Z-test-Employment Verification Form (DFSA) Please enable JavaScript in your browser to complete this form.This form must be completed by an Authorized Representative of an IIROC Affiliated Firm.If the candidate is not currently employed by an IIROC affiliated firm, they must obtain confirmation of employment verification in order to obtain the 50% discount. If the candidate is currently employed by an IIROC affiance firm, confirmation is not required. Candidate’s Full Name *FirstLastCheckboxesBy signing below I am confirming this candidate is required to re-enrol in the course to comply with IIROC Rule 2600 Part II A rewrite requirements.Name of Authorized Representative *Title of Authorized Representative *IIROC Affiliated Firm Name *Billing Account Code (if applicable)Email *Signature * Clear Signature Submit
