Home
Help

Requesting a BA Identifier for Manitoba

Requesting a Business Associate Identifier will require you to provide information for validation and approval of your request.

All information marked with * is mandatory.

General Information
This Application is for:
Legal Name: *
Legal Name Effective Date: 2026-11-07
Do you have a 'Care Of' (C/O) Identifier?:
Attention:
Mailing Address: *
City: *
Country: * Prov/State:*
Postal/Zip Code: *
Mailing Address
Effective Date:		 2026-11-07
Country Code Number Extension
Telephone: * - -
Email: *

Contact Person Information
(only needed if this BA Application is for a company or First Nation)
Contact Person Last Name: *
Contact Person First Name: *
Contact Person Middle Name:
Country Code Number Extension
Telephone: * - -
Email: *

Alternate Address(es)
In addition to the mailing address supplied above, other alternate addresses can be supplied. If you want to specify an alternate address, please provide the following information; otherwise skip this section. For the alternate address click the "Add" button and enter the address information on the popup window.  Only one Address for each type is allowed.
Add alternate address:
Purpose:

Business Associate Role
Please indicate the role(s) you will assume as a Business Associate.
BA Role
Applicable?
Start Date
End Date
 
Administrative Only
Historical Only
Pending
Production Accounting Services
Working Interest Owner

BA User Security Administrator Information
Once you have been assigned a BA Identifier will you need access to Petrinex?

Primary User Security Administrator Data
Contact Person Last Name: *
Contact Person First Name: *
Contact Person Middle Name:
Country Code Number Extension
Telephone: * - -
Email: *
Is the USA mailing address different from the corporate mailing address?
Would you like to provide Back-up User Security Administrator Information (optional)?
You have now completed step 1 of your BA Identifier request. Please validate your request by pressing the "Validate" button. If the information entered above is valid, you will be redirected to step 2 of the process to supply corporate identity documentation.