value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group full-width\"><label for=\"IRAC501_storage\">16. Proposed storage volume (litres), by product <span class=required>*<\/span><\/label><textarea id=\"IRAC501_storage\" name=\"IRAC501_storage\" required rows=\"3\"><\/textarea><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC501_road_distance\">17. Pump island distance from nearest road centre (feet) <span class=required>*<\/span><\/label><input type=\"number\" id=\"IRAC501_road_distance\" name=\"IRAC501_road_distance\" required value=\"\" min=\"0\" step=\"any\"><\/div><\/div><fieldset class=\"choice-field\"><legend>18. Will public washrooms be provided? <span class=\"required\">*<\/span><\/legend><div class=\"radio-group\"><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC501_washrooms\" id=\"IRAC501_washrooms_0\" value=\"Yes\" required>Yes<\/label><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC501_washrooms\" id=\"IRAC501_washrooms_1\" value=\"No\" required>No<\/label><\/div><\/fieldset><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC501_washroom_count\">If yes, number of washrooms<\/label><input type=\"number\" id=\"IRAC501_washroom_count\" name=\"IRAC501_washroom_count\" value=\"\" min=\"0\" step=\"any\"><\/div><\/div><\/fieldset><fieldset><legend>19. Supporting documents<\/legend><p class=\"field-help\">Preparation checklist. Include supporting documents separately with your application; this page does not upload them.<\/p><fieldset class=\"choice-field\"><legend>Documents \/ requirements<\/legend><div class=\"checkbox-group\"><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC501_supporting_documents\" id=\"IRAC501_supporting_documents_0\" value=\"Property location plan\">Property location plan<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC501_supporting_documents\" id=\"IRAC501_supporting_documents_1\" value=\"Facility layout plan\">Facility layout plan<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC501_supporting_documents\" id=\"IRAC501_supporting_documents_2\" value=\"Letter explaining public interest, convenience and necessity\">Letter explaining public interest, convenience and necessity<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC501_supporting_documents\" id=\"IRAC501_supporting_documents_3\" value=\"Building permit \/ approval in principle\">Building permit \/ approval in principle<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC501_supporting_documents\" id=\"IRAC501_supporting_documents_4\" value=\"Preliminary petroleum storage approval\">Preliminary petroleum storage approval<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC501_supporting_documents\" id=\"IRAC501_supporting_documents_5\" value=\"Current filing fee\">Current filing fee<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC501_supporting_documents\" id=\"IRAC501_supporting_documents_6\" value=\"Proof of ownership\">Proof of ownership<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC501_supporting_documents\" id=\"IRAC501_supporting_documents_7\" value=\"Petroleum supply agreement\">Petroleum supply agreement<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC501_supporting_documents\" id=\"IRAC501_supporting_documents_8\" value=\"Propane handling approval (if applicable)\">Propane handling approval (if applicable)<\/label><\/div><\/fieldset><p class=\"field-help\">The first three items accompany the application. Remaining applicable items are required before a licence is issued. See the source PDF for issuing authorities and the applicant information on public convenience and necessity.<\/p><\/fieldset><fieldset><legend>20. Declaration<\/legend><div class=\"declaration-box\">I hereby declare that the answers made to the above questions are true and, if a license is issued, I undertake to carry out in every manner the requirements of the Petroleum Products Act and Regulations.<\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC501_signature\">Signature &#8211; type full legal name <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC501_signature\" name=\"IRAC501_signature\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC501_print_name\">Full name \/ print name <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC501_print_name\" name=\"IRAC501_print_name\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC501_signer_title\">Title <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC501_signer_title\" name=\"IRAC501_signer_title\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC501_corporate_name\">Corporate name (if applicable)<\/label><input type=\"text\" id=\"IRAC501_corporate_name\" name=\"IRAC501_corporate_name\" value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC501_sig_date\">Date <span class=required>*<\/span><\/label><input type=\"date\" id=\"IRAC501_sig_date\" name=\"IRAC501_sig_date\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC501_signer_phone\">Telephone <span class=required>*<\/span><\/label><input type=\"tel\" id=\"IRAC501_signer_phone\" name=\"IRAC501_signer_phone\" required value=\"\"><\/div><\/div><fieldset class=\"choice-field\"><legend>Signing as <span class=\"required\">*<\/span><\/legend><div class=\"radio-group\"><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC501_signer_capacity\" id=\"IRAC501_signer_capacity_0\" value=\"Owner\" required>Owner<\/label><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC501_signer_capacity\" id=\"IRAC501_signer_capacity_1\" value=\"Lessee\" required>Lessee<\/label><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC501_signer_capacity\" id=\"IRAC501_signer_capacity_2\" value=\"Agent\" required>Agent<\/label><\/div><\/fieldset><p class=\"field-help\">A typed name is included in the printed copy. Sign the application as required by the Commission.<\/p><\/fieldset><\/form><p class=\"form-footnote\">Licence fees are payable to the Island Regulatory and Appeals Commission. Review the source PDF for full application and supporting-document requirements.<\/p><p class=\"form-footnote\">Submitting saves your answers to this website&#8217;s application database. Payments and supporting documents are handled separately. For the Commission&#8217;s privacy notice and filing instructions, see the <a href=\"https:\/\/irac.pe.ca\/petrol\/petroleum-forms\/\" target=\"_blank\" rel=\"noopener\">official petroleum forms page<\/a>.<\/p><div class=\"form-actions\"><button type=\"button\" data-action=\"validate\" class=\"button-secondary\">Check required fields<\/button><button type=\"button\" data-action=\"review\" class=\"button-primary\">Submit &amp; print \/ PDF<\/button><\/div><\/div><\/section><section class=\"form-page\" id=\"page-IRAC507\" data-code=\"IRAC507\" hidden aria-labelledby=\"heading-IRAC507\"><div class=\"form-container\"><div class=\"form-header\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/irac.pe.ca\/wp-content\/uploads\/2021\/03\/IRAC-Website-Logo.png\" width=\"250\" height=\"48\" alt=\"Island Regulatory and Appeals Commission\"><h2 id=\"heading-IRAC507\" tabindex=\"-1\">New Retail Outlet &#8211; Propane Only (IRAC507)<\/h2><p>ALL APPLICABLE QUESTIONS MUST BE ANSWERED<\/p><\/div><div class=\"form-context\"><a href=\"https:\/\/irac.pe.ca\/wp-content\/uploads\/2020\/08\/IRAC507-New-Retail-Outlet-Propane.pdf\" target=\"_blank\" rel=\"noopener\">View source PDF <span aria-hidden=\"true\">\u2197<\/span><\/a><span>IRAC507 \u00b7 Webform<\/span><\/div><div class=\"form-notice\">For exchange-centre applications, only propane handling approval and the filing fee are required. Refer to the PDF for the timing of other requirements.<\/div><form id=\"form-IRAC507\" class=\"irac-form\" autocomplete=\"off\"><fieldset><legend>1 &#8211; 2. Outlet details<\/legend><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC507_outlet_name\">1. Name of outlet <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC507_outlet_name\" name=\"IRAC507_outlet_name\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC507_outlet_street\">2. Outlet address &#8211; Street <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC507_outlet_street\" name=\"IRAC507_outlet_street\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC507_outlet_town\">Town \/ community <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC507_outlet_town\" name=\"IRAC507_outlet_town\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC507_outlet_province\">Province <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC507_outlet_province\" name=\"IRAC507_outlet_province\" required value=\"P.E.I.\"><\/div><div class=\"form-group\"><label for=\"IRAC507_outlet_postal\">Postal code <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC507_outlet_postal\" name=\"IRAC507_outlet_postal\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC507_outlet_phone\">Telephone <span class=required>*<\/span><\/label><input type=\"tel\" id=\"IRAC507_outlet_phone\" name=\"IRAC507_outlet_phone\" required value=\"\"><\/div><\/div><\/fieldset><fieldset><legend>Owner and operator<\/legend><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC507_owner_name\">3. Owner of outlet \/ property <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC507_owner_name\" name=\"IRAC507_owner_name\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC507_owner_address\">4. Owner mailing address <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC507_owner_address\" name=\"IRAC507_owner_address\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC507_operator_name\">5. Operator of outlet <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC507_operator_name\" name=\"IRAC507_operator_name\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC507_operator_address\">6. Operator mailing address <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC507_operator_address\" name=\"IRAC507_operator_address\" required value=\"\"><\/div><\/div><\/fieldset><fieldset><legend>Propane operations<\/legend><div class=\"form-row\"><div class=\"form-group full-width\"><label for=\"IRAC507_services\">7. Other services at the outlet <span class=required>*<\/span><\/label><textarea id=\"IRAC507_services\" name=\"IRAC507_services\" required rows=\"3\"><\/textarea><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC507_supplier\">8. Proposed propane supplier <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC507_supplier\" name=\"IRAC507_supplier\" required value=\"\"><\/div><\/div><fieldset class=\"choice-field\"><legend>9. Sell propane through a cylinder exchange centre? <span class=\"required\">*<\/span><\/legend><div class=\"radio-group\"><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC507_exchange\" id=\"IRAC507_exchange_0\" value=\"Yes\" required>Yes<\/label><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC507_exchange\" id=\"IRAC507_exchange_1\" value=\"No\" required>No<\/label><\/div><\/fieldset><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC507_exchange_size\">If yes, size of exchange cylinders (litres)<\/label><input type=\"number\" id=\"IRAC507_exchange_size\" name=\"IRAC507_exchange_size\" value=\"\" min=\"0\" step=\"any\"><\/div><\/div><fieldset class=\"choice-field\"><legend>10. Store and sell filled propane cylinders (maximum 45.4 kg)? <span class=\"required\">*<\/span><\/legend><div class=\"radio-group\"><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC507_filled_cylinders\" id=\"IRAC507_filled_cylinders_0\" value=\"Yes\" required>Yes<\/label><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC507_filled_cylinders\" id=\"IRAC507_filled_cylinders_1\" value=\"No\" required>No<\/label><\/div><\/fieldset><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC507_filled_size\">If yes, cylinder size (litres)<\/label><input type=\"number\" id=\"IRAC507_filled_size\" name=\"IRAC507_filled_size\" value=\"\" min=\"0\" step=\"any\"><\/div><\/div><fieldset class=\"choice-field\"><legend>11. Fill cylinders from a dispenser? <span class=\"required\">*<\/span><\/legend><div class=\"radio-group\"><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC507_dispenser\" id=\"IRAC507_dispenser_0\" value=\"Yes\" required>Yes<\/label><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC507_dispenser\" id=\"IRAC507_dispenser_1\" value=\"No\" required>No<\/label><\/div><\/fieldset><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC507_fill_size\">Maximum cylinder size to be filled (litres)<\/label><input type=\"number\" id=\"IRAC507_fill_size\" name=\"IRAC507_fill_size\" value=\"\" min=\"0\" step=\"any\"><\/div><div class=\"form-group\"><label for=\"IRAC507_bulk_storage\">Bulk propane storage size (litres)<\/label><input type=\"number\" id=\"IRAC507_bulk_storage\" name=\"IRAC507_bulk_storage\" value=\"\" min=\"0\" step=\"any\"><\/div><\/div><fieldset class=\"choice-field\"><legend>12. Fuel tanks permanently attached to motor vehicles? <span class=\"required\">*<\/span><\/legend><div class=\"radio-group\"><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC507_vehicle_tanks\" id=\"IRAC507_vehicle_tanks_0\" value=\"Yes\" required>Yes<\/label><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC507_vehicle_tanks\" id=\"IRAC507_vehicle_tanks_1\" value=\"No\" required>No<\/label><\/div><\/fieldset><\/fieldset><fieldset><legend>13. Supporting documents<\/legend><p class=\"field-help\">Preparation checklist. Include supporting documents separately with your application; this page does not upload them.<\/p><fieldset class=\"choice-field\"><legend>Documents \/ requirements<\/legend><div class=\"checkbox-group\"><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC507_supporting_documents\" id=\"IRAC507_supporting_documents_0\" value=\"Property location sketch\">Property location sketch<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC507_supporting_documents\" id=\"IRAC507_supporting_documents_1\" value=\"Propane installation plan relative to buildings\">Propane installation plan relative to buildings<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC507_supporting_documents\" id=\"IRAC507_supporting_documents_2\" value=\"Public interest, convenience and necessity letter\">Public interest, convenience and necessity letter<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC507_supporting_documents\" id=\"IRAC507_supporting_documents_3\" value=\"Propane handling approval\">Propane handling approval<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC507_supporting_documents\" id=\"IRAC507_supporting_documents_4\" value=\"Current filing fee\">Current filing fee<\/label><\/div><\/fieldset><p class=\"field-help\">For exchange-centre applications, only propane handling approval and the filing fee are required. Refer to the PDF for the timing of other requirements.<\/p><\/fieldset><fieldset><legend>Retail hours and months<\/legend><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC507_mon_sat_hours\">14. Monday to Saturday hours<\/label><input type=\"text\" id=\"IRAC507_mon_sat_hours\" name=\"IRAC507_mon_sat_hours\" value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC507_sunday_hours\">Sunday hours<\/label><input type=\"text\" id=\"IRAC507_sunday_hours\" name=\"IRAC507_sunday_hours\" value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC507_holiday_hours\">Holiday hours<\/label><input type=\"text\" id=\"IRAC507_holiday_hours\" name=\"IRAC507_holiday_hours\" value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC507_months\">15. Months of the year in operation <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC507_months\" name=\"IRAC507_months\" required value=\"\"><\/div><\/div><\/fieldset><fieldset><legend>16. Declaration<\/legend><div class=\"declaration-box\">I hereby declare that the answers made to the above questions are true and, if a license is issued, I undertake to carry out in every manner the requirements of the Petroleum Products Act and Regulations.<\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC507_signature\">Signature &#8211; type full legal name <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC507_signature\" name=\"IRAC507_signature\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC507_print_name\">Full name \/ print name <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC507_print_name\" name=\"IRAC507_print_name\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC507_signer_title\">Title <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC507_signer_title\" name=\"IRAC507_signer_title\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC507_corporate_name\">Corporate name (if applicable)<\/label><input type=\"text\" id=\"IRAC507_corporate_name\" name=\"IRAC507_corporate_name\" value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC507_sig_date\">Date <span class=required>*<\/span><\/label><input type=\"date\" id=\"IRAC507_sig_date\" name=\"IRAC507_sig_date\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC507_signer_phone\">Telephone <span class=required>*<\/span><\/label><input type=\"tel\" id=\"IRAC507_signer_phone\" name=\"IRAC507_signer_phone\" required value=\"\"><\/div><\/div><fieldset class=\"choice-field\"><legend>Signing as <span class=\"required\">*<\/span><\/legend><div class=\"radio-group\"><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC507_signer_capacity\" id=\"IRAC507_signer_capacity_0\" value=\"Owner\" required>Owner<\/label><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC507_signer_capacity\" id=\"IRAC507_signer_capacity_1\" value=\"Lessee\" required>Lessee<\/label><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC507_signer_capacity\" id=\"IRAC507_signer_capacity_2\" value=\"Agent\" required>Agent<\/label><\/div><\/fieldset><p class=\"field-help\">A typed name is included in the printed copy. Sign the application as required by the Commission.<\/p><\/fieldset><\/form><p class=\"form-footnote\">Licence fees are payable to the Island Regulatory and Appeals Commission. Review the source PDF for full application and supporting-document requirements.<\/p><p class=\"form-footnote\">Submitting saves your answers to this website&#8217;s application database. Payments and supporting documents are handled separately. For the Commission&#8217;s privacy notice and filing instructions, see the <a href=\"https:\/\/irac.pe.ca\/petrol\/petroleum-forms\/\" target=\"_blank\" rel=\"noopener\">official petroleum forms page<\/a>.<\/p><div class=\"form-actions\"><button type=\"button\" data-action=\"validate\" class=\"button-secondary\">Check required fields<\/button><button type=\"button\" data-action=\"review\" class=\"button-primary\">Submit &amp; print \/ PDF<\/button><\/div><\/div><\/section><section class=\"form-page\" id=\"page-IRAC508\" data-code=\"IRAC508\" hidden aria-labelledby=\"heading-IRAC508\"><div class=\"form-container\"><div class=\"form-header\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/irac.pe.ca\/wp-content\/uploads\/2021\/03\/IRAC-Website-Logo.png\" width=\"250\" height=\"48\" alt=\"Island Regulatory and Appeals Commission\"><h2 id=\"heading-IRAC508\" tabindex=\"-1\">License Amendment &#8211; Propane (IRAC508)<\/h2><p>ALL APPLICABLE QUESTIONS MUST BE ANSWERED<\/p><\/div><div class=\"form-context\"><a href=\"https:\/\/irac.pe.ca\/wp-content\/uploads\/2020\/08\/IRAC508-LicenseAmendment-Propane.pdf\" target=\"_blank\" rel=\"noopener\">View source PDF <span aria-hidden=\"true\">\u2197<\/span><\/a><span>IRAC508 \u00b7 Webform<\/span><\/div><div class=\"form-notice\">For exchange-centre applications, only the propane handling approval is required. Do not begin alterations before Commission authorization. A licence amendment fee may apply.<\/div><form id=\"form-IRAC508\" class=\"irac-form\" autocomplete=\"off\"><fieldset><legend>1 &#8211; 2. Outlet details<\/legend><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC508_outlet_name\">1. Name of outlet <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC508_outlet_name\" name=\"IRAC508_outlet_name\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC508_outlet_street\">2. Outlet address &#8211; Street <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC508_outlet_street\" name=\"IRAC508_outlet_street\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC508_outlet_town\">Town \/ community <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC508_outlet_town\" name=\"IRAC508_outlet_town\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC508_outlet_province\">Province <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC508_outlet_province\" name=\"IRAC508_outlet_province\" required value=\"P.E.I.\"><\/div><div class=\"form-group\"><label for=\"IRAC508_outlet_postal\">Postal code <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC508_outlet_postal\" name=\"IRAC508_outlet_postal\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC508_outlet_phone\">Telephone <span class=required>*<\/span><\/label><input type=\"tel\" id=\"IRAC508_outlet_phone\" name=\"IRAC508_outlet_phone\" required value=\"\"><\/div><\/div><\/fieldset><fieldset><legend>Owner and operator<\/legend><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC508_owner_name\">3. Owner of outlet \/ property <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC508_owner_name\" name=\"IRAC508_owner_name\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC508_owner_address\">4. Owner mailing address <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC508_owner_address\" name=\"IRAC508_owner_address\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC508_operator_name\">5. Operator of outlet <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC508_operator_name\" name=\"IRAC508_operator_name\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC508_operator_address\">6. Operator mailing address <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC508_operator_address\" name=\"IRAC508_operator_address\" required value=\"\"><\/div><\/div><\/fieldset><fieldset><legend>Propane operations<\/legend><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC508_current_license\">7. Current petroleum products license number <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC508_current_license\" name=\"IRAC508_current_license\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group full-width\"><label for=\"IRAC508_services\">8. Other services at the outlet <span class=required>*<\/span><\/label><textarea id=\"IRAC508_services\" name=\"IRAC508_services\" required rows=\"3\"><\/textarea><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC508_supplier\">9. Proposed propane supplier <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC508_supplier\" name=\"IRAC508_supplier\" required value=\"\"><\/div><\/div><fieldset class=\"choice-field\"><legend>10. Sell propane through a cylinder exchange centre? <span class=\"required\">*<\/span><\/legend><div class=\"radio-group\"><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC508_exchange\" id=\"IRAC508_exchange_0\" value=\"Yes\" required>Yes<\/label><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC508_exchange\" id=\"IRAC508_exchange_1\" value=\"No\" required>No<\/label><\/div><\/fieldset><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC508_exchange_size\">If yes, size of exchange cylinders (litres)<\/label><input type=\"number\" id=\"IRAC508_exchange_size\" name=\"IRAC508_exchange_size\" value=\"\" min=\"0\" step=\"any\"><\/div><\/div><fieldset class=\"choice-field\"><legend>11. Store and sell filled propane cylinders (maximum 45.4 kg)? <span class=\"required\">*<\/span><\/legend><div class=\"radio-group\"><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC508_filled_cylinders\" id=\"IRAC508_filled_cylinders_0\" value=\"Yes\" required>Yes<\/label><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC508_filled_cylinders\" id=\"IRAC508_filled_cylinders_1\" value=\"No\" required>No<\/label><\/div><\/fieldset><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC508_filled_size\">If yes, cylinder size (litres)<\/label><input type=\"number\" id=\"IRAC508_filled_size\" name=\"IRAC508_filled_size\" value=\"\" min=\"0\" step=\"any\"><\/div><\/div><fieldset class=\"choice-field\"><legend>12. Fill cylinders from a dispenser? <span class=\"required\">*<\/span><\/legend><div class=\"radio-group\"><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC508_dispenser\" id=\"IRAC508_dispenser_0\" value=\"Yes\" required>Yes<\/label><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC508_dispenser\" id=\"IRAC508_dispenser_1\" value=\"No\" required>No<\/label><\/div><\/fieldset><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC508_fill_size\">Maximum cylinder size to be filled (litres)<\/label><input type=\"number\" id=\"IRAC508_fill_size\" name=\"IRAC508_fill_size\" value=\"\" min=\"0\" step=\"any\"><\/div><div class=\"form-group\"><label for=\"IRAC508_bulk_storage\">Bulk propane storage size (litres)<\/label><input type=\"number\" id=\"IRAC508_bulk_storage\" name=\"IRAC508_bulk_storage\" value=\"\" min=\"0\" step=\"any\"><\/div><\/div><fieldset class=\"choice-field\"><legend>13. Fuel tanks permanently attached to motor vehicles? <span class=\"required\">*<\/span><\/legend><div class=\"radio-group\"><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC508_vehicle_tanks\" id=\"IRAC508_vehicle_tanks_0\" value=\"Yes\" required>Yes<\/label><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC508_vehicle_tanks\" id=\"IRAC508_vehicle_tanks_1\" value=\"No\" required>No<\/label><\/div><\/fieldset><\/fieldset><fieldset><legend>14. Supporting documents<\/legend><p class=\"field-help\">Preparation checklist. Include supporting documents separately with your application; this page does not upload them.<\/p><fieldset class=\"choice-field\"><legend>Documents \/ requirements<\/legend><div class=\"checkbox-group\"><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC508_supporting_documents\" id=\"IRAC508_supporting_documents_0\" value=\"Propane installation plan relative to buildings\">Propane installation plan relative to buildings<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC508_supporting_documents\" id=\"IRAC508_supporting_documents_1\" value=\"Public interest, convenience and necessity letter\">Public interest, convenience and necessity letter<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC508_supporting_documents\" id=\"IRAC508_supporting_documents_2\" value=\"Propane handling approval\">Propane handling approval<\/label><\/div><\/fieldset><p class=\"field-help\">For exchange-centre applications, only the propane handling approval is required. Do not begin alterations before Commission authorization. A licence amendment fee may apply.<\/p><\/fieldset><fieldset><legend>Retail hours and months<\/legend><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC508_mon_sat_hours\">15. Monday to Saturday hours<\/label><input type=\"text\" id=\"IRAC508_mon_sat_hours\" name=\"IRAC508_mon_sat_hours\" value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC508_sunday_hours\">Sunday hours<\/label><input type=\"text\" id=\"IRAC508_sunday_hours\" name=\"IRAC508_sunday_hours\" value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC508_holiday_hours\">Holiday hours<\/label><input type=\"text\" id=\"IRAC508_holiday_hours\" name=\"IRAC508_holiday_hours\" value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC508_months\">16. Months of the year in operation <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC508_months\" name=\"IRAC508_months\" required value=\"\"><\/div><\/div><\/fieldset><fieldset><legend>17. Declaration<\/legend><div class=\"declaration-box\">I hereby declare that the answers made to the above questions are true and, if a license is issued, I undertake to carry out in every manner the requirements of the Petroleum Products Act and Regulations.<\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC508_signature\">Signature &#8211; type full legal name <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC508_signature\" name=\"IRAC508_signature\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC508_print_name\">Full name \/ print name <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC508_print_name\" name=\"IRAC508_print_name\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC508_signer_title\">Title <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC508_signer_title\" name=\"IRAC508_signer_title\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC508_corporate_name\">Corporate name (if applicable)<\/label><input type=\"text\" id=\"IRAC508_corporate_name\" name=\"IRAC508_corporate_name\" value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC508_sig_date\">Date <span class=required>*<\/span><\/label><input type=\"date\" id=\"IRAC508_sig_date\" name=\"IRAC508_sig_date\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC508_signer_phone\">Telephone <span class=required>*<\/span><\/label><input type=\"tel\" id=\"IRAC508_signer_phone\" name=\"IRAC508_signer_phone\" required value=\"\"><\/div><\/div><fieldset class=\"choice-field\"><legend>Signing as <span class=\"required\">*<\/span><\/legend><div class=\"radio-group\"><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC508_signer_capacity\" id=\"IRAC508_signer_capacity_0\" value=\"Owner\" required>Owner<\/label><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC508_signer_capacity\" id=\"IRAC508_signer_capacity_1\" value=\"Lessee\" required>Lessee<\/label><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC508_signer_capacity\" id=\"IRAC508_signer_capacity_2\" value=\"Agent\" required>Agent<\/label><\/div><\/fieldset><p class=\"field-help\">A typed name is included in the printed copy. Sign the application as required by the Commission.<\/p><\/fieldset><\/form><p class=\"form-footnote\">Licence fees are payable to the Island Regulatory and Appeals Commission. Review the source PDF for full application and supporting-document requirements.<\/p><p class=\"form-footnote\">Submitting saves your answers to this website&#8217;s application database. Payments and supporting documents are handled separately. For the Commission&#8217;s privacy notice and filing instructions, see the <a href=\"https:\/\/irac.pe.ca\/petrol\/petroleum-forms\/\" target=\"_blank\" rel=\"noopener\">official petroleum forms page<\/a>.<\/p><div class=\"form-actions\"><button type=\"button\" data-action=\"validate\" class=\"button-secondary\">Check required fields<\/button><button type=\"button\" data-action=\"review\" class=\"button-primary\">Submit &amp; print \/ PDF<\/button><\/div><\/div><\/section><section class=\"form-page\" id=\"page-IRAC503\" data-code=\"IRAC503\" hidden aria-labelledby=\"heading-IRAC503\"><div class=\"form-container\"><div class=\"form-header\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/irac.pe.ca\/wp-content\/uploads\/2021\/03\/IRAC-Website-Logo.png\" width=\"250\" height=\"48\" alt=\"Island Regulatory and Appeals Commission\"><h2 id=\"heading-IRAC503\" tabindex=\"-1\">Application for Retail Outlet License &#8211; Annual Renewal (IRAC503)<\/h2><p>ALL APPLICABLE QUESTIONS MUST BE ANSWERED<\/p><\/div><div class=\"form-context\"><a href=\"https:\/\/irac.pe.ca\/wp-content\/uploads\/2020\/08\/IRAC503-Retail-Outlet-Renewal.pdf\" target=\"_blank\" rel=\"noopener\">View source PDF <span aria-hidden=\"true\">\u2197<\/span><\/a><span>IRAC503 \u00b7 Webform<\/span><\/div><form id=\"form-IRAC503\" class=\"irac-form\" autocomplete=\"off\">\n    <!-- 1 & 2: Outlet Name and Location -->\n    <fieldset>\n      <legend>1 &#8211; 3. Outlet Details<\/legend>\n      <div class=\"form-row\">\n        <div class=\"form-group full-width\">\n          <label for=\"IRAC503_outlet_name\">1. Name of Outlet *<\/label>\n          <input type=\"text\" id=\"IRAC503_outlet_name\" name=\"IRAC503_outlet_name\" required>\n        <\/div>\n      <\/div>\n      <div class=\"form-row\">\n        <div class=\"form-group\" style=\"flex: 2;\">\n          <label for=\"IRAC503_outlet_street\">2. Located At (Street) *<\/label>\n          <input type=\"text\" id=\"IRAC503_outlet_street\" name=\"IRAC503_outlet_street\" required>\n        <\/div>\n        <div class=\"form-group\">\n          <label for=\"IRAC503_outlet_town\">Town \/ Community *<\/label>\n          <input type=\"text\" id=\"IRAC503_outlet_town\" name=\"IRAC503_outlet_town\" required>\n        <\/div>\n        <div class=\"form-group\" style=\"max-width: 80px;\">\n          <label for=\"IRAC503_outlet_province\">Province<\/label>\n          <input type=\"text\" id=\"IRAC503_outlet_province\" name=\"IRAC503_outlet_province\" value=\"P.E.I.\">\n        <\/div>\n        <div class=\"form-group\" style=\"max-width: 120px;\">\n          <label for=\"IRAC503_outlet_postal_code\">Postal Code *<\/label>\n          <input type=\"text\" id=\"IRAC503_outlet_postal_code\" name=\"IRAC503_outlet_postal_code\" required>\n        <\/div>\n      <\/div>\n      <div class=\"form-row\">\n        <div class=\"form-group\">\n          <label for=\"IRAC503_outlet_phone\">3. Telephone Number *<\/label>\n          <input type=\"tel\" id=\"IRAC503_outlet_phone\" name=\"IRAC503_outlet_phone\" required>\n        <\/div>\n        <div class=\"form-group\">\n          <label for=\"IRAC503_current_license_number\">7. Current License Number *<\/label>\n          <input type=\"text\" id=\"IRAC503_current_license_number\" name=\"IRAC503_current_license_number\" required>\n        <\/div>\n      <\/div>\n    <\/fieldset>\n\n    <!-- 5: Owner Information -->\n    <fieldset>\n      <legend>5. Owner Information<\/legend>\n      <div class=\"form-row\">\n        <div class=\"form-group full-width\">\n          <label for=\"IRAC503_owner_name\">a) Owner of Outlet *<\/label>\n          <input type=\"text\" id=\"IRAC503_owner_name\" name=\"IRAC503_owner_name\" required>\n        <\/div>\n      <\/div>\n      <div class=\"form-row\">\n        <div class=\"form-group full-width\">\n          <label for=\"IRAC503_owner_address\">b) Owner&#8217;s Mailing Address *<\/label>\n          <input type=\"text\" id=\"IRAC503_owner_address\" name=\"IRAC503_owner_address\" required>\n        <\/div>\n      <\/div>\n      <div class=\"form-row\">\n        <div class=\"form-group\">\n          <label for=\"IRAC503_owner_phone\">c) Owner Phone Number *<\/label>\n          <input type=\"tel\" id=\"IRAC503_owner_phone\" name=\"IRAC503_owner_phone\" required>\n        <\/div>\n        <div class=\"form-group\">\n          <label for=\"IRAC503_owner_email\">d) Owner Email Address *<\/label>\n          <input type=\"email\" id=\"IRAC503_owner_email\" name=\"IRAC503_owner_email\" required>\n        <\/div>\n      <\/div>\n    <\/fieldset>\n\n    <!-- 6: Operator Information -->\n    <fieldset>\n      <legend>6. Operator Information<\/legend>\n      <div class=\"form-row\">\n        <div class=\"form-group full-width\">\n          <label for=\"IRAC503_operator_name\">a) Operator of Outlet<\/label>\n          <input type=\"text\" id=\"IRAC503_operator_name\" name=\"IRAC503_operator_name\">\n        <\/div>\n      <\/div>\n      <div class=\"form-row\">\n        <div class=\"form-group full-width\">\n          <label for=\"IRAC503_operator_address\">b) Operator&#8217;s Mailing Address<\/label>\n          <input type=\"text\" id=\"IRAC503_operator_address\" name=\"IRAC503_operator_address\">\n        <\/div>\n      <\/div>\n      <div class=\"form-row\">\n        <div class=\"form-group\">\n          <label for=\"IRAC503_operator_phone\">c) Operator Phone Number<\/label>\n          <input type=\"tel\" id=\"IRAC503_operator_phone\" name=\"IRAC503_operator_phone\">\n        <\/div>\n        <div class=\"form-group\">\n          <label for=\"IRAC503_operator_email\">d) Operator Email Address<\/label>\n          <input type=\"email\" id=\"IRAC503_operator_email\" name=\"IRAC503_operator_email\">\n        <\/div>\n      <\/div>\n    <\/fieldset>\n\n    <!-- 8 & 9: Dispensing and Hours -->\n    <fieldset>\n      <legend>8 &#8211; 10. Operations &#038; Dispensing<\/legend>\n      <label>8. Hours of Operation for Motor Fuels Dispensing:<\/label>\n      <div class=\"form-row\">\n        <div class=\"form-group\">\n          <label>Full-Serve:<\/label>\n          <input type=\"text\" name=\"IRAC503_hours_full_serve\" placeholder=\"e.g., 7:00 a.m. to 9:00 p.m.\">\n        <\/div>\n        <div class=\"form-group\">\n          <label>Self-Serve:<\/label>\n          <input type=\"text\" name=\"IRAC503_hours_self_serve\" placeholder=\"e.g., 6:00 a.m. to 11:00 p.m.\">\n        <\/div>\n      <\/div>\n\n      <label>9. Method of Dispensing (check all that apply):<\/label>\n      <div class=\"checkbox-group\">\n        <label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC503_dispense_method[]\" value=\"Full-serve\"> Full-serve<\/label>\n        <label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC503_dispense_method[]\" value=\"Split-serve\"> Split-serve<\/label>\n        <label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC503_dispense_method[]\" value=\"Self-serve\"> Self-serve<\/label>\n        <label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC503_dispense_method[]\" value=\"Keylock\"> Keylock<\/label>\n        <label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC503_dispense_method[]\" value=\"Cardlock\"> Cardlock<\/label>\n      <\/div>\n\n      <div class=\"form-row\" style=\"margin-top: 15px;\">\n        <div class=\"form-group full-width\">\n          <label for=\"IRAC503_other_services\">10. Describe Other Services Provided at This Outlet (service bays, c-store, restaurant, etc.):<\/label>\n          <textarea id=\"IRAC503_other_services\" name=\"IRAC503_other_services\" rows=\"2\"><\/textarea>\n        <\/div>\n      <\/div>\n    <\/fieldset>\n\n    <!-- 11 - 14: Products Sold & Propane -->\n    <fieldset>\n      <legend>11 &#8211; 14. Petroleum Products &#038; Suppliers<\/legend>\n      <label>11. Petroleum Products Sold (separate form required for each license at marine outlets):<\/label>\n      <div class=\"checkbox-group\">\n        <label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC503_products_sold[]\" value=\"Gasoline\"> Gasoline<\/label>\n        <label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC503_products_sold[]\" value=\"Marked Gasoline\"> Marked Gasoline<\/label>\n        <label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC503_products_sold[]\" value=\"Clear Diesel Fuel\"> Clear Diesel Fuel<\/label>\n        <label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC503_products_sold[]\" value=\"Marked Diesel Fuel\"> Marked Diesel Fuel<\/label>\n        <label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC503_products_sold[]\" value=\"Propane\"> Propane<\/label>\n        <label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC503_products_sold[]\" value=\"Kerosene\"> Kerosene<\/label>\n        <label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC503_products_sold[]\" value=\"Furnace Fuel\"> Furnace Fuel<\/label>\n      <\/div>\n\n      <label style=\"margin-top: 12px; display:block;\">12. Propane:<\/label>\n      <div class=\"checkbox-group\">\n        <label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC503_propane_options[]\" value=\"Automotive\"> Automotive<\/label>\n        <label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC503_propane_options[]\" value=\"Filling <= 20 kg\"> Filling of up to 20 kg. cylinders<\/label>\n        <label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC503_propane_options[]\" value=\"9.09 kg Exchange\"> 9.09 kg Exchange Centre<\/label>\n        <label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC503_propane_options[]\" value=\"Storage &#038; Sale <= 45.4 kg\"> Storage &#038; Sale of up to 45.4 kg Cylinders<\/label>\n        <label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC503_propane_options[]\" value=\"Filling, Storage &#038; Sale <= 45.4 kg\"> Filling, Storage &#038; Sale of up to 45.4 kg Cylinders<\/label>\n      <\/div>\n\n      <div class=\"form-row\" style=\"margin-top: 12px;\">\n        <div class=\"form-group\" style=\"flex: 2;\">\n          <label for=\"IRAC503_wholesaler_supplier\">13. Which Wholesaler is Your Supplier (including propane):<\/label>\n          <input type=\"text\" id=\"IRAC503_wholesaler_supplier\" name=\"IRAC503_wholesaler_supplier\">\n        <\/div>\n        <div class=\"form-group\">\n          <label>14. Are Bay Services Available?<\/label>\n          <div class=\"radio-group\">\n            <label class=\"radio-item\"><input type=\"radio\" name=\"IRAC503_bay_services\" value=\"Yes\"> Yes<\/label>\n            <label class=\"radio-item\"><input type=\"radio\" name=\"IRAC503_bay_services\" value=\"No\"> No<\/label>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <div class=\"form-row\">\n        <div class=\"form-group full-width\">\n          <label>15. Volume (in Litres) Sold Jan. 1st to Dec. 31st Last Year:<\/label>\n          <table class=\"capacity-table\">\n              <thead>\n                <tr>\n                  <th> <\/th>\n                  <th>Full-Serve<\/th>\n                  <th>Self-Serve<\/th>\n                <\/tr>\n              <\/thead>\n              <tbody>\n                <tr>\n                  <td>Gasoline<\/td>\n                  <td><input min=\"0\" step=\"any\" type=\"number\" name=\"IRAC503_vol_sold_gas_full_serve\" placeholder=\"Litres\" ><\/td>\n                  <td><input min=\"0\" step=\"any\" type=\"number\" name=\"IRAC503_vol_sold_gas_self_serve\" placeholder=\"Litres\" ><\/td>\n                <\/tr>\n                <tr>\n                  <td>Diesel<\/td>\n                  <td><input min=\"0\" step=\"any\" type=\"number\" name=\"IRAC503_vol_sold_diesel_full_serve\" placeholder=\"Litres\" ><\/td>\n                  <td><input min=\"0\" step=\"any\" type=\"number\" name=\"IRAC503_vol_sold_diesel_self_serve\" placeholder=\"Litres\" ><\/td>\n                <\/tr>\n                <tr>\n                  <td>Propane<\/td>\n                  <td><input min=\"0\" step=\"any\" type=\"number\" name=\"IRAC503_vol_sold_propane_full_serve\" placeholder=\"Litres\" ><\/td>\n                  <td><input min=\"0\" step=\"any\" type=\"number\" name=\"IRAC503_vol_sold_propane_self_serve\" placeholder=\"Litres\" ><\/td>\n                <\/tr>\n                <tr>\n                  <td>Kerosene<\/td>\n                  <td><input min=\"0\" step=\"any\" type=\"number\" name=\"IRAC503_vol_sold_kerosene_full_serve\" placeholder=\"Litres\" ><\/td>\n                  <td><input min=\"0\" step=\"any\" type=\"number\" name=\"IRAC503_vol_sold_kerosene_self_serve\" placeholder=\"Litres\" ><\/td>\n\n                <\/tr>\n                <tr>\n                  <td>Furnace<\/td>\n                  <td><input min=\"0\" step=\"any\" type=\"number\" name=\"IRAC503_vol_sold_furnace_full_serve\" placeholder=\"Litres\" ><\/td>\n                  <td><input min=\"0\" step=\"any\" type=\"number\" name=\"IRAC503_vol_sold_furnace_self_serve\" placeholder=\"Litres\" ><\/td>\n                <\/tr>\n              <\/tbody>\n            <\/table>\n        <\/div>\n      <\/div>\n    <\/fieldset>\n\n    <!-- 16: Storage Capacity -->\n    <fieldset>\n      <legend>16. Storage Capacity<\/legend>\n      <table class=\"capacity-table\">\n        <thead>\n          <tr>\n            <th>Product<\/th>\n            <th>Type \/ Litres<\/th>\n          <\/tr>\n        <\/thead>\n        <tbody>\n          <tr>\n            <td>Gasoline<\/td>\n            <td>\n              <input min=\"0\" step=\"any\" type=\"number\" name=\"IRAC503_cap_gas_litres\" placeholder=\"Litres\" >\n            <\/td>\n          <\/tr>\n          <tr>\n            <td>Diesel<\/td>\n            <td><input min=\"0\" step=\"any\" type=\"number\" name=\"IRAC503_cap_diesel_litres\" placeholder=\"Litres\" ><\/td>\n          <\/tr>\n          <tr>\n            <td>Propane<\/td>\n            <td><input min=\"0\" step=\"any\" type=\"number\" name=\"IRAC503_cap_propane_litres\" placeholder=\"Litres\" ><\/td>\n          <\/tr>\n          <tr>\n            <td>Kerosene<\/td>\n            <td><input min=\"0\" step=\"any\" type=\"number\" name=\"IRAC503_cap_kerosene_litres\" placeholder=\"Litres\" ><\/td>\n          <\/tr>\n          <tr>\n            <td>Furnace<\/td>\n            <td><input min=\"0\" step=\"any\" type=\"number\" name=\"IRAC503_cap_furnace_litres\" placeholder=\"Litres\" ><\/td>\n          <\/tr>\n        <\/tbody>\n      <\/table>\n    <\/fieldset>\n\n    <!-- 17 - 21: Operational Status & Equipment -->\n    <fieldset>\n      <legend>17 &#8211; 21. Pumps, Equipment &#038; Insurance<\/legend>\n      <div class=\"form-row\">\n        <div class=\"form-group full-width\">\n          <label>17. Is this outlet presently in operation? *<\/label>\n          <div class=\"radio-group\">\n            <label class=\"radio-item\"><input type=\"radio\" name=\"IRAC503_in_operation\" value=\"YES\" required> YES<\/label>\n            <label class=\"radio-item\"><input type=\"radio\" name=\"IRAC503_in_operation\" value=\"NO\" required> NO<\/label>\n          <\/div>\n          <div class=\"form-group\"><label for=\"IRAC503_reopening_details\">If not operating, reason and expected reopening date<\/label><input type=\"text\" id=\"IRAC503_reopening_details\" name=\"IRAC503_reopening_details\" value=\"\"><\/div>\n        <\/div>\n      <\/div>\n\n      <div class=\"form-row\">\n        <div class=\"form-group\">\n          <label>18. Does the outlet have Public Liability Insurance? *<\/label>\n          <div class=\"radio-group\">\n            <label class=\"radio-item\"><input type=\"radio\" name=\"IRAC503_public_liability\" value=\"YES\" required> YES<\/label>\n            <label class=\"radio-item\"><input type=\"radio\" name=\"IRAC503_public_liability\" value=\"NO\" required> NO<\/label>\n          <\/div>\n        <\/div>\n        <div class=\"form-group\">\n          <label>19. Number of Pumps:<\/label>\n          <div class=\"form-row\" style=\"gap: 10px;\">\n            <div class=\"form-group\"><label for=\"IRAC503_pumps_single\">Single pumps<\/label><input type=\"number\" id=\"IRAC503_pumps_single\" name=\"IRAC503_pumps_single\" value=\"\" min=\"0\" step=\"any\"><\/div>\n            <div class=\"form-group\"><label for=\"IRAC503_pumps_double\">Double pumps<\/label><input type=\"number\" id=\"IRAC503_pumps_double\" name=\"IRAC503_pumps_double\" value=\"\" min=\"0\" step=\"any\"><\/div>\n            <div class=\"form-group\"><label for=\"IRAC503_pumps_triple\">Triple pumps<\/label><input type=\"number\" id=\"IRAC503_pumps_triple\" name=\"IRAC503_pumps_triple\" value=\"\" min=\"0\" step=\"any\"><\/div>\n          <\/div>\n        <\/div>\n        <div class=\"form-group\">\n          <label for=\"IRAC503_total_nozzles\">20. Total Number of Nozzles:<\/label>\n          <input min=\"0\" step=\"any\" type=\"number\" id=\"IRAC503_total_nozzles\" name=\"IRAC503_total_nozzles\">\n        <\/div>\n      <\/div>\n\n      <div class=\"form-row\">\n        <div class=\"form-group full-width\">\n          <label>21. Have there been any changes in pumps or storage equipment since your last license was issued? *<\/label>\n          <div class=\"radio-group\">\n            <label class=\"radio-item\"><input type=\"radio\" name=\"IRAC503_equipment_changes\" value=\"NO\" required> NO<\/label>\n            <label class=\"radio-item\"><input type=\"radio\" name=\"IRAC503_equipment_changes\" value=\"YES\" required> YES<\/label>\n          <\/div>\n          <div class=\"form-group\"><label for=\"IRAC503_equipment_changes_details\">If equipment changed, details and serial numbers<\/label><input type=\"text\" id=\"IRAC503_equipment_changes_details\" name=\"IRAC503_equipment_changes_details\" value=\"\"><\/div>\n        <\/div>\n      <\/div>\n    <\/fieldset>\n\n    <!-- 22: Contact Information -->\n    <fieldset>\n      <legend>22. Outlet Contact Information<\/legend>\n      <div class=\"form-row\">\n        <div class=\"form-group\">\n          <label for=\"IRAC503_contact_primary_name\">Primary Contact Name *<\/label>\n          <input type=\"text\" id=\"IRAC503_contact_primary_name\" name=\"IRAC503_contact_primary_name\" required>\n        <\/div>\n        <div class=\"form-group\">\n          <label for=\"IRAC503_contact_primary_email\">Primary Contact Email *<\/label>\n          <input type=\"email\" id=\"IRAC503_contact_primary_email\" name=\"IRAC503_contact_primary_email\" required>\n        <\/div>\n        <div class=\"form-group\">\n          <label for=\"IRAC503_contact_primary_phone\">Primary Contact Phone *<\/label>\n          <input type=\"tel\" id=\"IRAC503_contact_primary_phone\" name=\"IRAC503_contact_primary_phone\" required>\n        <\/div>\n      <\/div>\n      <div class=\"form-row\">\n        <div class=\"form-group full-width\">\n          <label for=\"IRAC503_best_contact_method\">Best Method of Contact:<\/label>\n          <input type=\"text\" id=\"IRAC503_best_contact_method\" name=\"IRAC503_best_contact_method\" placeholder=\"e.g., Phone \/ Email\">\n        <\/div>\n      <\/div>\n      <div class=\"form-row\">\n        <div class=\"form-group\">\n          <label for=\"IRAC503_contact_secondary_name\">Secondary Contact Name<\/label>\n          <input type=\"text\" id=\"IRAC503_contact_secondary_name\" name=\"IRAC503_contact_secondary_name\">\n        <\/div>\n        <div class=\"form-group\">\n          <label for=\"IRAC503_contact_secondary_email\">Secondary Contact Email<\/label>\n          <input type=\"email\" id=\"IRAC503_contact_secondary_email\" name=\"IRAC503_contact_secondary_email\">\n        <\/div>\n        <div class=\"form-group\">\n          <label for=\"IRAC503_contact_secondary_phone\">Secondary Contact Phone<\/label>\n          <input type=\"tel\" id=\"IRAC503_contact_secondary_phone\" name=\"IRAC503_contact_secondary_phone\">\n        <\/div>\n      <\/div>\n    <\/fieldset>\n\n    <!-- 23: Declaration & Signature -->\n    <fieldset>\n      <legend>23. Declaration<\/legend>\n      <div class=\"declaration-box\">\n        I HEREBY DECLARE THAT THE ANSWERS MADE TO THE ABOVE QUESTIONS ARE TRUE AND, IF A LICENSE IS ISSUED, I UNDERTAKE TO CARRY OUT IN EVERY MANNER THE REQUIREMENTS OF THE PETROLEUM PRODUCTS ACT &amp; REGULATIONS.\n      <\/div>\n      <div class=\"form-row\">\n        <div class=\"form-group\">\n          <label for=\"IRAC503_signature\">Signature (Type Full Legal Name) *<\/label>\n          <input type=\"text\" id=\"IRAC503_signature\" name=\"IRAC503_signature\" required>\n        <\/div>\n        <div class=\"form-group\">\n          <label for=\"IRAC503_print_name\">Print Name *<\/label>\n          <input type=\"text\" id=\"IRAC503_print_name\" name=\"IRAC503_print_name\" required>\n        <\/div>\n      <\/div>\n      <div class=\"form-row\">\n        <div class=\"form-group\">\n          <label for=\"IRAC503_signer_title\">Title *<\/label>\n          <input type=\"text\" id=\"IRAC503_signer_title\" name=\"IRAC503_signer_title\" required>\n        <\/div>\n        <div class=\"form-group\">\n          <label for=\"IRAC503_corporate_name\">Corporate Name (if applicable)<\/label>\n          <input type=\"text\" id=\"IRAC503_corporate_name\" name=\"IRAC503_corporate_name\">\n        <\/div>\n        <div class=\"form-group\">\n          <label for=\"IRAC503_sig_date\">Date *<\/label>\n          <input type=\"date\" id=\"IRAC503_sig_date\" name=\"IRAC503_sig_date\" required>\n        <\/div>\n      <\/div>\n    <\/fieldset>\n\n    <p style=\"font-size:0.8rem; color:#666; text-align:center;\">\n      License fees payable to &#8220;ISLAND REGULATORY AND APPEALS COMMISSION&#8221;. Form collected pursuant to the Petroleum Products Act.\n    <\/p>\n\n    \n  <fieldset><legend>Additional contact details<\/legend><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC503_contact_date\">Contact information date<\/label><input type=\"date\" id=\"IRAC503_contact_date\" name=\"IRAC503_contact_date\" value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC503_signer_email\">Signer email<\/label><input type=\"email\" id=\"IRAC503_signer_email\" name=\"IRAC503_signer_email\" value=\"\"><\/div><\/div><\/fieldset><\/form><p class=\"form-footnote\">Licence fees are payable to the Island Regulatory and Appeals Commission. Review the source PDF for full application and supporting-document requirements.<\/p><p class=\"form-footnote\">Submitting saves your answers to this website&#8217;s application database. Payments and supporting documents are handled separately. For the Commission&#8217;s privacy notice and filing instructions, see the <a href=\"https:\/\/irac.pe.ca\/petrol\/petroleum-forms\/\" target=\"_blank\" rel=\"noopener\">official petroleum forms page<\/a>.<\/p><div class=\"form-actions\"><button type=\"button\" data-action=\"validate\" class=\"button-secondary\">Check required fields<\/button><button type=\"button\" data-action=\"review\" class=\"button-primary\">Submit &amp; print \/ PDF<\/button><\/div><\/div><\/section><section class=\"form-page\" id=\"page-IRAC509\" data-code=\"IRAC509\" hidden aria-labelledby=\"heading-IRAC509\"><div class=\"form-container\"><div class=\"form-header\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/irac.pe.ca\/wp-content\/uploads\/2021\/03\/IRAC-Website-Logo.png\" width=\"250\" height=\"48\" alt=\"Island Regulatory and Appeals Commission\"><h2 id=\"heading-IRAC509\" tabindex=\"-1\">Application for Approval of Changes at Retail Petroleum Outlet (IRAC509)<\/h2><p>ALL APPLICABLE QUESTIONS MUST BE ANSWERED<\/p><\/div><div class=\"form-context\"><a href=\"https:\/\/irac.pe.ca\/wp-content\/uploads\/IRAC509-Application-for-Approval-of-Changes-at-Outlet.pdf\" target=\"_blank\" rel=\"noopener\">View source PDF <span aria-hidden=\"true\">\u2197<\/span><\/a><span>IRAC509 \u00b7 Webform<\/span><\/div><div class=\"form-notice\">Do not begin alterations until written permission is received from the Commission.<\/div><form id=\"form-IRAC509\" class=\"irac-form\" autocomplete=\"off\"><fieldset><legend>Application changes<\/legend><fieldset class=\"choice-field\"><legend>This application is for a change in (check all that apply)<\/legend><div class=\"checkbox-group\"><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_changes\" id=\"IRAC509_changes_0\" value=\"Method of dispensing\">Method of dispensing<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_changes\" id=\"IRAC509_changes_1\" value=\"Operator\">Operator<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_changes\" id=\"IRAC509_changes_2\" value=\"Supplier\">Supplier<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_changes\" id=\"IRAC509_changes_3\" value=\"Petroleum products offered\">Petroleum products offered<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_changes\" id=\"IRAC509_changes_4\" value=\"Dispensing equipment\">Dispensing equipment<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_changes\" id=\"IRAC509_changes_5\" value=\"Petroleum storage\">Petroleum storage<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_changes\" id=\"IRAC509_changes_6\" value=\"Hours of dispensing\">Hours of dispensing<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_changes\" id=\"IRAC509_changes_7\" value=\"Other\">Other<\/label><\/div><\/fieldset><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC509_other_change\">Other change details<\/label><input type=\"text\" id=\"IRAC509_other_change\" name=\"IRAC509_other_change\" value=\"\"><\/div><\/div><\/fieldset><fieldset><legend>1 &#8211; 5. Outlet details<\/legend><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC509_outlet_name\">1. Name of outlet <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC509_outlet_name\" name=\"IRAC509_outlet_name\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC509_outlet_street\">2. Outlet address &#8211; Street <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC509_outlet_street\" name=\"IRAC509_outlet_street\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC509_outlet_town\">Town \/ community <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC509_outlet_town\" name=\"IRAC509_outlet_town\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC509_outlet_province\">Province <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC509_outlet_province\" name=\"IRAC509_outlet_province\" required value=\"P.E.I.\"><\/div><div class=\"form-group\"><label for=\"IRAC509_outlet_postal\">Postal code <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC509_outlet_postal\" name=\"IRAC509_outlet_postal\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC509_license\">3. Current license number <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC509_license\" name=\"IRAC509_license\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC509_phone\">4. Telephone <span class=required>*<\/span><\/label><input type=\"tel\" id=\"IRAC509_phone\" name=\"IRAC509_phone\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC509_fax\">5. Fax<\/label><input type=\"tel\" id=\"IRAC509_fax\" name=\"IRAC509_fax\" value=\"\"><\/div><\/div><\/fieldset><fieldset><legend>Owner and operator<\/legend><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC509_owner_name\">6. Owner of outlet \/ property <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC509_owner_name\" name=\"IRAC509_owner_name\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC509_owner_address\">7. Owner mailing address <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC509_owner_address\" name=\"IRAC509_owner_address\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC509_operator_name\">8. Operator of outlet <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC509_operator_name\" name=\"IRAC509_operator_name\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC509_operator_address\">9. Operator mailing address <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC509_operator_address\" name=\"IRAC509_operator_address\" required value=\"\"><\/div><\/div><\/fieldset><fieldset><legend>10 &#8211; 15. Supply and services<\/legend><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC509_supplier\">10. Supplier, including propane supplier <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC509_supplier\" name=\"IRAC509_supplier\" required value=\"\"><\/div><\/div><fieldset class=\"choice-field\"><legend>11. Method of dispensing<\/legend><div class=\"checkbox-group\"><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_methods\" id=\"IRAC509_methods_0\" value=\"Full-serve\">Full-serve<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_methods\" id=\"IRAC509_methods_1\" value=\"Split-serve\">Split-serve<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_methods\" id=\"IRAC509_methods_2\" value=\"Self-serve\">Self-serve<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_methods\" id=\"IRAC509_methods_3\" value=\"Keylock\">Keylock<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_methods\" id=\"IRAC509_methods_4\" value=\"Cardlock\">Cardlock<\/label><\/div><\/fieldset><div class=\"form-row\"><div class=\"form-group full-width\"><label for=\"IRAC509_change_reasons\">Reasons for a proposed dispensing-method change (include an attachment)<\/label><textarea id=\"IRAC509_change_reasons\" name=\"IRAC509_change_reasons\" rows=\"3\"><\/textarea><\/div><\/div><fieldset class=\"choice-field\"><legend>12. Type of outlet<\/legend><div class=\"checkbox-group\"><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_type\" id=\"IRAC509_type_0\" value=\"Service Station\">Service Station<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_type\" id=\"IRAC509_type_1\" value=\"C-Store\/General Store\">C-Store\/General Store<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_type\" id=\"IRAC509_type_2\" value=\"Marine\">Marine<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_type\" id=\"IRAC509_type_3\" value=\"Propane\">Propane<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_type\" id=\"IRAC509_type_4\" value=\"Other\">Other<\/label><\/div><\/fieldset><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC509_type_other\">Other outlet type<\/label><input type=\"text\" id=\"IRAC509_type_other\" name=\"IRAC509_type_other\" value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group full-width\"><label for=\"IRAC509_services\">13. Other services to be provided<\/label><textarea id=\"IRAC509_services\" name=\"IRAC509_services\" rows=\"3\"><\/textarea><\/div><\/div><fieldset class=\"choice-field\"><legend>14. Products to be dispensed (other than marine)<\/legend><div class=\"checkbox-group\"><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_products\" id=\"IRAC509_products_0\" value=\"Regular Gasoline\">Regular Gasoline<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_products\" id=\"IRAC509_products_1\" value=\"Mid-Grade Gasoline\">Mid-Grade Gasoline<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_products\" id=\"IRAC509_products_2\" value=\"Premium Gasoline\">Premium Gasoline<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_products\" id=\"IRAC509_products_3\" value=\"Diesel\">Diesel<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_products\" id=\"IRAC509_products_4\" value=\"Propane\">Propane<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_products\" id=\"IRAC509_products_5\" value=\"Furnace Fuel\">Furnace Fuel<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_products\" id=\"IRAC509_products_6\" value=\"Other\">Other<\/label><\/div><\/fieldset><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC509_products_other\">Other products<\/label><input type=\"text\" id=\"IRAC509_products_other\" name=\"IRAC509_products_other\" value=\"\"><\/div><\/div><fieldset class=\"choice-field\"><legend>15. Marine only &#8211; separate form for each license<\/legend><div class=\"checkbox-group\"><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_marine\" id=\"IRAC509_marine_0\" value=\"Marked Diesel Fuel\">Marked Diesel Fuel<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_marine\" id=\"IRAC509_marine_1\" value=\"Clear Gasoline\">Clear Gasoline<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_marine\" id=\"IRAC509_marine_2\" value=\"Clear Diesel Fuel\">Clear Diesel Fuel<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_marine\" id=\"IRAC509_marine_3\" value=\"Other\">Other<\/label><\/div><\/fieldset><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC509_marine_other\">Other marine products<\/label><input type=\"text\" id=\"IRAC509_marine_other\" name=\"IRAC509_marine_other\" value=\"\"><\/div><\/div><\/fieldset><fieldset><legend>16 &#8211; 22. Operations and proposed alterations<\/legend><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC509_bay_count\">16. Number of automotive service bays<\/label><input type=\"number\" id=\"IRAC509_bay_count\" name=\"IRAC509_bay_count\" value=\"\" min=\"0\" step=\"any\"><\/div><div class=\"form-group\"><label for=\"IRAC509_bay_hours\">17. Bay-service hours<\/label><input type=\"text\" id=\"IRAC509_bay_hours\" name=\"IRAC509_bay_hours\" value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC509_full_hours\">18. Motor fuels &#8211; full-service hours<\/label><input type=\"text\" id=\"IRAC509_full_hours\" name=\"IRAC509_full_hours\" value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC509_self_hours\">Motor fuels &#8211; self-service hours<\/label><input type=\"text\" id=\"IRAC509_self_hours\" name=\"IRAC509_self_hours\" value=\"\"><\/div><\/div><fieldset class=\"choice-field\"><legend>19. Is the outlet presently in operation? <span class=\"required\">*<\/span><\/legend><div class=\"radio-group\"><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC509_operating\" id=\"IRAC509_operating_0\" value=\"Yes\" required>Yes<\/label><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC509_operating\" id=\"IRAC509_operating_1\" value=\"No\" required>No<\/label><\/div><\/fieldset><div class=\"form-row\"><div class=\"form-group full-width\"><label for=\"IRAC509_reopening\">If no, reason and expected reopening date<\/label><textarea id=\"IRAC509_reopening\" name=\"IRAC509_reopening\" rows=\"3\"><\/textarea><\/div><\/div><div class=\"form-row\"><div class=\"form-group full-width\"><label for=\"IRAC509_equipment\">20. Proposed changes to pumps \/ storage equipment<\/label><textarea id=\"IRAC509_equipment\" name=\"IRAC509_equipment\" rows=\"3\"><\/textarea><\/div><\/div><div class=\"form-row\"><div class=\"form-group full-width\"><label for=\"IRAC509_washrooms\">21. Proposed washroom changes<\/label><textarea id=\"IRAC509_washrooms\" name=\"IRAC509_washrooms\" rows=\"3\"><\/textarea><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC509_completion\">22. Proposed completion date<\/label><input type=\"date\" id=\"IRAC509_completion\" name=\"IRAC509_completion\" value=\"\"><\/div><\/div><\/fieldset><fieldset><legend>Attachments and approvals<\/legend><p class=\"field-help\">Preparation checklist. Include supporting documents separately with your application; this page does not upload them.<\/p><fieldset class=\"choice-field\"><legend>Documents \/ requirements<\/legend><div class=\"checkbox-group\"><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_supporting_documents\" id=\"IRAC509_supporting_documents_0\" value=\"Reasons for proposed dispensing changes\">Reasons for proposed dispensing changes<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_supporting_documents\" id=\"IRAC509_supporting_documents_1\" value=\"Plans of proposed changes\">Plans of proposed changes<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_supporting_documents\" id=\"IRAC509_supporting_documents_2\" value=\"Department approval for petroleum storage changes\">Department approval for petroleum storage changes<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_supporting_documents\" id=\"IRAC509_supporting_documents_3\" value=\"Supply agreement for operator \/ supplier changes\">Supply agreement for operator \/ supplier changes<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_supporting_documents\" id=\"IRAC509_supporting_documents_4\" value=\"Proof of ownership for owner changes\">Proof of ownership for owner changes<\/label><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC509_supporting_documents\" id=\"IRAC509_supporting_documents_5\" value=\"Current amendment fee\">Current amendment fee<\/label><\/div><\/fieldset><p class=\"field-help\">Do not begin alterations until written Commission permission is received. Petroleum storage changes require departmental approval. Information may be shared with the minister responsible for petroleum storage tank regulations. See the source PDF for full conditions.<\/p><\/fieldset><fieldset><legend>23. Declaration<\/legend><div class=\"declaration-box\">I hereby declare that the answers made to the above questions are true and, if approval is granted by the Commission, I undertake to carry out in every manner the requirements of the Petroleum Products Act and Regulations.<\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC509_signature\">Signature &#8211; type full legal name <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC509_signature\" name=\"IRAC509_signature\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC509_print_name\">Full name \/ print name <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC509_print_name\" name=\"IRAC509_print_name\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC509_signer_title\">Title <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC509_signer_title\" name=\"IRAC509_signer_title\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC509_corporate_name\">Corporate name (if applicable)<\/label><input type=\"text\" id=\"IRAC509_corporate_name\" name=\"IRAC509_corporate_name\" value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC509_sig_date\">Date <span class=required>*<\/span><\/label><input type=\"date\" id=\"IRAC509_sig_date\" name=\"IRAC509_sig_date\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC509_signer_phone\">Telephone <span class=required>*<\/span><\/label><input type=\"tel\" id=\"IRAC509_signer_phone\" name=\"IRAC509_signer_phone\" required value=\"\"><\/div><\/div><fieldset class=\"choice-field\"><legend>Signing as <span class=\"required\">*<\/span><\/legend><div class=\"radio-group\"><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC509_signer_capacity\" id=\"IRAC509_signer_capacity_0\" value=\"Owner\" required>Owner<\/label><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC509_signer_capacity\" id=\"IRAC509_signer_capacity_1\" value=\"Lessee\" required>Lessee<\/label><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC509_signer_capacity\" id=\"IRAC509_signer_capacity_2\" value=\"Agent\" required>Agent<\/label><\/div><\/fieldset><p class=\"field-help\">A typed name is included in the printed copy. Sign the application as required by the Commission.<\/p><\/fieldset><\/form><p class=\"form-footnote\">Licence fees are payable to the Island Regulatory and Appeals Commission. Review the source PDF for full application and supporting-document requirements.<\/p><p class=\"form-footnote\">Submitting saves your answers to this website&#8217;s application database. Payments and supporting documents are handled separately. For the Commission&#8217;s privacy notice and filing instructions, see the <a href=\"https:\/\/irac.pe.ca\/petrol\/petroleum-forms\/\" target=\"_blank\" rel=\"noopener\">official petroleum forms page<\/a>.<\/p><div class=\"form-actions\"><button type=\"button\" data-action=\"validate\" class=\"button-secondary\">Check required fields<\/button><button type=\"button\" data-action=\"review\" class=\"button-primary\">Submit &amp; print \/ PDF<\/button><\/div><\/div><\/section><section class=\"form-page\" id=\"page-IRAC505\" data-code=\"IRAC505\" hidden aria-labelledby=\"heading-IRAC505\"><div class=\"form-container\"><div class=\"form-header\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/irac.pe.ca\/wp-content\/uploads\/2021\/03\/IRAC-Website-Logo.png\" width=\"250\" height=\"48\" alt=\"Island Regulatory and Appeals Commission\"><h2 id=\"heading-IRAC505\" tabindex=\"-1\">Application for Petroleum Outlet License &#8211; Tank Truck (IRAC505)<\/h2><p>ALL APPLICABLE QUESTIONS MUST BE ANSWERED<\/p><\/div><div class=\"form-context\"><a href=\"https:\/\/irac.pe.ca\/wp-content\/uploads\/2020\/08\/IRAC505-tank-truck.pdf\" target=\"_blank\" rel=\"noopener\">View source PDF <span aria-hidden=\"true\">\u2197<\/span><\/a><span>IRAC505 \u00b7 Webform<\/span><\/div><div class=\"form-notice\">Use a separate form for each vehicle.<\/div><form id=\"form-IRAC505\" class=\"irac-form\" autocomplete=\"off\"><fieldset><legend>1 &#8211; 3. Applicant details<\/legend><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC505_applicant\">1(a). Name of applicant <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC505_applicant\" name=\"IRAC505_applicant\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC505_applicant_street\">1(b). Applicant address &#8211; Street <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC505_applicant_street\" name=\"IRAC505_applicant_street\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC505_applicant_town\">Town \/ community <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC505_applicant_town\" name=\"IRAC505_applicant_town\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC505_applicant_province\">Province <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC505_applicant_province\" name=\"IRAC505_applicant_province\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC505_applicant_postal\">Postal code <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC505_applicant_postal\" name=\"IRAC505_applicant_postal\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group full-width\"><label for=\"IRAC505_mailing\">1(c). Mailing address, if different<\/label><input type=\"text\" id=\"IRAC505_mailing\" name=\"IRAC505_mailing\" value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC505_phone\">2. Telephone <span class=required>*<\/span><\/label><input type=\"tel\" id=\"IRAC505_phone\" name=\"IRAC505_phone\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC505_fax\">3. Fax<\/label><input type=\"tel\" id=\"IRAC505_fax\" name=\"IRAC505_fax\" value=\"\"><\/div><\/div><\/fieldset><fieldset><legend>4 &#8211; 8. Outlet and supply<\/legend><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC505_outlet\">4. Retail-distributor outlet operated from <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC505_outlet\" name=\"IRAC505_outlet\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC505_outlet_street\">5. Outlet address &#8211; Street <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC505_outlet_street\" name=\"IRAC505_outlet_street\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC505_outlet_town\">Town \/ community <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC505_outlet_town\" name=\"IRAC505_outlet_town\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC505_outlet_province\">Province <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC505_outlet_province\" name=\"IRAC505_outlet_province\" required value=\"P.E.I.\"><\/div><div class=\"form-group\"><label for=\"IRAC505_outlet_postal\">Postal code <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC505_outlet_postal\" name=\"IRAC505_outlet_postal\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC505_supplier\">6. Oil company supplier <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC505_supplier\" name=\"IRAC505_supplier\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC505_last_license\">7. Number on last tank truck license<\/label><input type=\"text\" id=\"IRAC505_last_license\" name=\"IRAC505_last_license\" value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC505_area\">8. Area served <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC505_area\" name=\"IRAC505_area\" required value=\"\"><\/div><\/div><\/fieldset><fieldset><legend>9. Quantities distributed last year<\/legend><div class=\"table-wrap\"><table class=\"capacity-table\"><caption>January 1 to December 31 of last year<\/caption><thead><tr><th scope=\"col\">Product<\/th><th scope=\"col\">Litres<\/th><\/tr><\/thead><tbody><tr><th scope=\"row\">Gasoline<\/th><td><div class=\"form-group\"><label for=\"IRAC505_distributed_0_0\">Gasoline &#8211; Litres<\/label><input type=\"number\" id=\"IRAC505_distributed_0_0\" name=\"IRAC505_distributed_0_0\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">Diesel Fuel<\/th><td><div class=\"form-group\"><label for=\"IRAC505_distributed_1_0\">Diesel Fuel &#8211; Litres<\/label><input type=\"number\" id=\"IRAC505_distributed_1_0\" name=\"IRAC505_distributed_1_0\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">Furnace Oil<\/th><td><div class=\"form-group\"><label for=\"IRAC505_distributed_2_0\">Furnace Oil &#8211; Litres<\/label><input type=\"number\" id=\"IRAC505_distributed_2_0\" name=\"IRAC505_distributed_2_0\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">Stove Oil<\/th><td><div class=\"form-group\"><label for=\"IRAC505_distributed_3_0\">Stove Oil &#8211; Litres<\/label><input type=\"number\" id=\"IRAC505_distributed_3_0\" name=\"IRAC505_distributed_3_0\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">Propane<\/th><td><div class=\"form-group\"><label for=\"IRAC505_distributed_4_0\">Propane &#8211; Litres<\/label><input type=\"number\" id=\"IRAC505_distributed_4_0\" name=\"IRAC505_distributed_4_0\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">Other<\/th><td><div class=\"form-group\"><label for=\"IRAC505_distributed_5_0\">Other &#8211; Litres<\/label><input type=\"number\" id=\"IRAC505_distributed_5_0\" name=\"IRAC505_distributed_5_0\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><\/tbody><\/table><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC505_other_product\">Other product &#8211; specify<\/label><input type=\"text\" id=\"IRAC505_other_product\" name=\"IRAC505_other_product\" value=\"\"><\/div><\/div><\/fieldset><fieldset><legend>10. Vehicle particulars<\/legend><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC505_year\">Year of manufacture <span class=required>*<\/span><\/label><input type=\"number\" id=\"IRAC505_year\" name=\"IRAC505_year\" required value=\"\" min=\"0\" step=\"any\"><\/div><div class=\"form-group\"><label for=\"IRAC505_make\">Make <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC505_make\" name=\"IRAC505_make\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC505_serial\">Serial number <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC505_serial\" name=\"IRAC505_serial\" required value=\"\"><\/div><\/div><fieldset class=\"choice-field\"><legend>Vehicle type <span class=\"required\">*<\/span><\/legend><div class=\"radio-group\"><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC505_vehicle_type\" id=\"IRAC505_vehicle_type_0\" value=\"Tank Truck\" required>Tank Truck<\/label><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC505_vehicle_type\" id=\"IRAC505_vehicle_type_1\" value=\"Tractor-Trailer\" required>Tractor-Trailer<\/label><\/div><\/fieldset><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC505_compartments\">Number of compartments <span class=required>*<\/span><\/label><input type=\"number\" id=\"IRAC505_compartments\" name=\"IRAC505_compartments\" required value=\"\" min=\"0\" step=\"any\"><\/div><div class=\"form-group\"><label for=\"IRAC505_capacity\">Total capacity (litres) <span class=required>*<\/span><\/label><input type=\"number\" id=\"IRAC505_capacity\" name=\"IRAC505_capacity\" required value=\"\" min=\"0\" step=\"any\"><\/div><\/div><\/fieldset><fieldset><legend>11. Declaration<\/legend><div class=\"declaration-box\">I hereby declare that the answers made to the above questions are true and, if a license is issued, I undertake to carry out in every manner the requirements of the Petroleum Products Act and Regulations.<\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC505_signature\">Signature &#8211; type full legal name <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC505_signature\" name=\"IRAC505_signature\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC505_print_name\">Full name \/ print name <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC505_print_name\" name=\"IRAC505_print_name\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC505_signer_title\">Title <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC505_signer_title\" name=\"IRAC505_signer_title\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC505_corporate_name\">Corporate name (if applicable)<\/label><input type=\"text\" id=\"IRAC505_corporate_name\" name=\"IRAC505_corporate_name\" value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC505_sig_date\">Date <span class=required>*<\/span><\/label><input type=\"date\" id=\"IRAC505_sig_date\" name=\"IRAC505_sig_date\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC505_signer_phone\">Telephone <span class=required>*<\/span><\/label><input type=\"tel\" id=\"IRAC505_signer_phone\" name=\"IRAC505_signer_phone\" required value=\"\"><\/div><\/div><fieldset class=\"choice-field\"><legend>Signing as <span class=\"required\">*<\/span><\/legend><div class=\"radio-group\"><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC505_signer_capacity\" id=\"IRAC505_signer_capacity_0\" value=\"Owner\" required>Owner<\/label><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC505_signer_capacity\" id=\"IRAC505_signer_capacity_1\" value=\"Lessee\" required>Lessee<\/label><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC505_signer_capacity\" id=\"IRAC505_signer_capacity_2\" value=\"Agent\" required>Agent<\/label><\/div><\/fieldset><p class=\"field-help\">A typed name is included in the printed copy. Sign the application as required by the Commission.<\/p><\/fieldset><\/form><p class=\"form-footnote\">Licence fees are payable to the Island Regulatory and Appeals Commission. Review the source PDF for full application and supporting-document requirements.<\/p><p class=\"form-footnote\">Submitting saves your answers to this website&#8217;s application database. Payments and supporting documents are handled separately. For the Commission&#8217;s privacy notice and filing instructions, see the <a href=\"https:\/\/irac.pe.ca\/petrol\/petroleum-forms\/\" target=\"_blank\" rel=\"noopener\">official petroleum forms page<\/a>.<\/p><div class=\"form-actions\"><button type=\"button\" data-action=\"validate\" class=\"button-secondary\">Check required fields<\/button><button type=\"button\" data-action=\"review\" class=\"button-primary\">Submit &amp; print \/ PDF<\/button><\/div><\/div><\/section><section class=\"form-page\" id=\"page-IRAC520\" data-code=\"IRAC520\" hidden aria-labelledby=\"heading-IRAC520\"><div class=\"form-container\"><div class=\"form-header\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/irac.pe.ca\/wp-content\/uploads\/2021\/03\/IRAC-Website-Logo.png\" width=\"250\" height=\"48\" alt=\"Island Regulatory and Appeals Commission\"><h2 id=\"heading-IRAC520\" tabindex=\"-1\">Tank Truck License &#8211; Annual Renewal (IRAC520)<\/h2><p>ALL APPLICABLE QUESTIONS MUST BE ANSWERED<\/p><\/div><div class=\"form-context\"><a href=\"https:\/\/irac.pe.ca\/wp-content\/uploads\/IRAC520-Tank-Truck-Renewal.pdf\" target=\"_blank\" rel=\"noopener\">View source PDF <span aria-hidden=\"true\">\u2197<\/span><\/a><span>IRAC520 \u00b7 Webform<\/span><\/div><div class=\"form-notice\">Use a separate form for each vehicle.<\/div><form id=\"form-IRAC520\" class=\"irac-form\" autocomplete=\"off\"><fieldset><legend>1 &#8211; 3. Applicant details<\/legend><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC520_applicant\">1(a). Name of applicant <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC520_applicant\" name=\"IRAC520_applicant\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC520_applicant_street\">1(b). Applicant address &#8211; Street <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC520_applicant_street\" name=\"IRAC520_applicant_street\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC520_applicant_town\">Town \/ community <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC520_applicant_town\" name=\"IRAC520_applicant_town\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC520_applicant_province\">Province <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC520_applicant_province\" name=\"IRAC520_applicant_province\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC520_applicant_postal\">Postal code <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC520_applicant_postal\" name=\"IRAC520_applicant_postal\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group full-width\"><label for=\"IRAC520_mailing\">1(c). Mailing address, if different<\/label><input type=\"text\" id=\"IRAC520_mailing\" name=\"IRAC520_mailing\" value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC520_phone\">2. Telephone <span class=required>*<\/span><\/label><input type=\"tel\" id=\"IRAC520_phone\" name=\"IRAC520_phone\" required value=\"\"><\/div><\/div><\/fieldset><fieldset><legend>4 &#8211; 8. Outlet and supply<\/legend><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC520_outlet\">4. Retail-distributor outlet operated from <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC520_outlet\" name=\"IRAC520_outlet\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC520_outlet_street\">5. Outlet address &#8211; Street <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC520_outlet_street\" name=\"IRAC520_outlet_street\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC520_outlet_town\">Town \/ community <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC520_outlet_town\" name=\"IRAC520_outlet_town\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC520_outlet_province\">Province <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC520_outlet_province\" name=\"IRAC520_outlet_province\" required value=\"P.E.I.\"><\/div><div class=\"form-group\"><label for=\"IRAC520_outlet_postal\">Postal code <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC520_outlet_postal\" name=\"IRAC520_outlet_postal\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC520_supplier\">6. Distributor supplier <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC520_supplier\" name=\"IRAC520_supplier\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC520_last_license\">7. Number on last tank truck license <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC520_last_license\" name=\"IRAC520_last_license\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC520_area\">8. Area served <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC520_area\" name=\"IRAC520_area\" required value=\"\"><\/div><\/div><\/fieldset><fieldset><legend>9. Quantities distributed last year<\/legend><div class=\"table-wrap\"><table class=\"capacity-table\"><caption>January 1 to December 31 of last year<\/caption><thead><tr><th scope=\"col\">Product<\/th><th scope=\"col\">Litres<\/th><\/tr><\/thead><tbody><tr><th scope=\"row\">Gasoline<\/th><td><div class=\"form-group\"><label for=\"IRAC520_distributed_0_0\">Gasoline &#8211; Litres<\/label><input type=\"number\" id=\"IRAC520_distributed_0_0\" name=\"IRAC520_distributed_0_0\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">Diesel Fuel<\/th><td><div class=\"form-group\"><label for=\"IRAC520_distributed_1_0\">Diesel Fuel &#8211; Litres<\/label><input type=\"number\" id=\"IRAC520_distributed_1_0\" name=\"IRAC520_distributed_1_0\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">Furnace Oil<\/th><td><div class=\"form-group\"><label for=\"IRAC520_distributed_2_0\">Furnace Oil &#8211; Litres<\/label><input type=\"number\" id=\"IRAC520_distributed_2_0\" name=\"IRAC520_distributed_2_0\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">Stove Oil<\/th><td><div class=\"form-group\"><label for=\"IRAC520_distributed_3_0\">Stove Oil &#8211; Litres<\/label><input type=\"number\" id=\"IRAC520_distributed_3_0\" name=\"IRAC520_distributed_3_0\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">Propane<\/th><td><div class=\"form-group\"><label for=\"IRAC520_distributed_4_0\">Propane &#8211; Litres<\/label><input type=\"number\" id=\"IRAC520_distributed_4_0\" name=\"IRAC520_distributed_4_0\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">Other<\/th><td><div class=\"form-group\"><label for=\"IRAC520_distributed_5_0\">Other &#8211; Litres<\/label><input type=\"number\" id=\"IRAC520_distributed_5_0\" name=\"IRAC520_distributed_5_0\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><\/tbody><\/table><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC520_other_product\">Other product &#8211; specify<\/label><input type=\"text\" id=\"IRAC520_other_product\" name=\"IRAC520_other_product\" value=\"\"><\/div><\/div><\/fieldset><fieldset><legend>10. Vehicle particulars<\/legend><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC520_year\">Year of manufacture <span class=required>*<\/span><\/label><input type=\"number\" id=\"IRAC520_year\" name=\"IRAC520_year\" required value=\"\" min=\"0\" step=\"any\"><\/div><div class=\"form-group\"><label for=\"IRAC520_make\">Make <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC520_make\" name=\"IRAC520_make\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC520_serial\">Serial number <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC520_serial\" name=\"IRAC520_serial\" required value=\"\"><\/div><\/div><fieldset class=\"choice-field\"><legend>Vehicle type <span class=\"required\">*<\/span><\/legend><div class=\"radio-group\"><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC520_vehicle_type\" id=\"IRAC520_vehicle_type_0\" value=\"Tank Truck\" required>Tank Truck<\/label><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC520_vehicle_type\" id=\"IRAC520_vehicle_type_1\" value=\"Tractor-Trailer\" required>Tractor-Trailer<\/label><\/div><\/fieldset><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC520_compartments\">Number of compartments <span class=required>*<\/span><\/label><input type=\"number\" id=\"IRAC520_compartments\" name=\"IRAC520_compartments\" required value=\"\" min=\"0\" step=\"any\"><\/div><div class=\"form-group\"><label for=\"IRAC520_capacity\">Total capacity (litres) <span class=required>*<\/span><\/label><input type=\"number\" id=\"IRAC520_capacity\" name=\"IRAC520_capacity\" required value=\"\" min=\"0\" step=\"any\"><\/div><\/div><\/fieldset><fieldset><legend>11. Contact information<\/legend><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC520_contact_primary_name\">Primary contact name <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC520_contact_primary_name\" name=\"IRAC520_contact_primary_name\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC520_contact_primary_email\">Primary contact email <span class=required>*<\/span><\/label><input type=\"email\" id=\"IRAC520_contact_primary_email\" name=\"IRAC520_contact_primary_email\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC520_contact_primary_phone\">Primary contact phone <span class=required>*<\/span><\/label><input type=\"tel\" id=\"IRAC520_contact_primary_phone\" name=\"IRAC520_contact_primary_phone\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC520_contact_secondary_name\">Secondary contact name<\/label><input type=\"text\" id=\"IRAC520_contact_secondary_name\" name=\"IRAC520_contact_secondary_name\" value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC520_contact_secondary_email\">Secondary contact email<\/label><input type=\"email\" id=\"IRAC520_contact_secondary_email\" name=\"IRAC520_contact_secondary_email\" value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC520_contact_secondary_phone\">Secondary contact phone<\/label><input type=\"tel\" id=\"IRAC520_contact_secondary_phone\" name=\"IRAC520_contact_secondary_phone\" value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC520_best_contact_method\">Best method of contact<\/label><input type=\"text\" id=\"IRAC520_best_contact_method\" name=\"IRAC520_best_contact_method\" value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC520_contact_date\">Contact information date<\/label><input type=\"date\" id=\"IRAC520_contact_date\" name=\"IRAC520_contact_date\" value=\"\"><\/div><\/div><\/fieldset><fieldset><legend>12. Declaration<\/legend><div class=\"declaration-box\">I hereby declare that the answers made to the above questions are true and, if a license is issued, I undertake to carry out in every manner the requirements of the Petroleum Products Act and Regulations.<\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC520_signature\">Signature &#8211; type full legal name <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC520_signature\" name=\"IRAC520_signature\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC520_print_name\">Full name \/ print name <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC520_print_name\" name=\"IRAC520_print_name\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC520_signer_title\">Title <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC520_signer_title\" name=\"IRAC520_signer_title\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC520_corporate_name\">Corporate name (if applicable)<\/label><input type=\"text\" id=\"IRAC520_corporate_name\" name=\"IRAC520_corporate_name\" value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC520_sig_date\">Date <span class=required>*<\/span><\/label><input type=\"date\" id=\"IRAC520_sig_date\" name=\"IRAC520_sig_date\" required value=\"\"><\/div><\/div><p class=\"field-help\">A typed name is included in the printed copy. Sign the application as required by the Commission.<\/p><\/fieldset><\/form><p class=\"form-footnote\">Licence fees are payable to the Island Regulatory and Appeals Commission. Review the source PDF for full application and supporting-document requirements.<\/p><p class=\"form-footnote\">Submitting saves your answers to this website&#8217;s application database. Payments and supporting documents are handled separately. For the Commission&#8217;s privacy notice and filing instructions, see the <a href=\"https:\/\/irac.pe.ca\/petrol\/petroleum-forms\/\" target=\"_blank\" rel=\"noopener\">official petroleum forms page<\/a>.<\/p><div class=\"form-actions\"><button type=\"button\" data-action=\"validate\" class=\"button-secondary\">Check required fields<\/button><button type=\"button\" data-action=\"review\" class=\"button-primary\">Submit &amp; print \/ PDF<\/button><\/div><\/div><\/section><section class=\"form-page\" id=\"page-IRAC504\" data-code=\"IRAC504\" hidden aria-labelledby=\"heading-IRAC504\"><div class=\"form-container\"><div class=\"form-header\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/irac.pe.ca\/wp-content\/uploads\/2021\/03\/IRAC-Website-Logo.png\" width=\"250\" height=\"48\" alt=\"Island Regulatory and Appeals Commission\"><h2 id=\"heading-IRAC504\" tabindex=\"-1\">Application for Petroleum Outlet License &#8211; Retail-Distributor (IRAC504)<\/h2><p>ALL APPLICABLE QUESTIONS MUST BE ANSWERED<\/p><\/div><div class=\"form-context\"><a href=\"https:\/\/irac.pe.ca\/wp-content\/uploads\/2020\/08\/IRAC504-Retail-Distributor.pdf\" target=\"_blank\" rel=\"noopener\">View source PDF <span aria-hidden=\"true\">\u2197<\/span><\/a><span>IRAC504 \u00b7 Webform<\/span><\/div><form id=\"form-IRAC504\" class=\"irac-form\" autocomplete=\"off\"><fieldset><legend>1 &#8211; 3. Applicant and outlet<\/legend><fieldset class=\"choice-field\"><legend>Storage arrangement <span class=\"required\">*<\/span><\/legend><div class=\"radio-group\"><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC504_bulk\" id=\"IRAC504_bulk_0\" value=\"Bulk Storage\" required>Bulk Storage<\/label><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC504_bulk\" id=\"IRAC504_bulk_1\" value=\"No Bulk Storage\" required>No Bulk Storage<\/label><\/div><\/fieldset><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC504_applicant\">1. Name of applicant <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC504_applicant\" name=\"IRAC504_applicant\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC504_outlet_name\">2(a). Name of outlet <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC504_outlet_name\" name=\"IRAC504_outlet_name\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC504_outlet_location\">2(b). Location of outlet <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC504_outlet_location\" name=\"IRAC504_outlet_location\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC504_office_street\">3. Business office address &#8211; Street <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC504_office_street\" name=\"IRAC504_office_street\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC504_office_town\">Town \/ community <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC504_office_town\" name=\"IRAC504_office_town\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC504_office_province\">Province <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC504_office_province\" name=\"IRAC504_office_province\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC504_office_postal\">Postal code <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC504_office_postal\" name=\"IRAC504_office_postal\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC504_office_phone\">Telephone <span class=required>*<\/span><\/label><input type=\"tel\" id=\"IRAC504_office_phone\" name=\"IRAC504_office_phone\" required value=\"\"><\/div><\/div><\/fieldset><fieldset><legend>Owner and operator<\/legend><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC504_owner_name\">4(a). Owner of outlet \/ property <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC504_owner_name\" name=\"IRAC504_owner_name\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC504_owner_address\">4(b). Owner mailing address <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC504_owner_address\" name=\"IRAC504_owner_address\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC504_operator_name\">5(a). Operator of outlet <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC504_operator_name\" name=\"IRAC504_operator_name\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC504_operator_address\">5(b). Operator mailing address <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC504_operator_address\" name=\"IRAC504_operator_address\" required value=\"\"><\/div><\/div><\/fieldset><fieldset><legend>6 &#8211; 10. Supply and operation<\/legend><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC504_supplier\">6. Oil company supplier <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC504_supplier\" name=\"IRAC504_supplier\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC504_bulk_location\">7. Bulk storage location<\/label><input type=\"text\" id=\"IRAC504_bulk_location\" name=\"IRAC504_bulk_location\" value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC504_area\">8. Area served from this location <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC504_area\" name=\"IRAC504_area\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC504_tank_count\">9. Number of storage tanks <span class=required>*<\/span><\/label><input type=\"number\" id=\"IRAC504_tank_count\" name=\"IRAC504_tank_count\" required value=\"\" min=\"0\" step=\"any\"><\/div><div class=\"form-group\"><label for=\"IRAC504_license\">10. Current outlet license number (if applicable)<\/label><input type=\"text\" id=\"IRAC504_license\" name=\"IRAC504_license\" value=\"\"><\/div><\/div><\/fieldset><fieldset><legend>11 &#8211; 13. Storage, vehicles and quantities<\/legend><div class=\"table-wrap\"><table class=\"capacity-table\"><caption>11. Product and capacity of each storage tank<\/caption><thead><tr><th scope=\"col\">Tank<\/th><th scope=\"col\">Product<\/th><th scope=\"col\">Capacity (litres)<\/th><\/tr><\/thead><tbody><tr><th scope=\"row\">1<\/th><td><div class=\"form-group\"><label for=\"IRAC504_tanks_0_0\">1 &#8211; Product<\/label><input type=\"text\" id=\"IRAC504_tanks_0_0\" name=\"IRAC504_tanks_0_0\" value=\"\"><\/div><\/td><td><div class=\"form-group\"><label for=\"IRAC504_tanks_0_1\">1 &#8211; Capacity (litres)<\/label><input type=\"number\" id=\"IRAC504_tanks_0_1\" name=\"IRAC504_tanks_0_1\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">2<\/th><td><div class=\"form-group\"><label for=\"IRAC504_tanks_1_0\">2 &#8211; Product<\/label><input type=\"text\" id=\"IRAC504_tanks_1_0\" name=\"IRAC504_tanks_1_0\" value=\"\"><\/div><\/td><td><div class=\"form-group\"><label for=\"IRAC504_tanks_1_1\">2 &#8211; Capacity (litres)<\/label><input type=\"number\" id=\"IRAC504_tanks_1_1\" name=\"IRAC504_tanks_1_1\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">3<\/th><td><div class=\"form-group\"><label for=\"IRAC504_tanks_2_0\">3 &#8211; Product<\/label><input type=\"text\" id=\"IRAC504_tanks_2_0\" name=\"IRAC504_tanks_2_0\" value=\"\"><\/div><\/td><td><div class=\"form-group\"><label for=\"IRAC504_tanks_2_1\">3 &#8211; Capacity (litres)<\/label><input type=\"number\" id=\"IRAC504_tanks_2_1\" name=\"IRAC504_tanks_2_1\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">4<\/th><td><div class=\"form-group\"><label for=\"IRAC504_tanks_3_0\">4 &#8211; Product<\/label><input type=\"text\" id=\"IRAC504_tanks_3_0\" name=\"IRAC504_tanks_3_0\" value=\"\"><\/div><\/td><td><div class=\"form-group\"><label for=\"IRAC504_tanks_3_1\">4 &#8211; Capacity (litres)<\/label><input type=\"number\" id=\"IRAC504_tanks_3_1\" name=\"IRAC504_tanks_3_1\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">5<\/th><td><div class=\"form-group\"><label for=\"IRAC504_tanks_4_0\">5 &#8211; Product<\/label><input type=\"text\" id=\"IRAC504_tanks_4_0\" name=\"IRAC504_tanks_4_0\" value=\"\"><\/div><\/td><td><div class=\"form-group\"><label for=\"IRAC504_tanks_4_1\">5 &#8211; Capacity (litres)<\/label><input type=\"number\" id=\"IRAC504_tanks_4_1\" name=\"IRAC504_tanks_4_1\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">6<\/th><td><div class=\"form-group\"><label for=\"IRAC504_tanks_5_0\">6 &#8211; Product<\/label><input type=\"text\" id=\"IRAC504_tanks_5_0\" name=\"IRAC504_tanks_5_0\" value=\"\"><\/div><\/td><td><div class=\"form-group\"><label for=\"IRAC504_tanks_5_1\">6 &#8211; Capacity (litres)<\/label><input type=\"number\" id=\"IRAC504_tanks_5_1\" name=\"IRAC504_tanks_5_1\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">7<\/th><td><div class=\"form-group\"><label for=\"IRAC504_tanks_6_0\">7 &#8211; Product<\/label><input type=\"text\" id=\"IRAC504_tanks_6_0\" name=\"IRAC504_tanks_6_0\" value=\"\"><\/div><\/td><td><div class=\"form-group\"><label for=\"IRAC504_tanks_6_1\">7 &#8211; Capacity (litres)<\/label><input type=\"number\" id=\"IRAC504_tanks_6_1\" name=\"IRAC504_tanks_6_1\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">8<\/th><td><div class=\"form-group\"><label for=\"IRAC504_tanks_7_0\">8 &#8211; Product<\/label><input type=\"text\" id=\"IRAC504_tanks_7_0\" name=\"IRAC504_tanks_7_0\" value=\"\"><\/div><\/td><td><div class=\"form-group\"><label for=\"IRAC504_tanks_7_1\">8 &#8211; Capacity (litres)<\/label><input type=\"number\" id=\"IRAC504_tanks_7_1\" name=\"IRAC504_tanks_7_1\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><\/tbody><\/table><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC504_tank_trucks\">12. Number of tank trucks<\/label><input type=\"number\" id=\"IRAC504_tank_trucks\" name=\"IRAC504_tank_trucks\" value=\"\" min=\"0\" step=\"any\"><\/div><div class=\"form-group\"><label for=\"IRAC504_trailers\">Number of tractor-trailers<\/label><input type=\"number\" id=\"IRAC504_trailers\" name=\"IRAC504_trailers\" value=\"\" min=\"0\" step=\"any\"><\/div><\/div><div class=\"table-wrap\"><table class=\"capacity-table\"><caption>13. Quantities distributed &#8211; January 1 to December 31 last year<\/caption><thead><tr><th scope=\"col\">Product<\/th><th scope=\"col\">Litres<\/th><\/tr><\/thead><tbody><tr><th scope=\"row\">Gasoline<\/th><td><div class=\"form-group\"><label for=\"IRAC504_distributed_0_0\">Gasoline &#8211; Litres<\/label><input type=\"number\" id=\"IRAC504_distributed_0_0\" name=\"IRAC504_distributed_0_0\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">Diesel Fuel<\/th><td><div class=\"form-group\"><label for=\"IRAC504_distributed_1_0\">Diesel Fuel &#8211; Litres<\/label><input type=\"number\" id=\"IRAC504_distributed_1_0\" name=\"IRAC504_distributed_1_0\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">Furnace Oil<\/th><td><div class=\"form-group\"><label for=\"IRAC504_distributed_2_0\">Furnace Oil &#8211; Litres<\/label><input type=\"number\" id=\"IRAC504_distributed_2_0\" name=\"IRAC504_distributed_2_0\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">Stove Oil<\/th><td><div class=\"form-group\"><label for=\"IRAC504_distributed_3_0\">Stove Oil &#8211; Litres<\/label><input type=\"number\" id=\"IRAC504_distributed_3_0\" name=\"IRAC504_distributed_3_0\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">Propane<\/th><td><div class=\"form-group\"><label for=\"IRAC504_distributed_4_0\">Propane &#8211; Litres<\/label><input type=\"number\" id=\"IRAC504_distributed_4_0\" name=\"IRAC504_distributed_4_0\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">Kerosene<\/th><td><div class=\"form-group\"><label for=\"IRAC504_distributed_5_0\">Kerosene &#8211; Litres<\/label><input type=\"number\" id=\"IRAC504_distributed_5_0\" name=\"IRAC504_distributed_5_0\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">Other<\/th><td><div class=\"form-group\"><label for=\"IRAC504_distributed_6_0\">Other &#8211; Litres<\/label><input type=\"number\" id=\"IRAC504_distributed_6_0\" name=\"IRAC504_distributed_6_0\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><\/tbody><\/table><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC504_other_product\">Other product &#8211; specify<\/label><input type=\"text\" id=\"IRAC504_other_product\" name=\"IRAC504_other_product\" value=\"\"><\/div><\/div><\/fieldset><fieldset><legend>14. Declaration<\/legend><div class=\"declaration-box\">I hereby declare that the answers made to the above questions are true and, if a license is issued, I undertake to carry out in every manner the requirements of the Petroleum Products Act and Regulations.<\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC504_signature\">Signature &#8211; type full legal name <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC504_signature\" name=\"IRAC504_signature\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC504_print_name\">Full name \/ print name <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC504_print_name\" name=\"IRAC504_print_name\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC504_signer_title\">Title <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC504_signer_title\" name=\"IRAC504_signer_title\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC504_corporate_name\">Corporate name (if applicable)<\/label><input type=\"text\" id=\"IRAC504_corporate_name\" name=\"IRAC504_corporate_name\" value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC504_sig_date\">Date <span class=required>*<\/span><\/label><input type=\"date\" id=\"IRAC504_sig_date\" name=\"IRAC504_sig_date\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC504_signer_phone\">Telephone <span class=required>*<\/span><\/label><input type=\"tel\" id=\"IRAC504_signer_phone\" name=\"IRAC504_signer_phone\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC504_signer_email\">Email <span class=required>*<\/span><\/label><input type=\"email\" id=\"IRAC504_signer_email\" name=\"IRAC504_signer_email\" required value=\"\"><\/div><\/div><fieldset class=\"choice-field\"><legend>Signing as <span class=\"required\">*<\/span><\/legend><div class=\"radio-group\"><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC504_signer_capacity\" id=\"IRAC504_signer_capacity_0\" value=\"Owner\" required>Owner<\/label><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC504_signer_capacity\" id=\"IRAC504_signer_capacity_1\" value=\"Lessee\" required>Lessee<\/label><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC504_signer_capacity\" id=\"IRAC504_signer_capacity_2\" value=\"Agent\" required>Agent<\/label><\/div><\/fieldset><p class=\"field-help\">A typed name is included in the printed copy. Sign the application as required by the Commission.<\/p><\/fieldset><\/form><p class=\"form-footnote\">Licence fees are payable to the Island Regulatory and Appeals Commission. Review the source PDF for full application and supporting-document requirements.<\/p><p class=\"form-footnote\">Submitting saves your answers to this website&#8217;s application database. Payments and supporting documents are handled separately. For the Commission&#8217;s privacy notice and filing instructions, see the <a href=\"https:\/\/irac.pe.ca\/petrol\/petroleum-forms\/\" target=\"_blank\" rel=\"noopener\">official petroleum forms page<\/a>.<\/p><div class=\"form-actions\"><button type=\"button\" data-action=\"validate\" class=\"button-secondary\">Check required fields<\/button><button type=\"button\" data-action=\"review\" class=\"button-primary\">Submit &amp; print \/ PDF<\/button><\/div><\/div><\/section><section class=\"form-page\" id=\"page-IRAC519\" data-code=\"IRAC519\" hidden aria-labelledby=\"heading-IRAC519\"><div class=\"form-container\"><div class=\"form-header\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/irac.pe.ca\/wp-content\/uploads\/2021\/03\/IRAC-Website-Logo.png\" width=\"250\" height=\"48\" alt=\"Island Regulatory and Appeals Commission\"><h2 id=\"heading-IRAC519\" tabindex=\"-1\">Retail-Distributor License &#8211; Annual Renewal (IRAC519)<\/h2><p>ALL APPLICABLE QUESTIONS MUST BE ANSWERED<\/p><\/div><div class=\"form-context\"><a href=\"https:\/\/irac.pe.ca\/wp-content\/uploads\/IRAC519-Retail-Distributor-Renewal.pdf\" target=\"_blank\" rel=\"noopener\">View source PDF <span aria-hidden=\"true\">\u2197<\/span><\/a><span>IRAC519 \u00b7 Webform<\/span><\/div><form id=\"form-IRAC519\" class=\"irac-form\" autocomplete=\"off\"><fieldset><legend>1 &#8211; 3. Applicant and outlet<\/legend><fieldset class=\"choice-field\"><legend>Storage arrangement <span class=\"required\">*<\/span><\/legend><div class=\"radio-group\"><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC519_bulk\" id=\"IRAC519_bulk_0\" value=\"Bulk Storage\" required>Bulk Storage<\/label><label class=\"checkbox-item\"><input type=\"radio\" name=\"IRAC519_bulk\" id=\"IRAC519_bulk_1\" value=\"No Bulk Storage\" required>No Bulk Storage<\/label><\/div><\/fieldset><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC519_applicant\">1. Name of applicant <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC519_applicant\" name=\"IRAC519_applicant\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC519_outlet_name\">2(a). Name of outlet <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC519_outlet_name\" name=\"IRAC519_outlet_name\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC519_outlet_location\">2(b). Location of outlet <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC519_outlet_location\" name=\"IRAC519_outlet_location\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC519_office_street\">3. Business office address &#8211; Street <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC519_office_street\" name=\"IRAC519_office_street\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC519_office_town\">Town \/ community <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC519_office_town\" name=\"IRAC519_office_town\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC519_office_province\">Province <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC519_office_province\" name=\"IRAC519_office_province\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC519_office_postal\">Postal code <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC519_office_postal\" name=\"IRAC519_office_postal\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC519_office_phone\">Telephone <span class=required>*<\/span><\/label><input type=\"tel\" id=\"IRAC519_office_phone\" name=\"IRAC519_office_phone\" required value=\"\"><\/div><\/div><\/fieldset><fieldset><legend>Owner and operator<\/legend><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC519_owner_name\">4(a). Owner of outlet \/ property <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC519_owner_name\" name=\"IRAC519_owner_name\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC519_owner_address\">4(b). Owner mailing address <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC519_owner_address\" name=\"IRAC519_owner_address\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC519_owner_phone\">Owner phone <span class=required>*<\/span><\/label><input type=\"tel\" id=\"IRAC519_owner_phone\" name=\"IRAC519_owner_phone\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC519_owner_email\">Owner email <span class=required>*<\/span><\/label><input type=\"email\" id=\"IRAC519_owner_email\" name=\"IRAC519_owner_email\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC519_operator_name\">5(a). Operator of outlet <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC519_operator_name\" name=\"IRAC519_operator_name\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC519_operator_address\">5(b). Operator mailing address <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC519_operator_address\" name=\"IRAC519_operator_address\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC519_operator_phone\">Operator phone<\/label><input type=\"tel\" id=\"IRAC519_operator_phone\" name=\"IRAC519_operator_phone\" value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC519_operator_email\">Operator email<\/label><input type=\"email\" id=\"IRAC519_operator_email\" name=\"IRAC519_operator_email\" value=\"\"><\/div><\/div><\/fieldset><fieldset><legend>6 &#8211; 10. Supply and operation<\/legend><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC519_supplier\">6. Wholesaler supplier <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC519_supplier\" name=\"IRAC519_supplier\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC519_bulk_location\">7. Bulk storage location<\/label><input type=\"text\" id=\"IRAC519_bulk_location\" name=\"IRAC519_bulk_location\" value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC519_area\">8. Area served from this location <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC519_area\" name=\"IRAC519_area\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC519_tank_count\">9. Number of storage tanks <span class=required>*<\/span><\/label><input type=\"number\" id=\"IRAC519_tank_count\" name=\"IRAC519_tank_count\" required value=\"\" min=\"0\" step=\"any\"><\/div><div class=\"form-group\"><label for=\"IRAC519_license\">10. Current outlet license number <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC519_license\" name=\"IRAC519_license\" required value=\"\"><\/div><\/div><\/fieldset><fieldset><legend>11 &#8211; 13. Storage, vehicles and quantities<\/legend><div class=\"table-wrap\"><table class=\"capacity-table\"><caption>11. Product and capacity of each storage tank<\/caption><thead><tr><th scope=\"col\">Tank<\/th><th scope=\"col\">Product<\/th><th scope=\"col\">Capacity (litres)<\/th><\/tr><\/thead><tbody><tr><th scope=\"row\">1<\/th><td><div class=\"form-group\"><label for=\"IRAC519_tanks_0_0\">1 &#8211; Product<\/label><input type=\"text\" id=\"IRAC519_tanks_0_0\" name=\"IRAC519_tanks_0_0\" value=\"\"><\/div><\/td><td><div class=\"form-group\"><label for=\"IRAC519_tanks_0_1\">1 &#8211; Capacity (litres)<\/label><input type=\"number\" id=\"IRAC519_tanks_0_1\" name=\"IRAC519_tanks_0_1\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">2<\/th><td><div class=\"form-group\"><label for=\"IRAC519_tanks_1_0\">2 &#8211; Product<\/label><input type=\"text\" id=\"IRAC519_tanks_1_0\" name=\"IRAC519_tanks_1_0\" value=\"\"><\/div><\/td><td><div class=\"form-group\"><label for=\"IRAC519_tanks_1_1\">2 &#8211; Capacity (litres)<\/label><input type=\"number\" id=\"IRAC519_tanks_1_1\" name=\"IRAC519_tanks_1_1\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">3<\/th><td><div class=\"form-group\"><label for=\"IRAC519_tanks_2_0\">3 &#8211; Product<\/label><input type=\"text\" id=\"IRAC519_tanks_2_0\" name=\"IRAC519_tanks_2_0\" value=\"\"><\/div><\/td><td><div class=\"form-group\"><label for=\"IRAC519_tanks_2_1\">3 &#8211; Capacity (litres)<\/label><input type=\"number\" id=\"IRAC519_tanks_2_1\" name=\"IRAC519_tanks_2_1\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">4<\/th><td><div class=\"form-group\"><label for=\"IRAC519_tanks_3_0\">4 &#8211; Product<\/label><input type=\"text\" id=\"IRAC519_tanks_3_0\" name=\"IRAC519_tanks_3_0\" value=\"\"><\/div><\/td><td><div class=\"form-group\"><label for=\"IRAC519_tanks_3_1\">4 &#8211; Capacity (litres)<\/label><input type=\"number\" id=\"IRAC519_tanks_3_1\" name=\"IRAC519_tanks_3_1\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">5<\/th><td><div class=\"form-group\"><label for=\"IRAC519_tanks_4_0\">5 &#8211; Product<\/label><input type=\"text\" id=\"IRAC519_tanks_4_0\" name=\"IRAC519_tanks_4_0\" value=\"\"><\/div><\/td><td><div class=\"form-group\"><label for=\"IRAC519_tanks_4_1\">5 &#8211; Capacity (litres)<\/label><input type=\"number\" id=\"IRAC519_tanks_4_1\" name=\"IRAC519_tanks_4_1\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">6<\/th><td><div class=\"form-group\"><label for=\"IRAC519_tanks_5_0\">6 &#8211; Product<\/label><input type=\"text\" id=\"IRAC519_tanks_5_0\" name=\"IRAC519_tanks_5_0\" value=\"\"><\/div><\/td><td><div class=\"form-group\"><label for=\"IRAC519_tanks_5_1\">6 &#8211; Capacity (litres)<\/label><input type=\"number\" id=\"IRAC519_tanks_5_1\" name=\"IRAC519_tanks_5_1\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">7<\/th><td><div class=\"form-group\"><label for=\"IRAC519_tanks_6_0\">7 &#8211; Product<\/label><input type=\"text\" id=\"IRAC519_tanks_6_0\" name=\"IRAC519_tanks_6_0\" value=\"\"><\/div><\/td><td><div class=\"form-group\"><label for=\"IRAC519_tanks_6_1\">7 &#8211; Capacity (litres)<\/label><input type=\"number\" id=\"IRAC519_tanks_6_1\" name=\"IRAC519_tanks_6_1\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">8<\/th><td><div class=\"form-group\"><label for=\"IRAC519_tanks_7_0\">8 &#8211; Product<\/label><input type=\"text\" id=\"IRAC519_tanks_7_0\" name=\"IRAC519_tanks_7_0\" value=\"\"><\/div><\/td><td><div class=\"form-group\"><label for=\"IRAC519_tanks_7_1\">8 &#8211; Capacity (litres)<\/label><input type=\"number\" id=\"IRAC519_tanks_7_1\" name=\"IRAC519_tanks_7_1\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><\/tbody><\/table><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC519_tank_trucks\">12. Number of tank trucks<\/label><input type=\"number\" id=\"IRAC519_tank_trucks\" name=\"IRAC519_tank_trucks\" value=\"\" min=\"0\" step=\"any\"><\/div><div class=\"form-group\"><label for=\"IRAC519_trailers\">Number of tractor-trailers<\/label><input type=\"number\" id=\"IRAC519_trailers\" name=\"IRAC519_trailers\" value=\"\" min=\"0\" step=\"any\"><\/div><\/div><div class=\"table-wrap\"><table class=\"capacity-table\"><caption>13. Quantities distributed &#8211; January 1 to December 31 last year<\/caption><thead><tr><th scope=\"col\">Product<\/th><th scope=\"col\">Litres<\/th><\/tr><\/thead><tbody><tr><th scope=\"row\">Gasoline<\/th><td><div class=\"form-group\"><label for=\"IRAC519_distributed_0_0\">Gasoline &#8211; Litres<\/label><input type=\"number\" id=\"IRAC519_distributed_0_0\" name=\"IRAC519_distributed_0_0\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">Diesel Fuel<\/th><td><div class=\"form-group\"><label for=\"IRAC519_distributed_1_0\">Diesel Fuel &#8211; Litres<\/label><input type=\"number\" id=\"IRAC519_distributed_1_0\" name=\"IRAC519_distributed_1_0\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">Furnace Oil<\/th><td><div class=\"form-group\"><label for=\"IRAC519_distributed_2_0\">Furnace Oil &#8211; Litres<\/label><input type=\"number\" id=\"IRAC519_distributed_2_0\" name=\"IRAC519_distributed_2_0\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">Stove Oil<\/th><td><div class=\"form-group\"><label for=\"IRAC519_distributed_3_0\">Stove Oil &#8211; Litres<\/label><input type=\"number\" id=\"IRAC519_distributed_3_0\" name=\"IRAC519_distributed_3_0\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">Propane<\/th><td><div class=\"form-group\"><label for=\"IRAC519_distributed_4_0\">Propane &#8211; Litres<\/label><input type=\"number\" id=\"IRAC519_distributed_4_0\" name=\"IRAC519_distributed_4_0\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">Kerosene<\/th><td><div class=\"form-group\"><label for=\"IRAC519_distributed_5_0\">Kerosene &#8211; Litres<\/label><input type=\"number\" id=\"IRAC519_distributed_5_0\" name=\"IRAC519_distributed_5_0\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><tr><th scope=\"row\">Other<\/th><td><div class=\"form-group\"><label for=\"IRAC519_distributed_6_0\">Other &#8211; Litres<\/label><input type=\"number\" id=\"IRAC519_distributed_6_0\" name=\"IRAC519_distributed_6_0\" value=\"\" min=\"0\" step=\"any\"><\/div><\/td><\/tr><\/tbody><\/table><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC519_other_product\">Other product &#8211; specify<\/label><input type=\"text\" id=\"IRAC519_other_product\" name=\"IRAC519_other_product\" value=\"\"><\/div><\/div><\/fieldset><fieldset><legend>14. Contact information<\/legend><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC519_contact_primary_name\">Primary contact name <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC519_contact_primary_name\" name=\"IRAC519_contact_primary_name\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC519_contact_primary_email\">Primary contact email <span class=required>*<\/span><\/label><input type=\"email\" id=\"IRAC519_contact_primary_email\" name=\"IRAC519_contact_primary_email\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC519_contact_primary_phone\">Primary contact phone <span class=required>*<\/span><\/label><input type=\"tel\" id=\"IRAC519_contact_primary_phone\" name=\"IRAC519_contact_primary_phone\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC519_contact_secondary_name\">Secondary contact name<\/label><input type=\"text\" id=\"IRAC519_contact_secondary_name\" name=\"IRAC519_contact_secondary_name\" value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC519_contact_secondary_email\">Secondary contact email<\/label><input type=\"email\" id=\"IRAC519_contact_secondary_email\" name=\"IRAC519_contact_secondary_email\" value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC519_contact_secondary_phone\">Secondary contact phone<\/label><input type=\"tel\" id=\"IRAC519_contact_secondary_phone\" name=\"IRAC519_contact_secondary_phone\" value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC519_best_contact_method\">Best method of contact<\/label><input type=\"text\" id=\"IRAC519_best_contact_method\" name=\"IRAC519_best_contact_method\" value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC519_contact_date\">Contact information date<\/label><input type=\"date\" id=\"IRAC519_contact_date\" name=\"IRAC519_contact_date\" value=\"\"><\/div><\/div><\/fieldset><fieldset><legend>15. Declaration<\/legend><div class=\"declaration-box\">I hereby declare that the answers made to the above questions are true and, if a license is issued, I undertake to carry out in every manner the requirements of the Petroleum Products Act and Regulations.<\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC519_signature\">Signature &#8211; type full legal name <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC519_signature\" name=\"IRAC519_signature\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC519_print_name\">Full name \/ print name <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC519_print_name\" name=\"IRAC519_print_name\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC519_signer_title\">Title <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC519_signer_title\" name=\"IRAC519_signer_title\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC519_corporate_name\">Corporate name (if applicable)<\/label><input type=\"text\" id=\"IRAC519_corporate_name\" name=\"IRAC519_corporate_name\" value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC519_sig_date\">Date <span class=required>*<\/span><\/label><input type=\"date\" id=\"IRAC519_sig_date\" name=\"IRAC519_sig_date\" required value=\"\"><\/div><\/div><p class=\"field-help\">A typed name is included in the printed copy. Sign the application as required by the Commission.<\/p><\/fieldset><\/form><p class=\"form-footnote\">Licence fees are payable to the Island Regulatory and Appeals Commission. Review the source PDF for full application and supporting-document requirements.<\/p><p class=\"form-footnote\">Submitting saves your answers to this website&#8217;s application database. Payments and supporting documents are handled separately. For the Commission&#8217;s privacy notice and filing instructions, see the <a href=\"https:\/\/irac.pe.ca\/petrol\/petroleum-forms\/\" target=\"_blank\" rel=\"noopener\">official petroleum forms page<\/a>.<\/p><div class=\"form-actions\"><button type=\"button\" data-action=\"validate\" class=\"button-secondary\">Check required fields<\/button><button type=\"button\" data-action=\"review\" class=\"button-primary\">Submit &amp; print \/ PDF<\/button><\/div><\/div><\/section><section class=\"form-page\" id=\"page-IRAC514\" data-code=\"IRAC514\" hidden aria-labelledby=\"heading-IRAC514\"><div class=\"form-container\"><div class=\"form-header\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/irac.pe.ca\/wp-content\/uploads\/2021\/03\/IRAC-Website-Logo.png\" width=\"250\" height=\"48\" alt=\"Island Regulatory and Appeals Commission\"><h2 id=\"heading-IRAC514\" tabindex=\"-1\">Application for Initial Petroleum Products Distribution License (IRAC514)<\/h2><p>ALL APPLICABLE QUESTIONS MUST BE ANSWERED<\/p><\/div><div class=\"form-context\"><a href=\"https:\/\/irac.pe.ca\/wp-content\/uploads\/2020\/08\/IRAC514-InitialPetroleumWholesaleDistributionLicense.pdf\" target=\"_blank\" rel=\"noopener\">View source PDF <span aria-hidden=\"true\">\u2197<\/span><\/a><span>IRAC514 \u00b7 Webform<\/span><\/div><form id=\"form-IRAC514\" class=\"irac-form\" autocomplete=\"off\"><fieldset><legend>1 &#8211; 3. Wholesaler details<\/legend><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC514_wholesaler\">1. Corporate name of wholesaler <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC514_wholesaler\" name=\"IRAC514_wholesaler\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC514_business_as\">2. Doing business as, if different<\/label><input type=\"text\" id=\"IRAC514_business_as\" name=\"IRAC514_business_as\" value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC514_office_street\">3. Address &#8211; Street <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC514_office_street\" name=\"IRAC514_office_street\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC514_office_town\">Town \/ community <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC514_office_town\" name=\"IRAC514_office_town\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC514_office_province\">Province <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC514_office_province\" name=\"IRAC514_office_province\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC514_office_postal\">Postal code <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC514_office_postal\" name=\"IRAC514_office_postal\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC514_office_phone\">Telephone <span class=required>*<\/span><\/label><input type=\"tel\" id=\"IRAC514_office_phone\" name=\"IRAC514_office_phone\" required value=\"\"><\/div><\/div><\/fieldset><fieldset><legend>4. Completed by<\/legend><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC514_signature\">Signature &#8211; type full legal name <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC514_signature\" name=\"IRAC514_signature\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC514_print_name\">Full name \/ print name <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC514_print_name\" name=\"IRAC514_print_name\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC514_signer_title\">Title <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC514_signer_title\" name=\"IRAC514_signer_title\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC514_corporate_name\">Corporate name<\/label><input type=\"text\" id=\"IRAC514_corporate_name\" name=\"IRAC514_corporate_name\" value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC514_sig_date\">Date <span class=required>*<\/span><\/label><input type=\"date\" id=\"IRAC514_sig_date\" name=\"IRAC514_sig_date\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC514_signer_phone\">Telephone <span class=required>*<\/span><\/label><input type=\"tel\" id=\"IRAC514_signer_phone\" name=\"IRAC514_signer_phone\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC514_signer_email\">Email <span class=required>*<\/span><\/label><input type=\"email\" id=\"IRAC514_signer_email\" name=\"IRAC514_signer_email\" required value=\"\"><\/div><\/div><p class=\"field-help\">A typed name is included in the printed copy. Sign the application as required by the Commission.<\/p><\/fieldset><fieldset><legend>5. Required application information<\/legend><div class=\"form-row\"><div class=\"form-group full-width\"><label for=\"IRAC514_products\">Description of products to be sold <span class=required>*<\/span><\/label><textarea id=\"IRAC514_products\" name=\"IRAC514_products\" required rows=\"3\"><\/textarea><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC514_brand\">Brand name associated with products <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC514_brand\" name=\"IRAC514_brand\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group full-width\"><label for=\"IRAC514_supply\">Supply arrangements <span class=required>*<\/span><\/label><textarea id=\"IRAC514_supply\" name=\"IRAC514_supply\" required rows=\"3\"><\/textarea><\/div><\/div><div class=\"form-row\"><div class=\"form-group full-width\"><label for=\"IRAC514_network\">Proposed distribution network <span class=required>*<\/span><\/label><textarea id=\"IRAC514_network\" name=\"IRAC514_network\" required rows=\"3\"><\/textarea><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC514_start_date\">Proposed start-up date <span class=required>*<\/span><\/label><input type=\"date\" id=\"IRAC514_start_date\" name=\"IRAC514_start_date\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group full-width\"><label for=\"IRAC514_estimated_sales\">Estimated potential annual sales volumes (identify product and units) <span class=required>*<\/span><\/label><textarea id=\"IRAC514_estimated_sales\" name=\"IRAC514_estimated_sales\" required rows=\"3\"><\/textarea><\/div><\/div><\/fieldset><fieldset><legend>6. Fee<\/legend><p class=\"field-help\">Preparation checklist. Include supporting documents separately with your application; this page does not upload them.<\/p><fieldset class=\"choice-field\"><legend>Documents \/ requirements<\/legend><div class=\"checkbox-group\"><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC514_supporting_documents\" id=\"IRAC514_supporting_documents_0\" value=\"Current initial licence fee\">Current initial licence fee<\/label><\/div><\/fieldset><p class=\"field-help\">Refer to the current licence fee schedule on the Commission website.<\/p><\/fieldset><fieldset><legend>7. Return completed form<\/legend><p>Island Regulatory and Appeals Commission<br>134 Kent Street, P.O. Box 577<br>Charlottetown, PE C1A 7L1<br>Telephone: 902-892-3501 \u00b7 Toll-free (NS &amp; PEI): 1-800-501-6268<br>Fax: 902-566-4076<\/p><\/fieldset><\/form><p class=\"form-footnote\">Licence fees are payable to the Island Regulatory and Appeals Commission. Review the source PDF for full application and supporting-document requirements.<\/p><p class=\"form-footnote\">Submitting saves your answers to this website&#8217;s application database. Payments and supporting documents are handled separately. For the Commission&#8217;s privacy notice and filing instructions, see the <a href=\"https:\/\/irac.pe.ca\/petrol\/petroleum-forms\/\" target=\"_blank\" rel=\"noopener\">official petroleum forms page<\/a>.<\/p><div class=\"form-actions\"><button type=\"button\" data-action=\"validate\" class=\"button-secondary\">Check required fields<\/button><button type=\"button\" data-action=\"review\" class=\"button-primary\">Submit &amp; print \/ PDF<\/button><\/div><\/div><\/section><section class=\"form-page\" id=\"page-IRAC515\" data-code=\"IRAC515\" hidden aria-labelledby=\"heading-IRAC515\"><div class=\"form-container\"><div class=\"form-header\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/irac.pe.ca\/wp-content\/uploads\/2021\/03\/IRAC-Website-Logo.png\" width=\"250\" height=\"48\" alt=\"Island Regulatory and Appeals Commission\"><h2 id=\"heading-IRAC515\" tabindex=\"-1\">Application for Renewal Petroleum Products Distribution License (IRAC515)<\/h2><p>ALL APPLICABLE QUESTIONS MUST BE ANSWERED<\/p><\/div><div class=\"form-context\"><a href=\"https:\/\/irac.pe.ca\/wp-content\/uploads\/2020\/08\/IRAC515-RenewalPetroleumWholesaleDistributionLicense.pdf\" target=\"_blank\" rel=\"noopener\">View source PDF <span aria-hidden=\"true\">\u2197<\/span><\/a><span>IRAC515 \u00b7 Webform<\/span><\/div><form id=\"form-IRAC515\" class=\"irac-form\" autocomplete=\"off\"><fieldset><legend>1 &#8211; 3. Wholesaler details<\/legend><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC515_wholesaler\">1. Corporate name of wholesaler <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC515_wholesaler\" name=\"IRAC515_wholesaler\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC515_business_as\">2. Doing business as, if different<\/label><input type=\"text\" id=\"IRAC515_business_as\" name=\"IRAC515_business_as\" value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC515_office_street\">3. Address &#8211; Street <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC515_office_street\" name=\"IRAC515_office_street\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC515_office_town\">Town \/ community <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC515_office_town\" name=\"IRAC515_office_town\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC515_office_province\">Province <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC515_office_province\" name=\"IRAC515_office_province\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC515_office_postal\">Postal code <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC515_office_postal\" name=\"IRAC515_office_postal\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC515_office_phone\">Telephone <span class=required>*<\/span><\/label><input type=\"tel\" id=\"IRAC515_office_phone\" name=\"IRAC515_office_phone\" required value=\"\"><\/div><\/div><\/fieldset><fieldset><legend>4. Completed by<\/legend><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC515_signature\">Signature &#8211; type full legal name <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC515_signature\" name=\"IRAC515_signature\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC515_print_name\">Full name \/ print name <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC515_print_name\" name=\"IRAC515_print_name\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC515_signer_title\">Title <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC515_signer_title\" name=\"IRAC515_signer_title\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC515_corporate_name\">Corporate name<\/label><input type=\"text\" id=\"IRAC515_corporate_name\" name=\"IRAC515_corporate_name\" value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC515_sig_date\">Date <span class=required>*<\/span><\/label><input type=\"date\" id=\"IRAC515_sig_date\" name=\"IRAC515_sig_date\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC515_signer_phone\">Telephone <span class=required>*<\/span><\/label><input type=\"tel\" id=\"IRAC515_signer_phone\" name=\"IRAC515_signer_phone\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC515_signer_email\">Email <span class=required>*<\/span><\/label><input type=\"email\" id=\"IRAC515_signer_email\" name=\"IRAC515_signer_email\" required value=\"\"><\/div><\/div><p class=\"field-help\">A typed name is included in the printed copy. Sign the application as required by the Commission.<\/p><\/fieldset><fieldset><legend>5. Return completed form<\/legend><p>Island Regulatory and Appeals Commission<br>134 Kent Street, P.O. Box 577<br>Charlottetown, PE C1A 7L1<br>Telephone: 902-892-3501 \u00b7 Toll-free (NS &amp; PEI): 1-800-501-6268<br>Fax: 902-566-4076<\/p><\/fieldset><\/form><p class=\"form-footnote\">Licence fees are payable to the Island Regulatory and Appeals Commission. Review the source PDF for full application and supporting-document requirements.<\/p><p class=\"form-footnote\">Submitting saves your answers to this website&#8217;s application database. Payments and supporting documents are handled separately. For the Commission&#8217;s privacy notice and filing instructions, see the <a href=\"https:\/\/irac.pe.ca\/petrol\/petroleum-forms\/\" target=\"_blank\" rel=\"noopener\">official petroleum forms page<\/a>.<\/p><div class=\"form-actions\"><button type=\"button\" data-action=\"validate\" class=\"button-secondary\">Check required fields<\/button><button type=\"button\" data-action=\"review\" class=\"button-primary\">Submit &amp; print \/ PDF<\/button><\/div><\/div><\/section><section class=\"form-page\" id=\"page-IRAC516\" data-code=\"IRAC516\" hidden aria-labelledby=\"heading-IRAC516\"><div class=\"form-container\"><div class=\"form-header\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/irac.pe.ca\/wp-content\/uploads\/2021\/03\/IRAC-Website-Logo.png\" width=\"250\" height=\"48\" alt=\"Island Regulatory and Appeals Commission\"><h2 id=\"heading-IRAC516\" tabindex=\"-1\">Application for Amendment Petroleum Products Distribution License (IRAC516)<\/h2><p>ALL APPLICABLE QUESTIONS MUST BE ANSWERED<\/p><\/div><div class=\"form-context\"><a href=\"https:\/\/irac.pe.ca\/wp-content\/uploads\/2020\/08\/IRAC516-AmendmentPetroleumWholesaleDistributio-License.pdf\" target=\"_blank\" rel=\"noopener\">View source PDF <span aria-hidden=\"true\">\u2197<\/span><\/a><span>IRAC516 \u00b7 Webform<\/span><\/div><form id=\"form-IRAC516\" class=\"irac-form\" autocomplete=\"off\"><fieldset><legend>1 &#8211; 3. Wholesaler details<\/legend><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC516_wholesaler\">1. Corporate name of wholesaler <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC516_wholesaler\" name=\"IRAC516_wholesaler\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC516_new_name\">New corporate name, if applicable<\/label><input type=\"text\" id=\"IRAC516_new_name\" name=\"IRAC516_new_name\" value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC516_business_as\">2. Doing business as, if different<\/label><input type=\"text\" id=\"IRAC516_business_as\" name=\"IRAC516_business_as\" value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC516_office_street\">3. Address &#8211; Street <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC516_office_street\" name=\"IRAC516_office_street\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC516_office_town\">Town \/ community <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC516_office_town\" name=\"IRAC516_office_town\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC516_office_province\">Province <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC516_office_province\" name=\"IRAC516_office_province\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC516_office_postal\">Postal code <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC516_office_postal\" name=\"IRAC516_office_postal\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC516_office_phone\">Telephone <span class=required>*<\/span><\/label><input type=\"tel\" id=\"IRAC516_office_phone\" name=\"IRAC516_office_phone\" required value=\"\"><\/div><\/div><\/fieldset><fieldset><legend>4. Completed by<\/legend><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC516_signature\">Signature &#8211; type full legal name <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC516_signature\" name=\"IRAC516_signature\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC516_print_name\">Full name \/ print name <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC516_print_name\" name=\"IRAC516_print_name\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC516_signer_title\">Title <span class=required>*<\/span><\/label><input type=\"text\" id=\"IRAC516_signer_title\" name=\"IRAC516_signer_title\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC516_corporate_name\">Corporate name<\/label><input type=\"text\" id=\"IRAC516_corporate_name\" name=\"IRAC516_corporate_name\" value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC516_sig_date\">Date <span class=required>*<\/span><\/label><input type=\"date\" id=\"IRAC516_sig_date\" name=\"IRAC516_sig_date\" required value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC516_signer_phone\">Telephone <span class=required>*<\/span><\/label><input type=\"tel\" id=\"IRAC516_signer_phone\" name=\"IRAC516_signer_phone\" required value=\"\"><\/div><div class=\"form-group\"><label for=\"IRAC516_signer_email\">Email <span class=required>*<\/span><\/label><input type=\"email\" id=\"IRAC516_signer_email\" name=\"IRAC516_signer_email\" required value=\"\"><\/div><\/div><p class=\"field-help\">A typed name is included in the printed copy. Sign the application as required by the Commission.<\/p><\/fieldset><fieldset><legend>5. Details of proposed changes, if applicable<\/legend><div class=\"form-row\"><div class=\"form-group full-width\"><label for=\"IRAC516_products\">Description of products to be sold<\/label><textarea id=\"IRAC516_products\" name=\"IRAC516_products\" rows=\"3\"><\/textarea><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC516_brand\">Brand name associated with products<\/label><input type=\"text\" id=\"IRAC516_brand\" name=\"IRAC516_brand\" value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group full-width\"><label for=\"IRAC516_supply\">Supply arrangements<\/label><textarea id=\"IRAC516_supply\" name=\"IRAC516_supply\" rows=\"3\"><\/textarea><\/div><\/div><div class=\"form-row\"><div class=\"form-group full-width\"><label for=\"IRAC516_network\">Proposed distribution network<\/label><textarea id=\"IRAC516_network\" name=\"IRAC516_network\" rows=\"3\"><\/textarea><\/div><\/div><div class=\"form-row\"><div class=\"form-group\"><label for=\"IRAC516_start_date\">Proposed date of changes<\/label><input type=\"date\" id=\"IRAC516_start_date\" name=\"IRAC516_start_date\" value=\"\"><\/div><\/div><div class=\"form-row\"><div class=\"form-group full-width\"><label for=\"IRAC516_estimated_sales\">Estimated potential annual sales volumes (identify product and units)<\/label><textarea id=\"IRAC516_estimated_sales\" name=\"IRAC516_estimated_sales\" rows=\"3\"><\/textarea><\/div><\/div><\/fieldset><fieldset><legend>6. Fee<\/legend><p class=\"field-help\">Preparation checklist. Include supporting documents separately with your application; this page does not upload them.<\/p><fieldset class=\"choice-field\"><legend>Documents \/ requirements<\/legend><div class=\"checkbox-group\"><label class=\"checkbox-item\"><input type=\"checkbox\" name=\"IRAC516_supporting_documents\" id=\"IRAC516_supporting_documents_0\" value=\"Current licence amendment fee\">Current licence amendment fee<\/label><\/div><\/fieldset><p class=\"field-help\">Refer to the current licence fee schedule on the Commission website.<\/p><\/fieldset><fieldset><legend>7. Return completed form<\/legend><p>Island Regulatory and Appeals Commission<br>134 Kent Street, P.O. Box 577<br>Charlottetown, PE C1A 7L1<br>Telephone: 902-892-3501 \u00b7 Toll-free (NS &amp; PEI): 1-800-501-6268<br>Fax: 902-566-4076<\/p><\/fieldset><\/form><p class=\"form-footnote\">Licence fees are payable to the Island Regulatory and Appeals Commission. Review the source PDF for full application and supporting-document requirements.<\/p><p class=\"form-footnote\">Submitting saves your answers to this website&#8217;s application database. Payments and supporting documents are handled separately. For the Commission&#8217;s privacy notice and filing instructions, see the <a href=\"https:\/\/irac.pe.ca\/petrol\/petroleum-forms\/\" target=\"_blank\" rel=\"noopener\">official petroleum forms page<\/a>.<\/p><div class=\"form-actions\"><button type=\"button\" data-action=\"validate\" class=\"button-secondary\">Check required fields<\/button><button type=\"button\" data-action=\"review\" class=\"button-primary\">Submit &amp; print \/ PDF<\/button><\/div><\/div><\/section><\/div><\/main><\/div>\n<section id=\"irac-print-view\" aria-label=\"Print preview\" hidden><div class=\"print-toolbar\"><button type=\"button\" class=\"button-secondary\" id=\"back-to-form\">\u2190 Back to form<\/button><p>Choose <strong>Save as PDF<\/strong> in your browser\u2019s print dialog. Your application number and saved answers appear below.<\/p><button type=\"button\" class=\"button-primary\" id=\"print-now\">Print \/ Save as PDF<\/button><\/div><div id=\"irac-print-document\"><\/div><\/section>\n<noscript><p class=\"noscript-message\">Enable JavaScript to choose and complete a webform. <a href=\"https:\/\/irac.pe.ca\/petrol\/petroleum-forms\/\">Open the official PDF forms instead.<\/a><\/p><\/noscript>\n<\/div>\n<script>\n(() => {\n  'use strict';\n  const root = document.getElementById('irac-portal');\n  if (!root || root.dataset.initialized) return;\n  root.dataset.initialized = 'true';\n  const forms = [{\"id\": \"IRAC501\", \"name\": \"New retail outlet\", \"category\": \"Retail outlets\", \"title\": \"Application for Retail Petroleum Outlet License - New Retail Outlet (IRAC501)\"}, {\"id\": \"IRAC507\", \"name\": \"New propane-only outlet\", \"category\": \"Retail outlets\", \"title\": \"New Retail Outlet - Propane Only (IRAC507)\"}, {\"id\": \"IRAC508\", \"name\": \"Add propane to existing outlet\", \"category\": \"Retail outlets\", \"title\": \"License Amendment - Propane (IRAC508)\"}, {\"id\": \"IRAC503\", \"name\": \"Retail outlet annual renewal\", \"category\": \"Retail outlets\", \"title\": \"Application for Retail Outlet License - Annual Renewal (IRAC503)\"}, {\"id\": \"IRAC509\", \"name\": \"Outlet amendment or change\", \"category\": \"Retail outlets\", \"title\": \"Application for Approval of Changes at Retail Petroleum Outlet (IRAC509)\"}, {\"id\": \"IRAC505\", \"name\": \"New tank truck\", \"category\": \"Tank trucks\", \"title\": \"Application for Petroleum Outlet License - Tank Truck (IRAC505)\"}, {\"id\": \"IRAC520\", \"name\": \"Tank truck annual renewal\", \"category\": \"Tank trucks\", \"title\": \"Tank Truck License - Annual Renewal (IRAC520)\"}, {\"id\": \"IRAC504\", \"name\": \"New retail-distributor\", \"category\": \"Retail distributors\", \"title\": \"Application for Petroleum Outlet License - Retail-Distributor (IRAC504)\"}, {\"id\": \"IRAC519\", \"name\": \"Retail-distributor annual renewal\", \"category\": \"Retail distributors\", \"title\": \"Retail-Distributor License - Annual Renewal (IRAC519)\"}, {\"id\": \"IRAC514\", \"name\": \"Wholesale initial application\", \"category\": \"Wholesale distributors\", \"title\": \"Application for Initial Petroleum Products Distribution License (IRAC514)\"}, {\"id\": \"IRAC515\", \"name\": \"Wholesale renewal\", \"category\": \"Wholesale distributors\", \"title\": \"Application for Renewal Petroleum Products Distribution License (IRAC515)\"}, {\"id\": \"IRAC516\", \"name\": \"Wholesale amendment\", \"category\": \"Wholesale distributors\", \"title\": \"Application for Amendment Petroleum Products Distribution License (IRAC516)\"}];\n  const search = root.querySelector('#irac-search');\n  const nav = root.querySelector('#irac-form-nav');\n  const status = root.querySelector('#irac-status');\n  const printView = root.querySelector('#irac-print-view');\n  const printDocument = root.querySelector('#irac-print-document');\n  let activeId = 'IRAC503';\n  let focusBeforeReview;\n  let busy = false;\n  const submissions = new Map();\n  const pending = new Map();\n  const schemaVersion = '1.0.0';\n  const testMode = window.IRACPortalBackend?.testMode === true;\n  const getActive = () => root.querySelector('#page-' + activeId);\n  const announce = message => { status.textContent = message; };\n  const defaultNotice = () => testMode ? 'TEST MODE: submissions are marked as test records and kept separate from real applications.' : location.protocol === 'https:'\n    ? 'Submit saves your answers to this website and gives you an application number before printing.'\n    : 'Online submission requires valid HTTPS. No application details will be sent over HTTP.';\n\n  \/\/ Associate legacy fields and table inputs from the supplied renewal HTML.\n  root.querySelectorAll('.irac-form input,.irac-form textarea').forEach((input, index) => {\n    if (!input.id) input.id = 'irac-control-' + index;\n    if (input.closest('label') || input.labels.length || input.getAttribute('aria-label')) return;\n    const cell = input.closest('td');\n    if (cell) {\n      const tr = cell.parentElement;\n      const col = [...tr.children].indexOf(cell);\n      const head = cell.closest('table').querySelector('thead tr');\n      input.setAttribute('aria-label', tr.children[0].textContent.trim() + ' - ' + (head?.children[col]?.textContent.trim() || 'Value'));\n      return;\n    }\n    const group = input.closest('.form-group');\n    const label = group?.querySelector('label');\n    if (label && !label.htmlFor) label.htmlFor = input.id;\n    else input.setAttribute('aria-label', input.placeholder || input.name.replaceAll('_',' '));\n  });\n  \/\/ Do not allow the Enter key to submit or navigate away from a form.\n  root.querySelectorAll('.irac-form').forEach(form => {\n    form.addEventListener('submit', event => {\n      event.preventDefault();\n      submitAndPrint();\n    });\n  });\n\n  function chooseForm(id, moveFocus = false) {\n    if (busy) return;\n    const meta = forms.find(form => form.id === id);\n    if (!meta) return;\n    if (root.classList.contains('is-preview')) closeReview(false);\n    activeId = id;\n    root.querySelectorAll('.form-page').forEach(page => { page.hidden = page.dataset.code !== id; });\n    nav.querySelectorAll('.form-link').forEach(button => {\n      if (button.dataset.form === id) button.setAttribute('aria-current','true');\n      else button.removeAttribute('aria-current');\n    });\n    root.querySelector('#active-title').textContent = meta.name;\n    root.querySelector('#active-description').textContent = id + ' \u00b7 ' + meta.category;\n    root.querySelector('.form-scroll').scrollTop = 0;\n    announce(defaultNotice());\n    root.classList.remove('is-nav-open');\n    root.querySelector('#select-form-toggle').setAttribute('aria-expanded','false');\n    if (location.hash !== '#' + id) history.replaceState(null,'','#' + id);\n    document.title = meta.name + ' (' + id + ') | Petroleum Forms';\n    if (moveFocus) getActive().querySelector('h2').focus({preventScroll:true});\n  }\n  nav.addEventListener('click',event => {\n    const button = event.target.closest('.form-link');\n    if (button) chooseForm(button.dataset.form,true);\n  });\n  root.querySelector('.portal-brand').addEventListener('click',event => {\n    event.preventDefault();\n    chooseForm('IRAC503',true);\n  });\n  window.addEventListener('hashchange',() => {\n    const id = location.hash.slice(1);\n    if (forms.some(form => form.id === id)) chooseForm(id);\n  });\n  search.addEventListener('input',() => {\n    const query = search.value.trim().toLocaleLowerCase();\n    let count=0;\n    nav.querySelectorAll('.form-link').forEach(button => {\n      const meta=forms.find(form=>form.id===button.dataset.form);\n      const match=(meta.name+' '+meta.id+' '+meta.category).toLocaleLowerCase().includes(query);\n      button.hidden=!match;\n      if(match) count++;\n    });\n    nav.querySelectorAll('.nav-group').forEach(group => { group.hidden = ![...group.querySelectorAll('.form-link')].some(button=>!button.hidden); });\n    root.querySelector('#search-count').textContent=count+' form'+(count===1?'':'s')+' available';\n    root.querySelector('#no-results').hidden=count!==0;\n  });\n  root.querySelector('#select-form-toggle').addEventListener('click',event => {\n    const open = root.classList.toggle('is-nav-open');\n    event.currentTarget.setAttribute('aria-expanded',String(open));\n    if(open) search.focus();\n  });\n  root.querySelector('#reset-form').addEventListener('click',() => {\n    const meta=forms.find(form=>form.id===activeId);\n    if(window.confirm('Clear all entries in '+meta.id+'? 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Use Submit & print \/ PDF to save the application and receive its number.');\n    else announce('Complete the highlighted required field before submitting.');\n  }\n\n  function answers(form) {\n    const values = {};\n    for (const input of form.querySelectorAll('input,textarea,select')) {\n      if (!input.name || input.type === 'submit' || input.type === 'button') continue;\n      const name = input.name.replace(\/\\[\\]$\/, '');\n      if (input.type === 'checkbox') {\n        values[name] ||= [];\n        if (input.checked) values[name].push(input.value);\n      } else if (input.type === 'radio') {\n        values[name] ??= '';\n        if (input.checked) values[name] = input.value;\n      } else values[name] = input.value;\n    }\n    return Object.fromEntries(Object.keys(values).sort().map(key => [key,values[key]]));\n  }\n  function applySavedAnswers(form, fields) {\n    for (const input of form.querySelectorAll('input,textarea,select')) {\n      const name = input.name.replace(\/\\[\\]$\/, '');\n      if (!(name in fields)) continue;\n      if (input.type === 'checkbox') input.checked = fields[name].includes(input.value);\n      else if (input.type === 'radio') input.checked = fields[name] === input.value;\n      else input.value = fields[name];\n    }\n  }\n  async function readConfig() {\n    const endpoint = window.IRACPortalBackend?.endpoint;\n    if (!endpoint) throw new Error('Submission storage is available on the WordPress website. 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Please keep this page open.');\n    let timeout;\n    try {\n      const config = await readConfig();\n      const controller = new AbortController();\n      timeout = setTimeout(()=>controller.abort(),30000);\n      const payload = {form_code:activeId,fields,submission_key:attempt.key,version:schemaVersion,website:'',test_mode:testMode};\n      const response = await fetch(config.endpoint,{\n        method:'POST',credentials:'same-origin',mode:'same-origin',cache:'no-store',signal:controller.signal,\n        body:new URLSearchParams({action:'irac_portal_submit',nonce:config.nonce,payload:JSON.stringify(payload)})\n      });\n      const result = await response.json();\n      if (!response.ok || !result.success) {\n        const errors = result.data?.fields || {};\n        for (const input of form.querySelectorAll('input,textarea,select')) {\n          const message = errors[input.name.replace(\/\\[\\]$\/,'')];\n          if (message) input.setCustomValidity(message);\n        }\n        if (Object.keys(errors).length) { form.inert=false; form.reportValidity(); }\n        throw new Error(result.data?.message || 'The application was not saved. Please retry.');\n      }\n      const receipt = result.data;\n      if (!receipt.application_number || receipt.form_code !== activeId || !receipt.fields) throw new Error('Could not confirm the saved receipt. Retry to recover it without creating a duplicate.');\n      applySavedAnswers(form,receipt.fields);\n      submissions.set(activeId,{...receipt,signature:JSON.stringify(answers(form))});\n      pending.delete(activeId);\n      announce('Application saved: '+receipt.application_number+'. The print copy includes this number.');\n      openReview();\n      requestAnimationFrame(()=>requestAnimationFrame(()=>window.print()));\n    } catch (error) {\n      const message = error.name === 'AbortError'\n        ? 'The connection timed out. Your answers remain here. Retry with the same answers to recover the same application number.'\n        : error.message || 'Could not save the application. Your answers remain here; please retry.';\n      announce(message);\n    } finally { clearTimeout(timeout); setBusy(false); }\n  }\n  root.querySelectorAll('.irac-form input,.irac-form textarea,.irac-form select').forEach(input=>{\n    input.addEventListener('input',()=>input.setCustomValidity(''));\n    input.addEventListener('change',()=>input.setCustomValidity(''));\n  });\n\n  function buildPrintDocument() {\n    const original=getActive().querySelector('.form-container');\n    const clone=original.cloneNode(true);\n    const originals=original.querySelectorAll('input,textarea,select');\n    clone.querySelectorAll('input,textarea,select').forEach((copy,index) => {\n      const source=originals[index];\n      const value=document.createElement('span');\n      if(source.type==='checkbox'||source.type==='radio') {\n        value.className='print-choice';\n        value.textContent=source.checked?'\u2611':'\u2610';\n        value.setAttribute('aria-label',source.checked?'Selected':'Not selected');\n      } else {\n        value.className='print-value';\n        value.textContent=source.tagName==='SELECT'?source.options[source.selectedIndex]?.textContent:(source.value||'\u2014');\n      }\n      copy.replaceWith(value);\n    });\n    \/\/ The copy is a document, not an interactive form. 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This receipt is not licence approval.'\n      : 'UNSUBMITTED DRAFT \u00b7 '+activeId+' \u00b7 This copy has not been saved as an application.';\n    if (receipt) note.classList.add('submission-receipt');\n    clone.insertBefore(note,clone.querySelector('form'));\n    printDocument.replaceChildren(clone);\n  }\n  function openReview() {\n    focusBeforeReview=document.activeElement;\n    buildPrintDocument();\n    root.classList.add('is-preview');\n    printView.hidden=false;\n    window.scrollTo(0,0);\n    root.querySelector('#back-to-form').focus();\n  }\n  function closeReview(restoreFocus=true) {\n    root.classList.remove('is-preview');\n    printView.hidden=true;\n    if(restoreFocus && focusBeforeReview?.isConnected) focusBeforeReview.focus({preventScroll:true});\n  }\n  root.querySelector('#review-form').addEventListener('click',submitAndPrint);\n  root.querySelector('#back-to-form').addEventListener('click',()=>closeReview());\n  root.querySelector('#print-now').addEventListener('click',() => {\n    buildPrintDocument();\n    window.print();\n  });\n  root.addEventListener('click',event => {\n    const action=event.target.closest('[data-action]')?.dataset.action;\n    if(action==='review') submitAndPrint();\n    if(action==='validate') validateActive();\n  });\n  document.addEventListener('keydown',event=>{\n    if(event.key==='Escape'&&root.classList.contains('is-preview')) closeReview();\n  });\n  window.addEventListener('beforeprint',buildPrintDocument);\n  chooseForm(forms.some(form=>form.id===location.hash.slice(1))?location.hash.slice(1):'IRAC503');\n})();\n\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>Petroleum FormsIRAC Test \u00b7 Application workspace Complete. Submit. Print to PDF. Application forms 12 Search forms by name or number 12 forms available Retail outlets New retail outletIRAC501New propane-only outletIRAC507Add propane to existing outletIRAC508Retail outlet annual renewalIRAC503Outlet amendment or changeIRAC509 Tank trucks New tank truckIRAC505Tank truck annual renewalIRAC520 Retail distributors New retail-distributorIRAC504Retail-distributor annual renewalIRAC519 Wholesale [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-11","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/iractestsite.mywp.info\/index.php\/wp-json\/wp\/v2\/pages\/11","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/iractestsite.mywp.info\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/iractestsite.mywp.info\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/iractestsite.mywp.info\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/iractestsite.mywp.info\/index.php\/wp-json\/wp\/v2\/comments?post=11"}],"version-history":[{"count":6,"href":"https:\/\/iractestsite.mywp.info\/index.php\/wp-json\/wp\/v2\/pages\/11\/revisions"}],"predecessor-version":[{"id":21,"href":"https:\/\/iractestsite.mywp.info\/index.php\/wp-json\/wp\/v2\/pages\/11\/revisions\/21"}],"wp:attachment":[{"href":"https:\/\/iractestsite.mywp.info\/index.php\/wp-json\/wp\/v2\/media?parent=11"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}