A-120 Declaration of Lost, Stolen or Destroyed General Identification Card Download Form PDF Declaration of Lost, Stolen or Destroyed General Identification Card Applicant's Information First Name Middle Last Address Mailing Address Bldg/Apt # Community - None -AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province/Territory Postal Code Home Telephone (867) Work Telephone (867) Date of Birth Sex (select one) Male Female Eye Colour (select one) Black Brown Hazel Green Blue Hair Colour (select one) Black Brown Grey Red Blonde White Bald Weight kg: lbs: cm: ft: in: Nunavut General Identification Card Number (GIC) Expiry Date Please describe how G.I.C. was lost or misplaced: Declaration I hereby declare that all of the above information is true, to the best of my knowledge. I understand that knowingly giving false information may result in charges applied against me under the Canadian Criminal Code or the Motor Vehicles Act of Nunavut. Signature of Applicant Sign above Date Name of Authorizing Commissioner of Oath Signature of Authorizing Commissioner of Oath Sign above Date Kitikmeot Region Headquarters Motor Vehicles Division Department of Economic Development and Transportation Government of Nunavut P.O. Box 10 Gjoa Haven, NU X0B 1J0 Telephone: (867) 360-4616 Fax: (867) 360-4619 Kivalliq Region Motor Vehicles Division Department of Economic Development and Transportation Government of Nunavut P.O. Bag 002 Rankin Inlet, NU X0C 0G0 Telephone: (867) 645_8466 Fax: (867)645-8467 Qikiqtaaluk Region Motor Vehicles Division Department of Economic Development and Transportation Government of Nunavut P.O. Bag 1000 Station 1575 Iqaluit, NU X0A 0H0 Telephone: (867) 975-7840 Fax: (867) 975-7820 Steps Current Declaration of Lost, Stolen or Destroyed General Identification Card Preview Complete Is this page useful? yes no Provide comments Email address Provide a comment Thank you for contacting the Government of Nunavut. Please do not send sensitive or personal information, including (but not limited to): social insurance numbers, birthdates, information of other people, or health information. Please only send a brief description of your issue or concern and how we can contact you. We will make sure the correct person contacts you if they need more information or if they can answer your question or concern.