Form 7Z - Uniform termination notice (BC) [F - Rescinded]
| Published Date: | 1997-06-20 |
|---|---|
| Effective Date: | 1997-07-31 |
| Rescinded Date: | 2001-03-28 |
FORM 7Z
UNIFORM TERMINATION
NOTICE (BC)
Pursuant to Sections 42 (1) (b) and (c) and 42 (a) and (b) of the Securities Act.
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Instructions
- Registered dealers, underwriters and advisers must file a Uniform Termination Notice (BC) where there is termination of employment of a registered salesperson or advising employee or termination of employment or office of a partner, director or officer. References to "employee" in this form should be read to include "partner, director or officer" and to "employment" as including "office".
- Please provide all information and date and sign this form.
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Freedom of Information and Protection of Privacy Act
The personal information requested on this form is collected under the authority of and used for the purpose of administering the Securities Act. Questions about the collection or use of this information can be directed to the Supervisor, Registration, British Columbia Securities Commission, 200 - 865 Hornby Street, Vancouver, British Columbia, V6Z 2H4. Telephone (604) 899-6692. Toll Free within British Columbia 1-800-373-6393.
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DATE OF TERMINATION NAME OF EMPLOYEE EMPLOYEE TELEPHONE NO.
Y M D ( )
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NAME OF EMPLOYER
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ADDRESS WHERE EMPLOYED - If branch office, please indicate
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POSTAL CODE
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RESIDENTIAL ADDRESS
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POSTAL CODE
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PARTICULARS OF DISCONTINUANCE
o UNSOLICITED (voluntary) o DISMISSED FOR CAUSE
o SOLICITED BY EMPLOYER o OTHER- Explain:
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- State reasons for discontinuance:
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_________________________________________________________ - a) To the best of the employer's knowledge, have there been any changes in the information given in questions 13 through 18 of the Uniform Application for Registration/Approval previously filed by the employee? (If YES to any of the below, please provide details.)
o NO
o YES
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i) Any investigation, disciplinary action or proceeding?
o NO
o YES
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ii) Any offences under the law?
o NO
o YES
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iii) Any civil proceedings?
o NO
o YES
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iv) Any action in bankruptcy or insolvency?
o NO
o YES
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v) Any judgments, garnishments or out-of-court settlements with clients?
o NO
o YES
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b) Is the employee now, or at anytime during employment with the employer, ever been the subject of:
i) Unresolved client complaints?
o NO
o YES
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ii) Internal discipline or restrictions for violations of regulatory requirements?
o NO
o YES
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c) Is the employer in possession of any information that would suggest that the employee has engaged in any conduct that contravenes regulatory requirements or is inconsistent with dealing fairly, honestly and in good faith with clients?
o NO
o YES
_________________________________________________________ - a) Are employee's accounts, or those controlled by the employee, fully secured, margined or paid? o NO o YES
b) Are clients' accounts fully secured, margined, or paid? o NO o YES
i) If NO, indicate total number of unmargined or bad debt accounts in excess of $5,000.00 and set out amounts of each account (including those written off or charged to the employee in the past 12 months).
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ii) In the opinion of the employer, were unmargined or unsecured client accounts the result of bad business or credit practices on the part of the employee? (If YES, please explain.)
o NO
o YES
_________________________________________________________ - (a) Has the employee seen this form? o NO o YES
(b) If the employee's signature is not obtained, state the reasons:
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CERTIFICATION - I am satisfied that the information in this Uniform Termination Notice (BC) reflects the knowledge of the employee's supervisors and the employer's management.
NAME OF AUTHORIZED PERSON - PLEASE PRINT POSITION HELD
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Signature of Authorized Person DATE SIGNED
Y M D
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CERTIFICATION - I have reviewed this Uniform Termination Notice (BC) and agree with the information contained herein. Please provide details if you do not agree.
o AGREE o DO NOT AGREE
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SIGNATURE OF EMPLOYEE DATE SIGNED
Y M D
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