Canadian Centre for Justice Statistics
Policing Services Program

Confidential when completed

Please provide information as of time of the incident for each chargeable suspect.

See instructions on last page for items indicated with an asterisk ( * ) or refer to the “Scoring Guide for the Homicide Survey”.

This information is collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S-19.

Completion of this questionnaire is a legal requirement under this act.

Objective

This survey collects essential data to produce statistics on the incidence and characteristics of homicide offences in Canada. The information is used by federal and provincial policymakers as well as public and private researchers. The data are also widely disseminated by the media for purposes of general public information. The information may also be used by Statistics Canada for other statistical and research purposes.

Confidentiality

Statistics Canada is prohibited by law from releasing any information it collects which could identify any person, business, or organization, unless consent has been given by the respondent or as permitted by the Statistics Act. Statistics Canada will use the information from this survey for statistical purposes.

Record linkages

To enhance the data from this survey and to minimize the reporting burden for respondents, Statistics Canada may combine the information you provide with other survey or administrative data sources.

Instructions

Please return this questionnaire by December 31st, “Collection Year”. Questionnaires may be returned by mail (see address below) or through the Electronic File Transfer system.

Correspondence

Statistics Canada
ATTN: Central Reception
200 blvd. de la Technologie
Gatineau, QC J8Z 3H6
Phone: Toll free 1-888-659-8229
Fax: 1-888-883-7999
E-mail: statcan.homisurv-enqhomi.statcan@statcan.gc.ca

Fax or e-mail transmission disclosure

Statistics Canada advises you that there could be a risk of disclosure during facsimile or other electronic transmission. However, upon receipt, Statistics Canada will provide the guaranteed level of protection afforded all information collected under the authority of the Statistics Act.

1. Incident file number
2. Chargeable suspect number
3. Name of chargeable suspect
   • Surname
   • Given name(s)
   • Alias
   • OR
   • 09 Unknown
4. Sex of chargeable suspect
   • 1 Male
   • 2 Female
5. a. Date of birth of chargeable suspect
   • Year / Month / Day
   b. If chargeable suspect’s date of birth is unknown, estimate the age at time of incident
   • Years
   • OR
   • 000 Less than 1 year of age (includes newborn)
   • 999 Unknown
6. Marital status of chargeable suspect
   • 1 Single (never married)
   • 2 Married (legal)
   • 3 Common-law / cohabitation
   • 4 Divorced
   • 5 Separated (legal or informal)
   • 6 Widowed
   • 9 Unknown
7. Aboriginal identity of chargeable suspect
   • 00 Not collected / released by police service
   • 01 Not an Aboriginal person
   • 02 First Nations person (Status or non-Status)
   • 03 Métis
   • 04 Inuit
   • 06 Aboriginal person (group unknown)
   • 05 Not provided by the chargeable suspect
   • 99 Unknown
8. Employment status of chargeable suspect (check one only; if more than one applies, check the response closest to the top of the list)
   • 00 Illegal activities (e.g. prostitute, drug dealer, gang member)
   • 01 Employed (includes full time, part-time, casual, self-employed)
   • 02 Unemployed
   • Not in labour force
   • 03 Less than 15 years of age - Go to Question 10
   • 04 Student - Go to Question 10
   • 05 Retired - Go to Question 10
   • 06 Homemaker - Go to Question 10
   • 07 Other – specify (e.g., social assistance, disability) - Go to Question 10
   • 99 Unknown
9. Occupation of chargeable suspect (enter most recent occupation or other occupation directly related to the homicide)
   • Specify
   • OR
   • 9 Unknown
10. Country of residence of chargeable suspect
    • 1 Canada
    • 2 United States
    • 3 Other country
    • 9 Unknown
11. Clearance status of chargeable suspect
    • 1 Charges laid or recommended
    • 2 Cleared by suicide of chargeable suspect - Go to Question 13
    • 3 Cleared otherwise – specify - Go to Question 13
12. Most serious charge laid or recommended against the chargeable suspect
    • 1 Murder 1st-degree
    • 2 Murder 2nd-degree
    • 3 Manslaughter
    • 4 Infanticide
13. FPS number of chargeable suspect
    • Specify FPS number
    • 8 Not applicable
    • 9 Unknown
14. Chargeable suspect’s previous conviction for criminal activities
    • 88 No previous conviction
    • Most serious conviction
    • 01 Homicide
    • 02 Robbery
    • 03 Other violent offence
    • 04 Property offence
    • 05 Drug offence
    • 06 Other Criminal Code or Federal / Provincial Statute offence
    • 99 Unknown
    • Source of information (e.g., CPIC, your own information system, etc.)
15. Suspected mental or developmental disorder (e.g., schizophrenia)
    • 0 Suspected
    • 1 Yes - specify
    • 2 No
    • 9 Unknown
16. Consumption of alcohol, drug or intoxicating substance by chargeable suspect (check one only)
    • 8 No alcohol or drug consumed
    • 1 Both alcohol and drug consumption
    • 2 Alcohol consumption only
    • 3 Drug consumption only
    • 4 Consumption of intoxicating substance – inhalant, etc.
    • 5 Consumption of intoxicant – type unknown
    • 9 Unknown
17. History of family violence involving this chargeable suspect and any homicide victim(s) in this incident *
    • 8 Not a family homicide
    • 1 Yes
    • 2 No
    • 9 Unknown

Instructions

The Investigating Officer is the ideal person to complete this form.

17. History of family violence – refers to violence (e.g. spousal abuse, child or parent battering) between, family members (codes 1-23 and 38-42 on question 25 of the Victim Questionnaire). Even one previously known incidence of violence is sufficient to score “Yes”. The violence must involve this accused person and the victim killed in this incident.

Thank you for your co-operation

Why do we conduct this survey?

This survey collects the financial and operating data needed to develop national and regional economic policies and programs.

Data from this survey are used by the business community, manufacturing associations, federal and provincial departments, and international organizations to:

• profile the manufacturing and logging industries
• undertake market studies
• forecast demand
• develop trade tariff policies.

In addition, businesses use the data to track their performance against industry averages, evaluate expansion plans, and prepare business plans for investors.

Your information may also be used by Statistics Canada for other statistical and research purposes.

Your participation in this survey is required under the authority of the Statistics Act.

Other important information

Authorization to collect this information

Data are collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S-19.

Confidentiality

By law, Statistics Canada is prohibited from releasing any information it collects that could identify any person, business, or organization, unless consent has been given by the respondent, or as permitted by the Statistics Act. Statistics Canada will use the information from this survey for statistical purposes only.

Record linkages

To enhance the data from this survey and to reduce the reporting burden, Statistics Canada may combine the acquired data with information from other surveys or from administrative sources.

Data-sharing agreements

To reduce respondent burden, Statistics Canada has entered into data-sharing agreements with provincial and territorial statistical agencies and other government organizations, which have agreed to keep the data confidential and use them only for statistical purposes. Statistics Canada will only share data from this survey with those organizations that have demonstrated a requirement to use the data.

Section 11 of the Statistics Act provides for the sharing of information with provincial and territorial statistical agencies that meet certain conditions. These agencies must have the legislative authority to collect the same information, on a mandatory basis, and the legislation must provide substantially the same provisions for confidentiality and penalties for disclosure of confidential information as the Statistics Act. Because these agencies have the legal authority to compel businesses to provide the same information, consent is not requested and businesses may not object to the sharing of the data.

For this survey, there are Section 11 agreements with the provincial and territorial statistical agencies of Newfoundland and Labrador, Nova Scotia, New Brunswick, Québec, Ontario, Manitoba, Saskatchewan, Alberta, British Columbia and the Yukon.

The shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory.

Section 12 of the Statistics Act provides for the sharing of information with federal, provincial or territorial government organizations. Under Section 12, you may refuse to share your information with any of these organizations by writing a letter of objection to the Chief Statistician, specifying the organizations with which you do not want Statistics Canada to share your data and mailing it to the following address:

Chief Statistician of Canada
Statistics Canada
Attention of Director, Enterprise Statistics Division
150 Tunney's Pasture Driveway
Ottawa, Ontario
K1A 0T6

You may also contact us by email at statcan.esdhelpdesk-dsebureaudedepannage.statcan@statcan.gc.ca or by fax at 613-951-6583.

For all manufacturing industries - there are Section 12 agreements with the statistical agencies of Prince Edward Island, Northwest Territories and Nunavut, as well as with the Quebec Forest Industry Council, the ministère de l'Énergie et des Ressources naturelles du Québec, the ministère des Forêts, de la Faune et des Parcs du Québec, the Ontario Ministry of Northern Development and Mines, the Ontario Ministry of Natural Resources and Forestry, Manitoba Department of Sustainable Development, Manitoba Agriculture, the Saskatchewan Ministry of the Economy, the Alberta Ministry of Agriculture and Forestry, the British Columbia Ministry of Forests, Lands and Natural Resource Operations, Agriculture and Agri-Food Canada, Environment and Climate Change Canada, Natural Resources Canada, the National Energy Board.

For establishments in non-ferrous metal (and aluminum) smelting and refining, clay building material and refractory manufacturing, cement manufacturing and lime manufacturing - there are Section 12 agreements with the Newfoundland and Labrador Department of Natural Resources, the Manitoba Department of Mineral Resources, the British Columbia Ministry of Energy and Mines and the British Columbia Ministry of Natural Gas Development.

For agreements with provincial and territorial government organizations, the shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory.

Section 17 of the federal Statistics Act allows for the disclosure of a list of individual establishments, firms or businesses showing information including the establishments' names and locations (province, territory and municipality) and North American Industrial Classification System (NAICS) codes. The disclosure of these lists may be authorized in order to aid analysts in the interpretation of data from the Annual Survey of Manufacturing and Logging Industries.

Business or organization and contact information

1. Verify or provide the business or organization's legal and operating name and correct where needed.

Note: Legal name modifications should only be done to correct a spelling error or typo.

Legal Name

The legal name is one recognized by law, thus it is the name liable for pursuit or for debts incurred by the business or organization. In the case of a corporation, it is the legal name as fixed by its charter or the statute by which the corporation was created.

Modifications to the legal name should only be done to correct a spelling error or typo.

To indicate a legal name of another legal entity you should instead indicate it in question 3 by selecting 'Not currently operational' and then choosing the applicable reason and providing the legal name of this other entity along with any other requested information.

Operating Name

The operating name is a name the business or organization is commonly known as if different from its legal name. The operating name is synonymous with trade name.

• Legal name
• Operating name (if applicable)

2. Verify or provide the contact information of the designated business or organization contact person for this questionnaire and correct where needed.

Note: The designated contact person is the person who should receive this questionnaire. The designated contact person may not always be the one who actually completes the questionnaire.

• First name
• Last name
• Title
• Preferred language of communication
  • English
  • French
• Mailing address (number and street)
• City
• Province, territory or state
• Postal code or ZIP code
• Country
  • Canada
  • United States
• Email address
• Telephone number (including area code)
• Extension number (if applicable)
  The maximum number of characters is 5
• Fax number (including area code)

3. Verify or provide the current operational status of the business or organization identified by the legal and operating name above.

• Operational
• Not currently operational
  Why is this business or organization not currently operational?
  • Seasonal operations
    • When did this business or organization close for the season?
      • Date
    • When does this business or organization expect to resume operations?
      • Date
  • Ceased operations
    • When did this business or organization cease operations?
      • Date
    • Why did this business or organization cease operations?
      • Bankruptcy
      • Liquidation
      • Dissolution
      • Other - Specify the other reasons why the operations ceased
  • Sold operations
    • When was this business or organization sold?
      • Date
    • What is the legal name of the buyer?
  • Amalgamated with other businesses or organizations
    • When did this business or organization amalgamate?
      • Date
    • What is the legal name of the resulting or continuing business or organization?
    • What are the legal names of the other amalgamated businesses or organizations?
  • Temporarily inactive but will re-open
    • When did this business or organization become temporarily inactive?
      • Date
    • When does this business or organization expect to resume operations?
      • Date
    • Why is this business or organization temporarily inactive?
  • No longer operating due to other reasons
    • When did this business or organization cease operations?
      • Date
    • Why did this business or organization cease operations?

4. Verify or provide the current main activity of the business or organization identified by the legal and operating name above.

Note: The described activity was assigned using the North American Industry Classification System (NAICS).

This question verifies the business or organization's current main activity as classified by the North American Industry Classification System (NAICS). The North American Industry Classification System (NAICS) is an industry classification system developed by the statistical agencies of Canada, Mexico and the United States. Created against the background of the North American Free Trade Agreement, it is designed to provide common definitions of the industrial structure of the three countries and a common statistical framework to facilitate the analysis of the three economies. NAICS is based on supply-side or production-oriented principles, to ensure that industrial data, classified to NAICS, are suitable for the analysis of production-related issues such as industrial performance.

The target entity for which NAICS is designed are businesses and other organizations engaged in the production of goods and services. They include farms, incorporated and unincorporated businesses and government business enterprises. They also include government institutions and agencies engaged in the production of marketed and non-marketed services, as well as organizations such as professional associations and unions and charitable or non-profit organizations and the employees of households.

The associated NAICS should reflect those activities conducted by the business or organizational units targeted by this questionnaire only, as identified in the 'Answering this questionnaire' section and which can be identified by the specified legal and operating name. The main activity is the activity which most defines the targeted business or organization's main purpose or reason for existence. For a business or organization that is for-profit, it is normally the activity that generates the majority of the revenue for the entity.

The NAICS classification contains a limited number of activity classifications; the associated classification might be applicable for this business or organization even if it is not exactly how you would describe this business or organization's main activity.

Please note that any modifications to the main activity through your response to this question might not necessarily be reflected prior to the transmitting of subsequent questionnaires and as a result they may not contain this updated information.

The following is the detailed description including any applicable examples or exclusions for the classification currently associated with this business or organization.

Description and examples

• This is the current main activity
• This is not the current main activity

Provide a brief but precise description of this business or organization's main activity

e.g., breakfast cereal manufacturing, shoe store, software development

Main activity

5. You indicated that is not the current main activity. Was this business or organization's main activity ever classified as: ?

• Yes
  When did the main activity change?
  Date
• No

6. Search and select the industry classification code that best corresponds to this business or organization's main activity.

Select this business or organization's activity sector (optional)

• Farming or logging operation
• Construction company or general contractor
• Manufacturer
• Wholesaler
• Retailer
• Provider of passenger or freight transportation
• Provider of investment, savings or insurance products
• Real estate agency, real estate brokerage or leasing company
• Provider of professional, scientific or technical services
• Provider of health care or social services
• Restaurant, bar, hotel, motel or other lodging establishment
• Other sector

7. You have indicated that the current main activity of this business or organization is: Main activity. Are there any other activities that contribute significantly (at least 10%) to this business or organization's revenue?

• Yes, there are other activities

  Provide a brief but precise description of this business or organization's secondary activity
  e.g., breakfast cereal manufacturing, shoe store, software development

• No, that is the only significant activity

8. Approximately what percentage of this business or organization's revenue is generated by each of the following activities?

When precise figures are not available, provide your best estimates.

Approximately what percentage of this business or organization's revenue is generated by each of the following activities?

	Percentage of revenue
Main activity
Secondary activity
All other activities
Total percentage

Reporting period information

1. What are the start and end dates of this business's or organization's most recently completed fiscal year?

For this survey, the end date should fall between April 1, 2018 and March 31, 2019.

Here are twelve common fiscal periods that fall within the targeted dates:

• May 1, 2017 to April 30, 2018
• June 1, 2017 to May 31, 2018
• July 1, 2017 to June 30, 2018
• August 1, 2017 to July 31, 2018
• September 1, 2017 to August 31, 2018
• October 1, 2017 to September 30, 2018
• November 1, 2017 to October 31, 2018
• December 1, 2017 to November 30, 2018
• January 1, 2018 to December 31, 2018
• February 1, 2018 to January 31, 2019
• March 1, 2018 to February 28, 2019
• April 1, 2018 to March 31, 2019.

Here are other examples of fiscal periods that fall within the required dates:

• September 18, 2017 to September 15, 2018 (e.g., floating year-end)
• June 1, 2018 to December 31, 2018 (e.g., a newly opened business).

Fiscal year start date

Fiscal year-end date

2. What is the reason the reporting period does not cover a full year?

Select all that apply.

• Seasonal operations
• New business
• Change of ownership
• Temporarily inactive
• Change of fiscal year
• Ceased operations
• Other - Specify reason the reporting period does not cover a full year:

Additional reporting instructions

1. Throughout this questionnaire, please report financial information in thousands of Canadian dollars. For example, an amount of $763,880.25 should be reported as:

CAN$ '000

I will report in the format above

Revenue

1. For the reporting period of YYYY-MM-DD to YYYY-MM-DD, what was this business's revenue from each of the following sources?

Notes:

• a detailed breakdown may be requested in other sections
• these questions are asked of many different industries. Some questions may not apply to this business

Please report all amounts in thousands of Canadian dollars.

a. Sales of goods and services

Sales of goods and services are defined as amounts derived from the sale of goods and services (cash or credit), falling within a business's ordinary activities.

For Manufacturing and Logging Industries

Report all sales (domestic and exports) of goods and services from Canadian locations at final selling price. Sales should be reported 'Free On Board' (FOB) factory gate: net of excise and provincial or territorial sales taxes, HST/GST, trade discounts, returns and allowances, and charges for outward transportation by common or contract carriers. (Note: FOB factory gate means truck gate if manufacturer is using own truck and driver).

Sales denominated in foreign currency should be converted into Canadian dollars at the exchange rate on the day of transaction.

Note: Goods reported as sold should not be included in inventory and goods held on consignment should be reported as inventory until actually sold. If you are classified as a contract logger, the sales of logs and wood residue that result from logging services performed for another business unit that owns the stumpage rights should not be reported by you but by the business unit that owns the stumpage rights. You should only report the revenues from the logging service provided.

Include:

• sales of goods manufactured from own materials whether at this business unit or at any other subcontracted manufacturing plants located within Canada
• sales out of warehouses at locations other than your business unit if storage warehouses are owned or rented by your business unit
• sales of logs and wood residue, regardless of the source of these materials (for logging operations only)
• sales of goods purchased for resale, as is (purchased from another company or another business unit of your firm not covered by this questionnaire)
• amounts received from progress billings
• revenue from repair work (labour costs only as materials and products are owned by client)
• revenue from manufacturing or logging service fees and/or custom work (labour costs only as materials and products are owned by client)
• charges for installation of manufactured goods where installation is part of sales
• book value of goods sold for rental
• revenue from stumpage sales
• transfers to other business units or a head office of your firm. Note that these should be reported at the value shown on your books of account (e.g., book transfer value).

Exclude:

• transfers into inventory and consignment sales
• federal, provincial and territorial sales taxes, and excise duties and taxes
• shipping charges by common carrier or contract carriers
• discounts and returns.

b. Rental and leasing

Rental and leasing revenue from assets owned by your business unit should be reported here. This revenue should be reported before deduction of expenses such as property taxes and repairs and maintenance, excluding the goods and services tax (GST). Rental expenses should not be subtracted from rental revenues.

Include:

• revenue from rental or leasing of manufactured products made by your business unit
• revenue from long and short term rental or leasing of vehicles, machinery and equipment owned by your business unit (including operating leases)
• revenue from rental or leasing of apartments, commercial buildings, land, office space, residential housing, investments in co-tenancies and co-ownerships.

Exclude:

• finance charges from financing and sales leases
• revenue from intellectual property (for example, patents, trademarks, copyrights).

c. Commissions

Include: commissions earned on the sale of products or services by businesses such as advertising agencies, brokers, insurance agents, lottery ticket sales, sales representatives, and travel agencies - Compensation could also be reported under this item (e.g., compensation for collecting sales tax).

d. Subsidies (including grants, donations and fundraising)

Include:

• non-repayable grants, contributions and subsidies from all levels of government
• revenue from private sector (corporate and individual) sponsorships, donations and fundraising.

e. Royalties, rights, licensing and franchise fees

A royalty is defined as a payment received by the holder of a copyright, trademark or patent. Royalties paid by your business unit should not be subtracted from royalty revenues.

Include:

• revenue received from the sale or use of all intellectual property rights of copyrighted materials such as musical, literary, artistic or dramatic works, sound recordings or the broadcasting of communication signals (e.g., motion pictures, computer programs, etc.)
• revenues from franchise fees
• revenues from licensing agreements.

f. Dividends

Dividend expenses should not be subtracted from dividend revenues.

Include:

• dividend income
• dividends from Canadian sources
• dividends from foreign sources
• patronage dividends.

Exclude dividends from capital investment from affiliates.

g. Interest

Interest expenses should not be subtracted from interest revenues.

Include:

• investment revenue
• interest from foreign sources
• interest from Canadian bonds and debentures
• interest from Canadian mortgage loans
• interest from other Canadian sources.

Exclude equity income from investments in subsidiaries or affiliates.

h. Other revenue - specify

Include amounts not included in questions a. to g. above such as:

• revenue from warranties
• placement fees for displaying items on websites, store windows, catalogues
• revenue from shipping and handling charges that are not included in the price of the merchandise
• deposit service income, credit service income and card service income
• lodging and boarding revenue in the logging industry
• revenue from secondary activities (e.g., cafeterias and lunch counters)
• revenue from outside installation or construction work not related to your own products.

Total revenue

The sum of sub-questions a. to h.

For the reporting period of YYYY-MM-DD to YYYY-MM-DD, what was this business's revenue from each of the following sources?

	CAN$ '000
Sales of goods and services
Rental and leasing
Commissions
Subsidies
Royalties, rights, licensing and franchise fees
Dividends
Interest
Other
Total revenue

E-Commerce

1. For the reporting period of YYYY-MM-DD to YYYY-MM-DD, what was this business's total revenue?

Include sales of goods and services; rental, leasing and property management; commissions; subsidies, grants, donations, fundraising and sponsorships; royalties; rights; licensing and franchise fees; dividends, interest and other revenue.

Please report all amounts in thousands of Canadian dollars.

Total revenue

2. For the reporting period of YYYY-MM-DD to YYYY-MM-DD, did this business have any e-commerce revenue?

E-commerce revenue: sale of goods and services conducted over the Internet with or without online payment.

Include all revenue for which an order is received and commitment to purchase is made via the Internet, although payment can be made by other means, such as orders made on web pages, an extranet, mobile devices or Electronic Data Interchange (EDI).

Exclude orders made by telephone, facsimile or e-mail.

• Yes
• No

3. Of the [amount] in total revenue reported, what was the total e-commerce revenue?

If precise figures are not available, please provide your best estimate.

Total e-commerce revenue

4. For the reporting period of YYYY-MM-DD to YYYY-MM-DD, did this business make sales over the Internet through any of the following methods?

Select all that apply.

Mobile app

Include sales through any app, or application, that is downloaded and designed to run on a handheld device such as a smartphone or tablet (for example, places where a user may download these apps include Apple's App Store, Google Play or Blackberry App World).

Company website

Include sales through a browser-based website where your organization maintains control of the content.

Third-party website

Include sales through a browser-based website where a third-party maintains the structure of the website and control of the look and feel while your company only provides the product to be sold (for example, Amazon, Expedia, Etsy)

Electronic Data Interchange (EDI)

A standard format for exchanging business data. EDI is based on the use of message standards, ensuring that all participants use a common language.

• Via a mobile app
• Via your company website
• Via a third-party website
• Via Electronic Data Interchange (EDI)
• Other - Specify the other methods:

5. Does this business have any full-time staff dedicated solely to activities related to e-commerce?

• Yes
• No

6. Why did this business not make sales over the Internet?

Select all that apply.

• Goods and services do not lend themselves to online sales
• Prefer to maintain current business model
• Lack of skilled workers to implement and maintain e-commerce infrastructure
• Cost of development is too high
• Security concerns
• Other - Specify the other reasons:

Expenses

1. For the reporting period of YYYY-MM-DD to YYYY-MM-DD, what were this business's expenses for the following items?

Notes:

• a detailed breakdown may be requested in other sections
• these questions are asked of many different industries. Some questions may not apply to this business

Please report all amounts in thousands of Canadian dollars.

a. Purchases

For Manufacturing and Logging Industries

Please report the laid-down cost ('Free on Board' (FOB) plant gate, but excluding GST), for purchases/cost of materials.

Include:

• purchases of raw materials and components for manufacturing
• purchases of non-returnable containers and other shipping and packaging materials (boxes, cartons, barrels, kegs, bottles, pallets)
• purchases of goods purchased for resale in the same condition as purchased (without further manufacturing or processing)
• shipping charges by common carrier or contract carriers
• freight in and duty
• fuel purchased to be used as an input into the manufacturing process as a feedstock or processing material (e.g., crude oil processed into gasoline).

Exclude:

• federal, provincial and territorial sales taxes, and excise duties and taxes
• change in inventories.

b. Employment costs and expenses

b1. Salaries, wages and commissions

Please report all salaries and wages (including taxable allowances and employment commissions as defined on the T4 - Statement of Remuneration Paid) for this reporting period. Amounts reported should be gross, before any deductions at source.

Include:

• Indirect labour costs (e.g., food service staff, repair staff)
• overtime payments
• vacation pay
• payments to casual labour
• directors' pay
• bonuses (including profit sharing)
• commissions paid to regular employees such as your manufacturer's agents
• taxable allowances (e.g., room and board, gifts such as air tickets for holidays)
• retroactive wage payments
• stock options awarded to employees (the amount for which you have entered a 'code 38' on the employees' T4 and which is included in box 14 - value according to CRA rules)
• any other allowance forming part of the employee's earnings
• payments to individuals working on their own premises using equipment and materials provided by your business unit since such persons should be treated as employees
• severance pay.

Exclude:

• deferred stock options awarded to employees that meet relevant CRA rules (the amount for which you have entered a 'code 53' on the employee's T4 and which is excluded from box 14)
• amounts paid out to other business units for employment costs only
• monies withdrawn by working owners and partners of unincorporated business units
• directors' fees or distribution of profits to shareholders of incorporated business units
• Cost/expenses for outside subcontracted employees (report at Subcontracts)
• cost/expenses for temporary workers paid through an agency, as well as charges for personnel search services (report at Other).

b2. Employee benefits

Report expenses related to the employer portion of employee benefits.

Include:

• payments for employee life and extended health care insurance plans (e.g., medical, dental, drug and vision care plans)
• employer portion of Canada Pension Plan/Québec Pension Plan (CPP/QPP) contributions
• employer pension contributions
• contributions to provincial and territorial health and education payroll taxes (applicable to your business unit)
• workers' compensation (provincial or territorial) applicable to your business unit
• employer portion of employment insurance premiums (EI)
• association dues paid by the employer
• all other employee benefits such as childcare and supplementary unemployment benefit (SUB) plans.

Exclude employee portions of employee benefits (i.e., deductions from pay).

c. Subcontracts

Subcontract expense refers to the purchasing of services from outside of the company rather than providing them in-house. In such cases, business units provide materials to other business units or individuals for the production of outputs on a so-called 'custom basis'. Subcontract expense only refers to work hired out for production towards the company's outputs.

Include:

• commissions paid to non-employees
• any amount you pay to any other business units, firms, or individuals for work done on materials you own
• custom work and contract work
• subcontract and outside labour
• hired labour.

Exclude:

• research and development subcontracts (report at Research and development fees)
• salaries and wages paid to employees
• payments to individuals working on their own premises using machinery, equipment and materials provided by your firm (such persons should be treated as employees)
• cost of materials
• cost/expenses for temporary workers paid through an agency, as well as charges for personnel search services (report at Other)
• repairs and maintenance services (report at Repair and maintenance).

d. Research and development fees

Paid activities (purchased or subcontracted) conducted with the intention of making a discovery that could either lead to the development of new products or procedures, or to the improvement of existing products or procedures.

Exclude own labour costs (included in Salaries, wages and commissions).

e. Professional and business fees

Please report only the total cost of purchased professional or business service fees here (a detailed breakdown may be required in a subsequent section).

Include:

• legal services
• accounting and auditing fees
• education and training fees
• appraisal fees
• management and administration fees
• property management fees
• information technology (IT) consulting and service fees (purchased)
• data processing service fees
• architectural fees
• engineering fees
• scientific and technical service fees
• other consulting fees (management, technical and scientific)
• veterinary fees
• fees for human health services
• payroll preparation fees
• all other professional and business service fees.

Exclude:

• service fees paid to Head Office and other business units not included in this questionnaire (report at Other)
• the cost of in-house activities undertaken by your own staff.

f. Energy and water expenses

Report the cost/expense of purchased utilities attributed to operations in the current reporting period such as water, electricity, gas and heating.

Include:

• diesel, fuel wood, natural gas, oil and propane
• sewage.

Exclude:

• energy expenses covered in your rental and leasing contracts
• telephone, Internet and other telecommunication
• vehicle fuel (report at Other)
• raw materials, i.e., any fuel purchased as input to the manufacturing process as a feed stock or processing material (e.g., crude oil to be refined into gasoline) or for any other non-energy purpose (report at Purchases).

g. Office and computer related expenses

Please report all office supplies purchased and used by your business unit for both manufacturing and non-manufacturing operations.

Include:

• office stationery and supplies, paper and other supplies for photocopiers, printers and fax machines
• postage and courier fees (used in the day-to-day office business activity)
• memory storage devices and computer upgrade expenses
• data processing expense (equipment, software and software licenses).

Exclude telephone, Internet and other telecommunication expenses (report at Telephone, Internet and other telecommunication).

h. Telephone, Internet and other telecommunication

Include:

• telephone, fax, cellular phone, or pager services for transmission of voice, data or image
• Internet access charges
• purchased cable and satellite transmission of television, radio and music programs
• wired telecommunication services
• wireless telecommunication services
• satellite telecommunication services
• large bandwidth services to send/receive digital works
• online access services
• online information provision services.

i. Business taxes, licences and permits

This item comprises the cost of various licences and permits, and some indirect taxes (taxes levied on your business unit that are not corporate income or logging taxes, sales or excise taxes, or insurance premium taxes).

Include:

• property taxes paid directly and land transfer taxes
• business taxes
• vehicle licence and/or registration fees
• beverage licence fees
• trade licence fees
• professional licence fees
• all other licence fees
• lot levies
• building permits and development charges
• other property/business licences or permits not specified above.

Exclude:

• property taxes covered in your rental and leasing expenses
• corporate income taxes
• stumpage fees (report at Crown charges).

j. Royalties (other than Crown royalties), franchise fees and memberships

Include:

• amounts paid to holders of patents, copyrights, performing rights and trademarks
• gross overriding royalty expenses and direct royalty costs
• resident and non-resident royalty expenses
• membership fees
• franchise fees.

Exclude stumpage fees (report at Crown charges).

k. Crown charges (for logging, mining and energy industries only)

Include:

• Crown royalties, Crown leases and rentals, oil sand leases and stumpage fees
• federal or provincial royalty, tax, lease or rental payments made in relation to the acquisition, development or ownership of Canadian resource properties.

l. Rental and leasing (land, buildings, equipment, vehicles, etc.)

Include:

• lease/rental expenses, real estate rental expenses, condominium fees and equipment rental expenses
• only operating leases (as opposed to leases that can be capitalized)
• motor vehicle rental and leasing expenses (without driver)
• furniture and fixtures
• computer, machinery and equipment rental expenses (without operator)
• storage expense
• studio lighting and scaffolding
• road and construction equipment rental
• fuel and other utility costs covered in your rental and leasing contracts.

Exclude rental and leasing of vehicles (with driver), machinery and equipment (with driver or operator) (report at Other).

m. Repair and maintenance

This item comprises repair and maintenance costs related to the replacement of parts or other restoration of plant and machinery to keep your properties in efficient working condition.

Include:

• waste removal services, hazardous and non-hazardous
• janitorial and cleaning services
• sweeping and snow removal services
• costs related to materials, parts and external labour associated with the following expenses: buildings and structures, machinery and equipment, motor vehicles, security equipment and other goods (except fabricated metal products or furniture repair services).

Exclude:

• salaries (report at Employment costs and expenses)
• property management fees (report at Professional and business fees)
• repair and maintenance expenses that are included in any payment to a head office.

n. Amortization and depreciation

Report the amortization/depreciation (the systematic allocation of the cost of assets to current operations over their useful life) related only to the current reporting period.

Include:

• direct cost depreciation of tangible assets and amortization of leasehold improvements
• amortization of rental equipment (for operating leases: by lessor; for capital leases: by lessee)
• amortization of intangible assets (e.g., amortization of goodwill, patents, franchises, copyrights, trademarks, deferred charges, deferred gains and losses on investments, organizational costs).

o. Insurance

Insurance recovery income should be deducted from insurance expenses.

Include:

• accident and health insurance services
• life insurance and individual pension services
• asset insurance services, including property and motor vehicle
• general liability insurance services
• executive life insurance
• bonding, business interruption insurance and fire insurance
• all other insurance services not elsewhere specified.

Exclude:

• payments on behalf of employees which are considered to be taxable benefits (report at Employee benefits)
• premiums paid directly to your head office (report at Other).

p. Advertising, marketing, promotion, meals and entertainment

Include:

• advertising planning and creating services
• newspaper advertising and media expenses
• catalogues, presentations and displays
• trade fairs and exhibition organization services
• tickets for theatre, concerts and sporting events for business promotion
• fundraising expenses
• meals, entertainment and hospitality purchases for clients
• other advertising services.

q. Travel, meetings and conventions

Include:

• travel expenses
• rental services of passenger cars, buses and coaches with operator
• meeting and convention expenses, seminars
• passenger transportation (airfare, bus, train, etc.)
• accommodations (hotel and motel lodging)
• travel allowance and meals while travelling
• travel agency services
• taxi services
• meal and beverage services for consumption on the premises
• other travel expenses.

r. Financial service fees (bank charges, transaction fees, etc.)

Include:

• explicit service charges for financial services
• credit and debit card commissions and charges
• collection expenses and transfer fees
• registrar and transfer agent fees
• security and exchange commission fees
• other financial service fees.

Exclude interest expenses (report at Interest expense).

s. Interest expense

Please report the cost of servicing your company's debt such as interest and bank charges, finance charges, interest payments on capital leases and amortization of bond discounts.

Include (interest on):

• short-term and long-term debt
• bonds and debentures
• mortgages.

Exclude:

• dividends paid to term and retractable preferred shares
• debt issue expenses, including their amortization.

t. Bad debt, loan losses, donations, political contributions and inventory writedown

Include:

• charitable donations and political contributions
• bad debt expense
• loan losses
• provisions for loan losses (minus bad debt recoveries)
• inventory adjustments.

u. Other (including intracompany expenses)

Include:

• production costs
• vehicle fuel expenses
• pipeline operations, drilling, site restoration costs
• gross overriding royalty
• other producing property rental costs
• well operating, fuel and equipment costs
• other lease rental costs
• other direct costs
• equipment hire and operation costs
• log yard expense, forestry costs, logging road costs
• overhead expenses allocated to costs of sales
• cash over/short (negative expense)
• reimbursement of parent company expenses
• warranty expenses
• recruiting expenses
• general and administrative expenses
• interdivisional expenses
• interfund transfers (minus expense recoveries)
• exploration and development costs (include: geological prospecting, well abandonment and dry holes, exploration expenses, development expenses)
• safety supplies
• cafeteria supplies
• materials, components and supplies for installation and construction that is not related to own product
• all other supplies, material and components not elsewhere specified
• variance
• all other expenses not reported elsewhere.

Exclude items related to expenditures in prior periods.

For the reporting period of YYYY-MM-DD to YYYY-MM-DD, what were this business's expenses for the following items?

	CAN$ '000
Purchases
Employment costs and expenses
Salaries, wages and commissions
Employee benefits
Subcontracts
Research and development fees
Professional and business fees
Energy and water expenses
Office and computer related expenses
Telephone, Internet and other telecommunication
Business taxes, licenses and permits
Royalties, franchise fees and memberships
Crown charges
Rental and leasing
Repair and maintenance
Amortization and depreciation
Insurance
Advertising, marketing, promotion, meals and entertainment
Travel, meetings and conventions
Financial service fees
Interest expense
Bad debt, loan losses, donations, political contributions and inventory writedown
Other
Total expenses

Expenses

2. Of the [amount] reported in Subcontracts, please provide the percentage breakdown for the following.

Of the [amount] reported in Subcontracts, please provide the percentage breakdown for the following.

	Percentage
From Canadian sources
From sources in other countries
Total breakdown

Industry characteristics

1. Is this business a cost center?

A cost center is a subdivision of an organization with which costs are identified for purposes of managerial control.

Cost Center A cost center is a department or section of a company where managers are directly responsible for costs. For example, consider a company that has a manufacturing department, a research and development department, and a payroll department. Each department could be a cost center. Cost centers do not directly report revenues as these are reported by another part of the company such as a head office.

• Yes
• No

2. Are the goods valued at

Valuation of sales

Please indicate whether you will report at final selling price or any alternate valuation.

• If you are a single business unit firm, sales must be reported at your final selling price;
• If you are part of a multi-business unit firm:
  a) sales to your firm's non-manufacturing or non-logging business units must be reported at your final selling price;
  b) sales to your firm's manufacturing or logging business units, sales branches, selling warehouses or head offices should be reported at the value shown on your books of account (i.e., book transfer value)

• Final selling price
• Transfer price
• Other - Specify other basis of value:

3. What were this business's sales for the following items?

Report the sales net of shipping charges, discounts, sales allowances, returned sales, sales taxes, and excise duties and taxes.

Please report all amounts in thousands of Canadian dollars.

Report all sales (domestic and exports) of goods and services from Canadian locations at final selling price. Sales should be reported FOB factory gate: net of excise and provincial or territorial sales taxes, HST/GST, trade discounts, returns and allowances, and charges for outward transportation by common or contract carriers. (Note: FOB factory gate means truck gate if manufacturer or logger is using own truck and driver).

Sales denominated in foreign currency should be converted into Canadian dollars at the exchange rate on the day of transaction.

Note: Goods reported as sold should not be included in inventory and goods held on consignment should be reported as inventory until actually sold. If you are classified as a contract logger, the sales of logs and wood residue that result from logging services performed for another business unit that owns the stumpage rights should not be reported by you but by the business unit that owns the stumpage rights. You should only report the revenues from the logging service provided in question 3 e.

Please note that the questionnaires for the manufacturing industries and the logging industries are slightly different. Depending on which one you have received, the questions might be worded slightly differently and some categories of revenue might not be part of your questionnaire.

Sales of goods manufactured or
Sales of logs, wood residue and manufacturing products

Include:

• sales of goods manufactured from own materials whether at this business unit or at any other sub-contracted manufacturing plants located within Canada
• sales of logs and wood residue, regardless of the source of these materials (for logging operations only)
• sales of logs and wood residue harvested by your own employees, by contractors, or bought by you on the open market should all be reported here
• sales out of warehouses at locations other than your business unit if storage warehouses are owned or rented by your business unit
• amounts received from progress billings
• charges for installation of manufactured goods where installation is part of sales
• book value of goods sold for rental
• revenue from stumpage sales (for non-logging operations only; logging operations should report these in question (b) Revenue from stumpage sales)
• transfers to other business units or a head office of your firm. Note that these should be reported at the value shown on your books of account (i.e., book transfer value).

Exclude:

• transfers into inventory and consignment sales
• shipping charges by common or contract carriers
• discounts and returns
• federal, provincial and territorial sales taxes, and excise duties and taxes
• revenues from stumpage sales
• sales of goods purchased for resale, as is
• revenue from repair work
• revenue from manufacturing or logging service fees and/or custom work
• revenue from stumpage sales (for logging operations only; report these amounts in question (b) Revenue from stumpage sales).

Revenue from stumpage sales

Please report any revenue earned from stumpage sales during the reporting period.

Sales of goods purchased for resale, as is

Report sales of goods that have not been processed or altered in your business unit and that have been purchased and resold in the same condition.

Include sales of products transferred to you from other business units of your firm and sold in the same condition as transferred.

Exclude:

• transfers into inventory and consignment sales
• shipping charges by common or contract carriers
• discounts and returns
• federal, provincial and territorial sales taxes, and excise duties and taxes
• logging operations must not report sales of logs and wood residue here, regardless of who harvests (report at question a.).

Revenue from repair work

Repair work comprises fixing/repairing products that have already been installed or delivered to a client (or other business unit). This work could be done at the client's facilities or at your business unit (where the products were uninstalled and shipped for repair). Repair work also includes warranty repairs where your business unit charges a fee to either an external business or another business unit within your firm. In all of these cases, your business unit has only provided labour to a client but this client owns the product(s) and materials involved.

Exclude:

• shipping charges by common or contract carriers
• discounts
• federal, provincial and territorial sales taxes, and excise duties and taxes.

Revenue from manufacturing service fees and/or custom work or
Revenue from logging service fees or manufacturing and/or custom work

Custom work, manufacturing or logging service, comprise manufacturing or logging work undertaken to the specifications of a client (or other business unit of your firm) prior to installation or initial delivery. Your business unit has only provided labour to a client but this client owns the product(s) and materials involved (e.g., contract logging).

Exclude:

• shipping charges by common or contract carriers
• discounts
• federal, provincial and territorial sales taxes, and excise duties and taxes.

All other sales

Include sales of goods and services not specified elsewhere.

Exclude:

• revenue from rental and leasing
• commissions
• revenue from royalties, franchise and licensing fees
• revenue from interest and dividends
• subsidies/grants.

What were this business's sales for the following items?

	CAN$ '000
Sales of goods manufactured
Sales of goods purchased for resale, as is
Revenue from repair work
Revenue from manufacturing service fees and/or custom work
Other
Total sales of goods and services

4. Of the [amount] reported in Revenue from manufacturing service fees and/or custom work, please provide the percentage breakdown for the following.

Of the [amount] reported in Revenue from manufacturing service fees and/or custom work, please provide the percentage breakdown for the following.

	Percentage
From Canadian clients
From clients in other countries
Total breakdown

5. What were this business's expenses for the following items?

Please report all amounts in thousands of Canadian dollars.

Selected expense information

Please note that the questionnaires for the manufacturing industries and the logging industries are slightly different. Depending on which one you have received, the questions might be worded slightly differently and some categories of expense might not be part of your questionnaire.

Purchases of raw materials and components

Report the laid-down cost (FOB plant gate, but excluding GST) for all raw materials and components purchased for your manufacturing or logging process.

Include:

• shipping charges by common carrier or contract carriers
• freight in and duty
• fuel purchased to be used as an input into the manufacturing process as a feedstock or processing material (e.g., crude oil processed into gasoline).

Exclude:

• federal, provincial and territorial sales taxes, and excise duties and taxes
• purchases of goods purchased for resale in the same condition as purchased (without further manufacturing or processing)
• purchases of non-returnable containers and other shipping and packaging materials (boxes, cartons, barrels, kegs, bottles, pallets, etc.)
• change in inventories.

Stumpage fees Business units undertaking logging operations on Crown land must pay "stumpage fees" for harvested logs. If logging activity is applicable to your business unit, please report the total of all stumpage fees paid during this reporting period.

Purchases of non-returnable containers and other shipping and packaging materials

Report the laid-down cost for all shipping and packaging materials purchased (FOB plant gate, but excluding GST).

Include:

• boxes, cartons, barrels, kegs, bottles, pallets, etc.
• shipping charges by common carrier or contract carriers
• freight in and duty.

Exclude federal, provincial and territorial sales taxes, and excise duties and taxes.

Purchases of goods for resale, as is

Report the laid-down cost of goods purchased for resale in the same condition as purchased (FOB plant gate, but excluding GST), i.e., without further manufacturing or processing.

Include:

• shipping charges by common carrier or contract carriers
• freight in and duty.

Exclude:

• federal, provincial and territorial sales taxes, and excise duties and taxes
• change in inventories.

Vehicle fuel expense

Report any vehicle fuel expenses incurred during your manufacturing or logging process.

Include:

• purchases of gasoline, diesel fuel, propane, natural gas and other fuel used to operate any type of vehicle at the location or otherwise, such as sales representatives' cars, delivery trucks, lift trucks, etc.

Exclude any fuel purchased for power/heat generation.

What were this business's expenses for the following items?

	CAN$ '000
Purchases of raw materials and components
Purchases of non-returnable containers and other shipping and packaging materials
Purchases of goods for resale, as is
Vehicle fuel expense

6. Did this business purchase goods (raw materials, semi-finished, or finished goods) "off the shelf" outside of Canada and sell them "as-is" in foreign markets (including the U.S.) without altering the goods, and without the goods entering Canada before the sale?

• Yes
• No
• Don't know

Provide comments if desired.

7. During the reporting period, what were this business's expenses for salaries, wages and commissions?

Please report all amounts in thousands of Canadian dollars.

Salaries, wages and commissions

This section requests a breakdown of total salaries, wages and commissions for this business unit. Amounts reported for salaries and wages should be gross, before any deductions from employees for income tax and employee contributions to health, accident, pension, insurance, or other benefits, all of which should be included. Please do this calculation separately for direct and indirect labour at each location. Do not include benefit contributions by the employer.

To calculate the average number employed, add the number of employees in the last pay period of each month of the reporting period and divide this sum by the number of months (usually 12). Please do this calculation separately for direct and indirect labour.

The section is designed to account for all personnel on the payroll of your business unit.

Direct labour (manufacturing or logging)

Please report gross salaries and average number of workers.

Include employees engaged in:

• manufacturing (processing and/or assembling)
• logging and forestry support
• packing, handling, warehousing
• repair and maintenance, janitorial
• watchmen
• foremen doing work similar to their employees
• erection/installation by own business unit when an extension of your manufacturing operations.

Indirect labour (administrative and selling/operating)

Please report gross salaries and average number of workers. Do not include workers that are not on your payroll.

Include:

• executives, administrators and office staff
• sales staff
• food service staff
• building construction and major renovation staff (when work is chargeable to fixed asset accounts)
• machinery and equipment repair staff (when work is chargeable to fixed asset accounts).

During the reporting period, what were this business's expenses for salaries, wages and commissions?

	CAN$ '000
Direct labour (manufacturing or logging)
Indirect labour (administrative and selling/operating)

8. For the reporting period, what was the average number of people employed?

Salaries, wages and commissions

This section requests a breakdown of total salaries, wages and commissions for this business unit. Amounts reported for salaries and wages should be gross, before any deductions from employees for income tax and employee contributions to health, accident, pension, insurance, or other benefits, all of which should be included. Please do this calculation separately for direct and indirect labour at each location. Do not include benefit contributions by the employer.

To calculate the average number employed, add the number of employees in the last pay period of each month of the reporting period and divide this sum by the number of months (usually 12). Please do this calculation separately for direct and indirect labour.

The section is designed to account for all personnel on the payroll of your business unit.

Direct labour (manufacturing or logging)

Please report gross salaries and average number of workers.

Include employees engaged in:

• manufacturing (processing and/or assembling)
• logging and forestry support
• packing, handling, warehousing
• repair and maintenance, janitorial
• watchmen
• foremen doing work similar to their employees
• erection/installation by own business unit when an extension of your manufacturing operations.

Indirect labour (administrative and selling/operating)

Please report gross salaries and average number of workers. Do not include workers that are not on your payroll.

Include:

• executives, administrators and office staff
• sales staff
• food service staff
• building construction and major renovation staff (when work is chargeable to fixed asset accounts)
• machinery and equipment repair staff (when work is chargeable to fixed asset accounts).

For the reporting period, what was the average number of people employed?

	Number
Direct labour (manufacturing or logging)
Indirect labour (administrative and selling/operating)

9. What was the value of this business's inventory at the beginning and the end of the reporting period?

Please report all amounts in thousands of Canadian dollars.

Opening and closing inventories

Inventories are to be reported at the value maintained in your accounting records (book value). If your accounting records do not distinguish between goods of own manufacturing or logging process and goods purchased for resale, please provide your best estimate of the distribution between the two inventory types.

Include:

• inventory at the manufacturing plant, logging processing location or at any warehouse or selling outlet which is treated as part of this business unit
• inventory in transit in Canada
• inventory held on consignment in Canada.

Exclude:

• goods owned and held in inventory abroad
• any goods held on consignment for others.

Raw materials and components

Include:

• materials and components to be used in the manufacturing or logging process
• fuel purchased to be used as an input into the manufacturing or logging process as a feedstock or processing material (e.g., crude oil processed into gasoline)
• non-returnable containers and other shipping and packaging materials.

Exclude any raw material intended for resale in the same condition as purchased.

Goods and work in process

Include:

• partially completed goods
• the value of work done on goods accounted for under progress billing for which no payment has been received.

Finished goods manufactured

Include:

• goods of own manufacture from your business unit
• logs, wood residues and manufactured products.

Goods purchased for resale, as is

Include all goods which are purchased for resale without further processing by your business unit.

Exclude components manufactured by another business unit/firm that are purchased or transferred by this business and used as inputs for the assembly and manufacturing system (report at question a.).

Other inventories - specify:

Include all other inventory of materials used in your manufacturing or logging process but not included in the above categories.

What was the value of this business's inventory at the beginning and the end of the reporting period?

	Opening CAN$ '000	Closing CAN$ '000
Raw materials and components
Goods and work in process
Finished goods manufactured
Goods purchased for resale, as is
Other
Total inventories

10. On YYYY-MM-DD last day of the fiscal year, did this business hold inventories abroad, including inventories in transit to Canada?

Include raw materials, work in process, and finished goods recorded in this business's accounting books, but physically located outside of Canada. Also include goods purchased abroad for resale "as-is" in foreign markets.

• Yes
• No
• Don't know

Provide comments if desired.

11. What was the approximate value of inventories held abroad at the end of the reporting period?

Please report all amounts in thousands of Canadian dollars.

Value of inventories

12. Is the value reported above included in the [amount] closing inventories previously reported in question 9 from the inventory section?

• Yes
• No

Sales by consumer location

1. What was the percentage breakdown of this business's sales by consumer location?

Consumer location is the location where the goods or services will ultimately be used.

If ultimate consumer location is not known, the following are acceptable substitutes:

• shipping destination
• client's billing address
• location of this business's retail customers
• location of this business's warehouse/distribution centres.

What was the percentage breakdown of this business's sales by consumer location?

	Percentage
Newfoundland and Labrador
Prince Edward Island
Nova Scotia
New Brunswick
Quebec
Ontario
Manitoba
Saskatchewan
Alberta
British Columbia
Yukon
Northwest Territories
Nunavut
United States
All other countries
Total percentage

Sales by consumer location

This section asks for a breakdown, by product, of this business's sales of goods manufactured, logs and wood residue. For each product, report sales net of shipping charges by common or contract carriers, discounts, sales allowances, returned sales, sales taxes, and excise duties and taxes.

1. During the reporting period of YYYY-MM-DD to YYYY-MM-DD, did this business sell the following manufactured goods, logs or wood residue? The total net sales for all products should equal the amount reported for the sales of goods manufactured, logs and wood residue in question 3a. of the Industry characteristics section [amount].

Sales of goods manufactured

This section represents a breakdown by product for the total reported at 'sales of goods manufactured' in the Industry characteristics section question 3a. Please report the value of sales (in thousands of Canadian dollars) for each product produced by your manufacturing operations for the products listed in this section.

For each product, report sales net of:

• shipping charges by common or contract carriers
• discounts
• sales allowances
• return sales
• sales taxes
• excise duties and taxes

Note: If you are classified as a contract logger, the sales of logs and wood residue that result from logging services performed for another business unit that owns the stumpage rights should not be reported by you but by the business unit that owns the stumpage rights. You should only report the revenues from the logging service provided (in question 3e.).

Exclude shipping charges by contract or common carrier if possible for each product class. If your accounting records do not allow you to provide sales of your reported commodities net of shipping charges, you will be prompted to report your total shipping charges at a later time.

If you manufacture products that are not listed in this section, please enter the product description and relevant amounts after answering "Yes" when asked "During the reporting period, did this business manufacture and sell any other products?"

Sales of goods manufactured, logs and wood residue

2. During the reporting period of YYYY-MM-DD to YYYY-MM-DD, did this business manufacture and sell any other products?

This question is about the different products sold by this business. For example: If, in addition to the products listed in the previous screens, this business also sold motor vehicle steering components, motor vehicle transmission components and motor vehicle brake systems, report 3 additional products.

• Yes

  How many types of products?
  Number of products

• No

3. Please provide a description of the additional products sold, as well as the value of sales.

Product [# reported]

Description of product [# reported]

Value of sales (CAN$ '000)

4. Does this value include shipping charges by common or contract carriers, discounts, sales allowances, returned sales, sales taxes, or excise duties and taxes?

• Yes

  What is the amount of shipping charges, discounts, sales allowances, returned sales, sales taxes, and excise duties and taxes?
  Value of shipping charges (CAN$ '000)

• No

From this section, the calculated sum of the net sales of goods manufactured (including logs and wood residue) is [amount], whereas the value entered in question 3a. in the Industry characteristics section is [amount]. These two values should be equal.

Purchases of raw materials and components to be used in the manufacturing or logging process

This section asks for a breakdown of this business's purchases of raw materials and components. The total cost of purchases for all raw materials and components should match the amount reported in question 5a. of the Industry characteristics section [amount].

1. During the reporting period of YYYY-MM-DD to YYYY-MM-DD, did this business purchase the following raw materials and components to be used in the manufacturing or logging process?

Purchases of raw materials and components to be used in the manufacturing process

This section requests a breakdown, by product, of the total reported at question 5a. Purchases of raw materials and components of the Industry characteristics section. Please report the cost of raw materials for each individual product used in manufacturing operations.

In reporting the cost of the various items purchased, give the laid‑down value at your business unit, (i.e., the amounts after discounts actually paid or payable).

Where quantity information is requested, please provide this information from your records or, if not recorded, provide your best estimate.

Note: If you are involved in contract logging, manufacturing services or custom work, the raw materials and components used in these processes that are owned by the business to which you are providing a service should not be reported here.

Include:

• semi-processed goods, if you are part of a multi-business unit firm and receive semi-processed goods as transfers from the other business units of your firm for further processing. The cost of such goods should be equivalent to the transfer value reported by the shipping unit plus any transportation and handling charges paid by your business unit to common or contract carriers
• any fuel purchased as an input into the manufacturing process, as a feedstock or processing material (e.g., crude oil processed into gasoline), or for any other non-energy purpose.

Exclude: Fuel used for energy purposes (e.g., for office or plant heating). These energy items should be reported in the "Detailed information on energy and water costs or expenses" section.

If you purchased raw materials that are not displayed in this section, please enter the raw material name and relevant amounts, when asked, 'During the reporting period, did this business purchase any other raw materials or components to be used in the manufacturing or logging process?'.

2. During the reporting period of YYYY-MM-DD to YYYY-MM-DD, did this business purchase any other raw materials or components to be used in the manufacturing or logging process?

This question is about the different raw materials or components used in the logging or manufacturing process by this business. For example: If, in addition to the products listed in the previous screens, this business also used iron ore, copper ore, and fibrous glass materials, report 3 additional products.

• Yes

  How many types of raw materials and components?
  Number of raw materials and components

• No

3. Please provide a description of the additional material or components, as well as the cost of purchase.

Raw material or component [# reported]

Description of raw material or component [# reported]

Cost of purchase (CAN$ '000)

From this section, the calculated sum of the cost of purchases of raw materials and components used in the manufacturing process is [amount], whereas the value entered in question 5a. in the Industry characteristics section is [amount]. These two values should be equal.

Operations - Location details

Details on this business's locations - location # reported

1. Please verify and correct this location's address if needed.

Details on this business's locations

General guidelines

This section requests a breakdown of total operating revenues, salaries, wages and commissions for all locations included in this survey. Please report separately for each location (covered by your business unit).

The section is designed to account for all personnel on the payroll of your business unit, including those working in ancillary units which form part of your business unit. Ancillary units are those not directly engaged in the manufacturing process but that offer support activities to your business unit (e.g., warehouses, sales offices). Please indicate if any locations are no longer part of your business unit and should be deleted from the list. If there are any locations not listed, please provide information on these in the next section.

• Operating name
• Address (number and street)
• City
• Province, territory
  • Alberta
  • British Columbia
  • Manitoba
  • New Brunswick
  • Newfoundland and Labrador
  • Nova Scotia
  • Northwest Territories
  • Nunavut
  • Ontario
  • Prince Edward Island
  • Quebec
  • Saskatchewan
  • Yukon Territory
• Postal code

2. What was this location's total operating revenue?

Operating revenues represent the revenue generated from the course of normal business operations (e.g., sales and commissions).

Total operating revenue (CAN$ '000)

3. What were this location's labour expenses?

Exclude benefits.

Direct labour (CAN$ '000)

For manufacturing or logging only

Indirect labour (CAN$ '000)

For administrative, and selling or operating only

4. Was this business location operational for the full year?

• Yes, full-year operation
• No, part-year operation

5. Statistics Canada reviews all feedback. We invite your comments pertaining to this business location.

Feedback

6. What were this location's operational start and end dates?

Part Year Operation Start Date

Part Year Operation End Date

7. What were the reason(s) for part-year operation?

Select all that apply.

• Seasonal operation
• Ceased operations
• New location
• Temporarily inactive
• Change of fiscal year
• Moved
• Change of ownership
• Other - Specify other reason:

Details on this business's locations

8. Were there any other business locations not listed that were operating during the reporting period?

Were there any other business locations not listed that were operating during the reporting period?

In this section, please indicate whether there are any additional locations attached to your business unit that were not listed in the previous section. Include any additional ancillary units, such as warehouses and sales offices, that are not directly engaged in manufacturing activities.

• Yes
• No

How many locations?

• Number of locations

Details on this business's additional location

9. Please provide the requested details for each additional location.

Details on this business's locations

General guidelines

This section requests a breakdown of total operating revenues, salaries, wages and commissions for all locations included in this survey. Please report separately for each location (covered by your business unit).

The section is designed to account for all personnel on the payroll of your business unit, including those working in ancillary units which form part of your business unit. Ancillary units are those not directly engaged in the manufacturing process but that offer support activities to your business unit (e.g., warehouses, sales offices).

• Operating name
• Address (number and street)
• City
• Province, territory
  • Alberta
  • British Columbia
  • Manitoba
  • New Brunswick
  • Newfoundland and Labrador
  • Nova Scotia
  • Northwest Territories
  • Nunavut
  • Ontario
  • Prince Edward Island
  • Quebec
  • Saskatchewan
  • Yukon Territory
• Postal code

10. What was this location's total operating revenue?

Operating revenues represent the revenue generated from the course of normal business operations (e.g., sales and commissions).

• Total operating revenue (CAN$ '000)

11. What were this location's labour expenses?

Exclude benefits.

• Direct labour (CAN$ '000)
  • For manufacturing or logging only
• Indirect labour (CAN$ '000)
  • For administrative, and selling or operating only

12. Was this business location operational for the full year?

• Yes, full-year operation
• No, part-year operation

13. Statistics Canada reviews all feedback. We invite your comments pertaining to this business location.

• Feedback

14. What were this location's operational start and end dates?

• Part Year Operation Start Date
• Part Year Operation End Date

15. What was the reason(s) for part-year operation?

Select all that apply.

• Seasonal operation
• Ceased operations
• New location
• Temporarily inactive
• Change of fiscal year
• Moved
• Change of ownership
• Other - Specify other reason:

Detailed information on energy and water costs or expenses

1. What were this business's energy and water expenses for the following items?

Please report all amounts in thousands of Canadian dollars.

Detailed information on energy and water costs or expenses

Please report information on all purchased energy, water utility expenses and electricity purchased by your business unit for energy purposes only. Answers to the detailed questions should cover amounts used by your business unit in all plant and office operations and any support units which are part of your business unit. Do not report fuel consumed as fuel purchased unless the amounts are substantially the same (or unless you can only report consumption).

Include transportation costs, duties, etc., which form part of the laid-down cost at your business unit.

Exclude any fuel purchased to be used as an input into the manufacturing process as a feedstock or processing material or for any other non-energy purposes (e.g., a raw material for products such as chemicals, synthetic rubber and a variety of plastics).

Electricity

Please report the delivered cost of purchased electricity.

Gasoline

The cost of purchased gasoline includes that used for all plant operations.

Exclude fuel for motor vehicle use.

Light fuel oil

Please report the total value of purchased light fuel oil for this reporting period.

Include:

• all distillate type fuels for power burners
• fuel oil no. 2 (heating oil no. 2)
• fuel oil no. 3 (heating oil no. 3)
• furnace fuel oil
• gas oils
• light industrial fuel.

Heavy fuel oil

Please report the total value of purchased heavy fuel oil for this reporting period.

Include:

• all grades of residual type fuels for steam or diesel engines (non-vehicle use)
• bunker B and bunker C
• fuel oils no. 4, 5 and 6
• residual fuel oil.

Diesel fuel

Please report the total value of purchased diesel fuel for the current reporting period.

Exclude fuel for motor vehicle use.

Liquefied petroleum gas (e.g., propane, butane)

Please report the total value of purchased liquefied petroleum gases (LPG) for this reporting period. LPG's comprise normally gaseous paraffinic compounds extracted from refinery gases.

Exclude fuel for motor vehicle use.

Natural gas

Please report the total value of purchased natural gas, which comprises a mix of hydrocarbon compounds and small quantities of various non-hydrocarbons existing in a gaseous phase.

Exclude fuel for motor vehicle use.

Coal

Please report the total value of purchased coal for this reporting period.

Water Utilities

Please report the total value of water utility costs. Note that in some municipalities, water utilities are included in the municipal tax bill. If this case applies to you, please enter the amount if it is itemized on your tax bill.

Other energy and water expenses - specify:

Please report the total value of all other purchased energy types not specified elsewhere (e.g., steam, oxygen or hydrogen).

What were this business's energy and water expenses for the following items?

	CAN$ '000
Electricity
Gasoline
Light fuel oil
Heavy fuel oil
Diesel fuel
Liquefied petroleum gas
Natural gas
Coal
Water utilities
Other
Total energy and water expenses

Detailed information on energy and water costs or expenses

2. Does this business pay rent?

• Yes
• No

3. Are any additional electricity, water or heat expenses, not already reported in question 1, included in the rent?

• Yes
• No

4. Which utility is included in the rent?

Select all that apply.

• Electricity
• Water
• Heat

5. Did this business generate any energy used as a replacement for purchased energy?

• Yes
• No

6. Which type of energy was generated?

Select all that apply.

• Heat
• Electricity
• Steam
• Other - Specify other reason:

Changes or events

1. Indicate any changes or events that affected the reported values for this business or organization, compared with the last reporting period.

Select all that apply.

• Strike or lock-out
• Exchange rate impact
• Price changes in goods or services sold
• Contracting out
• Organizational change
• Price changes in labour or raw materials
• Natural disaster
• Recession
• Change in product line
• Sold business or business units
• Expansion
• New or lost contract
• Plant closures
• Acquisition of business or business units
• Other - specify the other changes or events:
• No changes or events

Contact person

1. Statistics Canada may need to contact the person who completed this questionnaire for further information. Is Provided Given Names, Provided Family Name the best person to contact?

• Yes
• No

Who is the best person to contact about this questionnaire?

• First name
• Last name
• Title
• Email address
• Telephone number (including area code)
• Extension number (if applicable)
  The maximum number of characters is 5.
• Fax number (including area code)

Feedback

1. How long did it take to complete this questionnaire?

Include the time spent gathering the necessary information.

• Hours
• Minutes

2. Do you have any comments about this questionnaire?

Why do we conduct this survey?

This survey is conducted by Statistics Canada in order to collect the necessary information to support the Integrated Business Statistics Program (IBSP). This program combines various survey and administrative data to develop comprehensive measures of the Canadian economy.

The statistical information from the IBSP serves many purposes, including:

• calculating each province and territory's fair share of federal-provincial transfer payments for health, education and social programs
• establishing government programs to assist businesses
• assisting the business community in negotiating contracts and collective agreements
• supporting the government in making informed decisions about fiscal, monetary and foreign exchange policies
• indexing social benefit programs and determining tax brackets
• enabling academics and economists to analyze the economic performance of Canadian industries and to better understand rapidly evolving business environments.

Your information may also be used by Statistics Canada for other statistical and research purposes.

Your participation in this survey is required under the authority of the Statistics Act.

Other important information

Authorization to collect this information

Data are collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S-19.

Confidentiality

By law, Statistics Canada is prohibited from releasing any information it collects that could identify any person, business, or organization, unless consent has been given by the respondent, or as permitted by the Statistics Act. Statistics Canada will use the information from this survey for statistical purposes only.

Record linkages

To enhance the data from this survey and to reduce the reporting burden, Statistics Canada may combine the acquired data with information from other surveys or from administrative sources.

Data-sharing agreements

To reduce respondent burden, Statistics Canada has entered into data-sharing agreements with provincial and territorial statistical agencies and other government organizations, which have agreed to keep the data confidential and use them only for statistical purposes. Statistics Canada will only share data from this survey with those organizations that have demonstrated a requirement to use the data.

Section 11 of the Statistics Act provides for the sharing of information with provincial and territorial statistical agencies that meet certain conditions. These agencies must have the legislative authority to collect the same information, on a mandatory basis, and the legislation must provide substantially the same provisions for confidentiality and penalties for disclosure of confidential information as the Statistics Act. Because these agencies have the legal authority to compel businesses to provide the same information, consent is not requested and businesses may not object to the sharing of the data.

For this survey, there are Section 11 agreements with the provincial and territorial statistical agencies of Newfoundland and Labrador, Nova Scotia, New Brunswick, Québec, Ontario, Manitoba, Saskatchewan, Alberta, British Columbia and the Yukon.

The shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory.

Section 12 of the Statistics Act provides for the sharing of information with federal, provincial or territorial government organizations. Under Section 12, you may refuse to share your information with any of these organizations by writing a letter of objection to the Chief Statistician, specifying the organizations with which you do not want Statistics Canada to share your data and mailing it to the following address:

Chief Statistician of Canada
Statistics Canada
Attention of Director, Enterprise Statistics Division
150 Tunney's Pasture Driveway
Ottawa, Ontario
K1A 0T6

You may also contact us by email at statcan.esdhelpdesk-dsebureaudedepannage.statcan@statcan.gc.ca or by fax at 613-951-6583.

For this survey, there are Section 12 agreements with the statistical agencies of Prince Edward Island, the Northwest Territories and Nunavut.

For agreements with provincial and territorial government organizations, the shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory.

Business or organization and contact information

1. Verify or provide the business or organization's legal and operating name and correct where needed.

Note: Legal name modifications should only be done to correct a spelling error or typo.

Legal Name

The legal name is one recognized by law, thus it is the name liable for pursuit or for debts incurred by the business or organization. In the case of a corporation, it is the legal name as fixed by its charter or the statute by which the corporation was created.

Modifications to the legal name should only be done to correct a spelling error or typo.

To indicate a legal name of another legal entity you should instead indicate it in question 3 by selecting 'Not currently operational' and then choosing the applicable reason and providing the legal name of this other entity along with any other requested information.

Operating Name

The operating name is a name the business or organization is commonly known as if different from its legal name. The operating name is synonymous with trade name.

• Legal name
• Operating name (if applicable)

2. Verify or provide the contact information of the designated business or organization contact person for this questionnaire and correct where needed.

Note: The designated contact person is the person who should receive this questionnaire. The designated contact person may not always be the one who actually completes the questionnaire.

• First name
• Last name
• Title
• Preferred language of communication
  • English
  • French
• Mailing address (number and street)
• City
• Province, territory or state
• Postal code or ZIP code
• Country
  • Canada
  • United States
• Email address
• Telephone number (including area code)
• Extension number (if applicable)
  The maximum number of characters is 5
• Fax number (including area code)

3. Verify or provide the current operational status of the business or organization identified by the legal and operating name above.

• Operational
• Not currently operational
  Why is this business or organization not currently operational?
  • Seasonal operations
    • When did this business or organization close for the season?
      • Date
    • When does this business or organization expect to resume operations?
      • Date
  • Ceased operations
    • When did this business or organization cease operations?
      • Date
    • Why did this business or organization cease operations?
      • Bankruptcy
      • Liquidation
      • Dissolution
      • Other - Specify the other reasons why the operations ceased
  • Sold operations
    • When was this business or organization sold?
      • Date
    • What is the legal name of the buyer?
  • Amalgamated with other businesses or organizations
    • When did this business or organization amalgamate?
      • Date
    • What is the legal name of the resulting or continuing business or organization?
    • What are the legal names of the other amalgamated businesses or organizations?
  • Temporarily inactive but will re-open
    • When did this business or organization become temporarily inactive?
      • Date
    • When does this business or organization expect to resume operations?
      • Date
    • Why is this business or organization temporarily inactive?
  • No longer operating due to other reasons
    • When did this business or organization cease operations?
      • Date
    • Why did this business or organization cease operations?

4. Verify or provide the current main activity of the business or organization identified by the legal and operating name above.

Note: The described activity was assigned using the North American Industry Classification System (NAICS).

This question verifies the business or organization's current main activity as classified by the North American Industry Classification System (NAICS). The North American Industry Classification System (NAICS) is an industry classification system developed by the statistical agencies of Canada, Mexico and the United States. Created against the background of the North American Free Trade Agreement, it is designed to provide common definitions of the industrial structure of the three countries and a common statistical framework to facilitate the analysis of the three economies. NAICS is based on supply-side or production-oriented principles, to ensure that industrial data, classified to NAICS, are suitable for the analysis of production-related issues such as industrial performance.

The target entity for which NAICS is designed are businesses and other organizations engaged in the production of goods and services. They include farms, incorporated and unincorporated businesses and government business enterprises. They also include government institutions and agencies engaged in the production of marketed and non-marketed services, as well as organizations such as professional associations and unions and charitable or non-profit organizations and the employees of households.

The associated NAICS should reflect those activities conducted by the business or organizational units targeted by this questionnaire only, as identified in the 'Answering this questionnaire' section and which can be identified by the specified legal and operating name. The main activity is the activity which most defines the targeted business or organization's main purpose or reason for existence. For a business or organization that is for-profit, it is normally the activity that generates the majority of the revenue for the entity.

The NAICS classification contains a limited number of activity classifications; the associated classification might be applicable for this business or organization even if it is not exactly how you would describe this business or organization's main activity.

Please note that any modifications to the main activity through your response to this question might not necessarily be reflected prior to the transmitting of subsequent questionnaires and as a result they may not contain this updated information.

The following is the detailed description including any applicable examples or exclusions for the classification currently associated with this business or organization.

Description and examples

• This is the current main activity
• This is not the current main activity

Provide a brief but precise description of this business or organization's main activity

e.g., breakfast cereal manufacturing, shoe store, software development

Main activity

5. You indicated that is not the current main activity. Was this business or organization's main activity ever classified as: ?

• Yes
  When did the main activity change?
  Date
• No

6. Search and select the industry classification code that best corresponds to this business or organization's main activity.

Select this business or organization's activity sector (optional)

• Farming or logging operation
• Construction company or general contractor
• Manufacturer
• Wholesaler
• Retailer
• Provider of passenger or freight transportation
• Provider of investment, savings or insurance products
• Real estate agency, real estate brokerage or leasing company
• Provider of professional, scientific or technical services
• Provider of health care or social services
• Restaurant, bar, hotel, motel or other lodging establishment
• Other sector

7. You have indicated that the current main activity of this business or organization is: Main activity. Are there any other activities that contribute significantly (at least 10%) to this business or organization's revenue?

• Yes, there are other activities

  Provide a brief but precise description of this business or organization's secondary activity
  e.g., breakfast cereal manufacturing, shoe store, software development

• No, that is the only significant activity

8. Approximately what percentage of this business or organization's revenue is generated by each of the following activities?

When precise figures are not available, provide your best estimates.

Approximately what percentage of this business or organization's revenue is generated by each of the following activities?

	Percentage of revenue
Main activity
Secondary activity
All other activities
Total percentage

Reporting period information

1. What are the start and end dates of this business's or organization's most recently completed fiscal year?

For this survey, the end date should fall between April 1, 2018 and March 31, 2019.

Here are twelve common fiscal periods that fall within the targeted dates:

• May 1, 2017 to April 30, 2018
• June 1, 2017 to May 31, 2018
• July 1, 2017 to June 30, 2018
• August 1, 2017 to July 31, 2018
• September 1, 2017 to August 31, 2018
• October 1, 2017 to September 30, 2018
• November 1, 2017 to October 31, 2018
• December 1, 2017 to November 30, 2018
• January 1, 2018 to December 31, 2018
• February 1, 2018 to January 31, 2019
• March 1, 2018 to February 28, 2019
• April 1, 2018 to March 31, 2019.

Here are other examples of fiscal periods that fall within the required dates:

• September 18, 2017 to September 15, 2018 (e.g., floating year-end)
• June 1, 2018 to December 31, 2018 (e.g., a newly opened business).

Fiscal year start date

Fiscal year-end date

2. What is the reason the reporting period does not cover a full year?

Select all that apply.

• Seasonal operations
• New business
• Change of ownership
• Temporarily inactive
• Change of fiscal year
• Ceased operations
• Other - Specify reason the reporting period does not cover a full year:

Additional reporting instructions

1. Throughout this questionnaire, please report financial information in thousands of Canadian dollars. For example, an amount of $763,880.25 should be reported as:

CAN$ '000

I will report in the format above

Revenue

1. For the reporting period of YYYY-MM-DD to YYYY-MM-DD, what was this business's revenue from each of the following sources?

Notes:

• a detailed breakdown may be requested in other sections
• these questions are asked of many different industries. Some questions may not apply to this business.

Report dollar amounts in thousands of Canadian dollars.

Revenue

a. Sales of goods and services (e.g., fees, admissions, services revenue)

Sales of goods and services are defined as amounts derived from the sale of products and services (cash or credit), falling within a business's ordinary activities. Sales should be reported net of trade discount, value added tax and other taxes based on sales.

Include:

• sales from Canadian locations (domestic and export sales)
• transfers to other business units or the head office of this firm.

Exclude:

• transfers into inventory and consignment sales
• federal, provincial and territorial sales taxes and excise duties and taxes
• intercompany sales in consolidated financial statements.

b. Rental and leasing

Include rental or leasing of apartments, commercial buildings, land, office space, residential housing, investments in co-tenancies and co-ownerships, hotel or motel rooms, long and short term vehicle leasing, machinery or equipment, storage lockers, etc.

c. Commissions

Include commissions earned on the sale of products or services by businesses such as advertising agencies, brokers, insurance agents, lottery ticket sales, sales representatives, and travel agencies - compensation could also be reported under this item (e.g., compensation for collecting sales tax).

d. Subsidies (including grants, donations and fundraising)

Include:

• non-repayable grants, contributions and subsidies from all levels of government
• revenue from private sector (corporate and individual) sponsorships, donations and fundraising.

e. Royalties, rights, licensing and franchise fees

A royalty is defined as a payment received by the holder of a copyright, trademark or patent.

Include revenue received from the sale or use of all intellectual property rights of copyrighted materials such as musical, literary, artistic or dramatic works, sound recordings or the broadcasting of communication signals.

f. Dividends

Include:

• dividend income
• dividends from Canadian sources
• dividends from foreign sources
• patronage dividends.

Exclude equity income from investments in subsidiaries or affiliates.

g. Interest

Include:

• investment revenue
• interest from foreign sources
• interest from Canadian bonds and debentures
• interest from Canadian mortgage loans
• interest from other Canadian sources.

Exclude equity income from investments in subsidiaries or affiliates.

h. Other revenue - specify

Include amounts not included in questions a. to g.

Total revenue

The sum of questions a. to h.

	CAN$ '000
Sales of goods and services
Rental and leasing
Commissions
Subsidies
Royalties, rights, licensing and franchise fees
Dividends
Interest
All other revenue
Total revenue

E-commerce

1. For the reporting period of YYYY-MM-DD to YYYY-MM-DD, what was this business's total revenue?

Include:

• sales of goods and services
• rental, leasing and property management
• commissions
•  subsidies, grants, donations, fundraising and sponsorships
• royalties
• rights
• licensing and franchise fees
• dividends, interest and other revenue.

Report dollar amounts in thousands of Canadian dollars.

Total revenue in CAN$ '000

2. For the reporting period of YYYY-MM-DD to YYYY-MM-DD, did this business have any e-commerce revenue?

E-commerce revenue: Sales of goods and services conducted over the Internet with or without online payment.

Include all revenue for which an order is received and commitment to purchase is made via the Internet, although payment can be made by other means, such as orders made on web pages, an extranet, mobile devices or Electronic Data Interchange (EDI).

Exclude orders made by telephone, facsimile or e-mail.

• Yes
• No

3. Of the amount reported in total revenue, what was the total e-commerce revenue?

When precise figures are not available, provide your best estimates.

Total e-commerce revenue in CAN$ '000

4. For the reporting period of YYYY-MM-DD to YYYY-MM-DD, did this business make sales over the Internet through any of the following methods?

Select all that apply.

Mobile app

Include sales through any app, or application, that is downloaded and designed to run on a handheld device such as a smartphone or tablet (for example, places where a user may download these apps, including Apple's App Store, Google Play or Blackberry App World).

Company website

Include sales through a browser-based website where your organization maintains control of the content.

Third-party website

Include sales through a browser-based website where a third-party maintains the structure of the website and control of the look and feel while your company only provides the product to be sold (for example, Amazon, Expedia or Etsy).

Electronic Data Interchange (EDI)

A standard format for exchanging business data. EDI is based on the use of message standards, ensuring that all participants use a common language.

• Via a mobile app
• Via your company website
• Via a third-party website
• Via Electronic Data Interchange (EDI)
• Other - Specify the other methods:

5. Does this business have any full-time staff dedicated solely to activities related to e-commerce?

• Yes
• No

6. Why did this business not make sales over the Internet?

Select all that apply.

• Goods and services do not lend themselves to online sales
• Prefer to maintain current business model
• Lack of skilled workers to implement and maintain e-commerce infrastructure
• Cost of development is too high
• Security concerns
• Other - Specify the other reasons:

Expenses

1. For the reporting period of YYYY-MM-DD to YYYY-MM-DD, what were this business's expenses for the following items?

Notes:

• a detailed breakdown may be requested in other sections
• these questions are asked of many different industries. Some questions may not apply to this business.

Please report all amounts in thousands of Canadian dollars.

Expenses

a. Cost of goods sold

Many business units distinguish their costs of materials from their other business expenses (selling, general and administrative). This item is included to allow you to easily record your costs/expenses according to your normal accounting practices.

Include:

• cost of raw materials and/or goods purchased for re-sale - net of discounts earned on purchases
• freight in and duty.

Exclude all costs associated with salaries, wages, benefits, commissions and subcontracts (report at Employment costs and expenses, and Subcontracts).

b. Employment costs and expenses

b1. Salaries, wages and commissions

Please report all salaries and wages (including taxable allowances and employment commissions as defined on the T4 - Statement of Remuneration Paid) before deductions for this reporting period.

Include:

• vacation pay
• bonuses (including profit sharing)
• employee commissions
• taxable allowances (e.g., room and board, vehicle allowances, gifts such as airline tickets for holidays)
• severance pay.

Exclude all payments and expenses associated with casual labour and outside contract workers (report at Subcontracts).

b2. Employee benefits

Include contributions to:

• health plans
• insurance plans
• employment insurance
• pension plans
• workers' compensation
• association dues
• contributions to any other employee benefits such as child care and supplementary unemployment benefit (SUB) plans
• contributions to provincial and territorial health and education payroll taxes.

c. Subcontracts

Subcontract expense refers to the purchasing of services from outside of the company rather than providing them in-house.

Include:

• hired casual labour and outside contract workers
• custom work and contract work
• subcontract and outside labour
• hired labour.

d. Research and development fees

Expenses from activities conducted with the intention of making a discovery that could either lead to the development of new products or procedures, or to the improvement of existing products or procedures.

e. Professional and business fees

Include:

• legal services
• accounting and auditing fees
• consulting fees
• education and training fees
• appraisal fees
• management and administration fees
• property management fees
• information technology (IT) consulting and service fees (purchased)
• architectural fees
• engineering fees
• scientific and technical service fees
• other consulting fees (management, technical and scientific)
• veterinary fees
• fees for human health services
• payroll preparation fees
• all other professional and business service fees.

Exclude service fees paid to Head Office (report at All other costs and expenses).

f. Utilities

Utility expenses related to operating your business unit such as water, electricity, gas, heating and hydro.

Include:

• diesel, fuel wood, natural gas, oil and propane
• sewage.

Exclude:

• energy expenses covered in your rental and leasing contracts
• telephone, Internet and other telecommunications (report at question h.)
• vehicle fuel (report at All other costs and expenses).

g. Office and computer related expenses

Include:

• office stationery and supplies, paper and other supplies for photocopiers, printers and fax machines
• postage and courier (used in the day to day office business activity)
• diskettes and computer and peripherals upgrade expenses
• data processing.

Exclude telephone, Internet and other telecommunication expenses (report at Telephone, Internet and other telecommunication).

h. Telephone, Internet and other telecommunication

Include:

• Internet
• telephone and telecommunications
• cellular telephone
• fax machine
• pager.

i. Business taxes, licenses and permits

Include:

• property taxes paid directly and property transfer taxes
• vehicle license fees
• beverage taxes and business taxes
• trade license fees
• membership fees and professional license fees
• provincial capital tax.

j. Royalties, franchise fees and memberships

Include:

• amounts paid to holders of patents, copyrights, performing rights and trademarks
• gross overriding royalty expenses and direct royalty costs
• resident and non-resident royalty expenses
• franchise fees.

Exclude Crown royalties

k. Crown charges

Federal or Provincial royalty, tax, lease or rental payments made in relation to the acquisition, development or ownership of Canadian resource properties.

Include:

• Crown royalties
• Crown leases and rentals
• oil sand leases
• stumpage fees.

l. Rental and leasing

Include:

• lease rental expenses, real estate rental expenses, condominium fees and equipment rental expenses
• motor vehicle rental and leasing expenses
• studio lighting and scaffolding
• machinery and equipment rental expenses
• storage expenses
• road and construction equipment rental
• fuel and other utility costs covered in your rental and leasing contracts.

m. Repair and maintenance

Include:

• buildings and structures
• machinery and equipment
• security equipment
• vehicles
• costs related to materials, parts and external labour associated with these expenses
• janitorial and cleaning services and garbage removal.

n. Amortization and depreciation

Include:

• direct cost depreciation of tangible assets and amortization of leasehold improvements
• amortization of intangible assets (e.g., amortization of goodwill, patents, franchises, copyrights, trademarks, deferred charges, organizational costs).

o. Insurance

Insurance recovery income should be deducted from insurance expenses.

Include:

• professional and other liability insurance
• motor vehicle and property insurance
• executive life insurance
• bonding, business interruption insurance and fire insurance.

p. Advertising, marketing, promotion, meals and entertainment

Include:

• newspaper advertising and media expenses
• catalogues, presentations and displays
• tickets for theatre, concerts and sporting events for business promotion
• fundraising expenses
• meals, entertainment and hospitality purchases for clients.

q. Travel, meetings and conventions

Include:

• travel expenses
• meeting and convention expenses, seminars
• passenger transportation (e.g., airfare, bus, train, etc.)
• accommodations
• travel allowance and meals while travelling
• other travel expenses.

r. Financial services

Include:

• explicit service charges for financial services
• credit and debit card commissions and charges
• collection expenses and transfer fees
• registrar and transfer agent fees
• security and exchange commission fees
• other financial service fees.

Exclude interest expenses (report at Interest expense).

s. Interest expense

Report the cost of servicing your company's debt.

Include:

• interest
• bank charges
• finance charges
• interest payments on capital leases
• amortization of bond discounts
• interest on short-term and long-term debt, mortgages, bonds and debentures.

t. Other non-production-related costs and expenses

Include:

• charitable donations and political contributions
• bad debt expense
• loan losses
• provisions for loan losses (minus bad debt recoveries)
• inventory adjustments.

u. All other costs and expenses (including intracompany expenses)

Include:

• production costs
• pipeline operations, drilling, site restoration
• gross overriding royalty
• other producing property rentals
• well operating, fuel and equipment
• other lease rentals
• other direct costs
• equipment hire and operation
• log yard expense, forestry costs, logging road costs
• freight in and duty
• overhead expenses allocated to cost of sales
• other expenses
• cash over/short (negative expense)
• reimbursement of parent company expense
• warranty expense
• recruiting expenses
• general and administrative expenses
• interdivisional expenses
• interfund transfer (minus expense recoveries)
• exploration and development (including prospect/geological, well abandonment & dry holes, exploration expenses, development expenses)
• amounts not included in sub-questions a. to t. above.

Total expenses

The sum of sub-questions a. to u.

	CAN$ '000
Cost of goods sold
Opening inventories
Purchases
Closing inventories
Cost of goods sold
Employment costs and expenses
Salaries, wages and commissions
Employee benefits
Subcontracts
Research and development fees
Professional and business fees
Utilities
Office and computer related expenses
Telephone, Internet and other telecommunication
Business taxes, licenses and permits
Royalties, franchise fees and memberships
Crown charges
Rental and leasing
Repair and maintenance
Amortization and depreciation
Insurance
Advertising, marketing, promotion, meals and entertainment
Travel, meetings and conventions
Financial services
Interest expense
Other non-production-related costs and expenses
All other costs and expenses
Total expenses

Industry characteristics

1. What were this business's sales for each of the following products and services?

Please report all amounts in thousands of Canadian dollars.

All revenue reported should exclude sales taxes (GST/HST, PST and QST) and be net of returns, discounts, sales allowances, and charges for outward transportation by common or contract carriers.

a. All products purchased for resale

Include:

• excise taxes (such as those on gasoline, liquor, and tobacco) and other taxes that are levied on the manufacturer/importer and included in the cost of products purchased by this business unit
• sales of all products purchased for resale, please report gross sales of new and used products less returns, discounts and rebates
• parts used in generating repair and maintenance revenue (report the labour portion of repair and maintenance at question c.)
• any sales made to any member company of your enterprise.

Do not deduct the value of trade-ins.

Exclude taxes collected directly from customers and paid directly by this operating unit to provincial and federal tax agencies.

b. Products manufactured as a secondary activity by this business

Report revenue from sales of products of own manufacture.

c. Repair and maintenance services

Include:

• labour revenue from installation, repair and maintenance work
• parts used in generating installation, repair and maintenance revenue are to be included at question a.

d. Rental and leasing of real estate

Include rental and leasing of office space and other real estate.

e. Rental and leasing of products and equipment

Include rental and leasing of products and equipment whether or not they have been produced by this business.

	CAN$ '000
All products purchased for resale
Products manufactured as a secondary activity by this business
Repair and maintenance services
Rental and leasing of real estate
Rental and leasing of products and equipment

2. What was the value of products where commissions and fees were earned by this business acting as an agent or broker?

Value of products

Report sale value of those products upon which this business has reported earning a commission or fee in the Revenue section question 1 c.

	CAN$ '000
Value of products

3. Did this business purchase goods (raw materials, semi-finished, or finished goods) "off the shelf" outside of Canada and sell them "as-is" in foreign markets (including the U.S.) without altering the goods, and without the goods entering Canada before the sale?

• Yes
• No
• Don't know

Provide comments if desired.

4. On YYYY-MM-DD, last day of the fiscal year, did this business hold inventories abroad, including inventories in transit to Canada?

Include:

• raw materials, work in process, and finished goods recorded in this business's accounting books, but physically located outside of Canada
• goods purchased abroad for resale "as-is" in foreign markets.

• Yes
• No
• Don't know

Provide comments if desired.

5. What was the approximate value of inventories held abroad at the end of the reporting period?

Please report all amounts in thousands of Canadian dollars.

Value of inventories

6. Is the value reported above included in the [amount] closing inventories previously reported in question 1.a3. from the expenses section?

• Yes
• No

Sales by type of client

1. What was this business's breakdown of sales by the following types of client?

Sales by type of client

This section is designed to measure which sector of the economy purchases your services.

Please provide a percentage breakdown of your sales by type of client.

Please ensure that the sum of percentages reported in this section equals 100%.

a. to c. Clients in Canada

a. Individuals and households

Please report the percentage of sales to individuals and households who do not represent the business or government sector.

b. Businesses

Percentage of sales sold to the business sector should be reported here.

Include sales to Crown corporations.

c. Governments, not-for-profit organizations and public institutions (e.g., hospitals, schools)

Percentage of sales to federal, provincial, territorial and municipal governments should be reported here.

Include: sales to hospitals, schools, universities and public utilities.

d. Clients outside Canada

Please report the percentage of total sales to customers or clients located outside Canada including foreign businesses, foreign individuals, foreign institutions and/or governments.

Include sales to foreign subsidiaries and affiliates.

	Percentage
Clients in Canada - individuals and households
Clients in Canada - businesses
Clients in Canada - governments, not-for-profit organizations and public institutions
Clients outside Canada
Total percentage

Province / country of origin and destination of products sold

1. According to our records, this business sells the following products. Please review the list of products, and for each one, indicate whether it was sold during the reporting period of YYYY-MM-DD to YYYY-MM-DD.

Product # reported

Was this product sold during this reporting period?

• Yes
• No

2. Did this business sell any other products during the reporting period of YYYY-MM-DD to YYYY-MM-DD ?

• Yes
  How many other types of products were sold?
• No

3. For each additional product sold, please provide a brief description.

Description of Additional Product # reported

Product description

The goal of this section is to understand the supply chain for your products. We will ask for the percentage breakdown for each product sold according to the origin of the products purchased and the destination of products sold.

4. For Product Description, what was the cost of goods sold?

When precise figures are not available, please provide your best estimate.

Cost of goods sold

Report the total cost of goods for this product. In the following question, you will be asked to provide the percentage breakdown of the total cost of goods according to the origin of the products (i.e., the province, territory or country outside Canada where the products were originally manufactured).

	Cost of goods sold
Product Description

5. For Product Description, what was the percentage breakdown of the cost of goods sold by origin (province, territory or country outside Canada)?

Note: The origin is the physical location where the products were originally produced/manufactured. The location of your supplier is an acceptable substitute.

The origin is, to the best of your knowledge, where the products were originally produced or manufactured (i.e., which province, territory or country outside Canada). If the origin is not known, an acceptable substitute is the location of this business's supplier.

Note: exclude intermediate shipping points between your supplier and you.

The total for the origin should be equal to 100%.

	% Purchased from origin
Canada
Newfoundland and Labrador
Prince Edward Island
Nova Scotia
New Brunswick
Quebec
Ontario
Manitoba
Saskatchewan
Alberta
British Columbia
Yukon
Northwest Territories
Nunavut
Outside Canada
United States
China
Other
Total percentage

6. What were the sales of Product Description ?

When precise figures are not available, please provide your best estimate.

Sales of Goods

Report the total sales for this product. In the following question, you will be asked to provide a percentage breakdown of the total sales of this product according to the destination (i.e., the province, territory or country outside Canada where the products will ultimately be used).

	Sales of goods
Product Description

7. For Product Description, what was the percentage breakdown of sales by destination (i.e., province, territory or country outside Canada)?

Note: The destination is where the products will ultimately be used.

For the product listed, please provide the percentage breakdown of the sales according to the destination.

The destination is, to the best of your knowledge, where the products will ultimately be used (i.e., which province, territory or country outside Canada).

Acceptable substitutes are:

• shipping destinations
• location of retail customers
• location of warehouses.

The percentages should sum to 100%.

	% Sold to destination
Canada
Newfoundland and Labrador
Prince Edward Island
Nova Scotia
New Brunswick
Quebec
Ontario
Manitoba
Saskatchewan
Alberta
British Columbia
Yukon
Northwest Territories
Nunavut
Outside Canada
United States
China
Other
Total percentage

Details on this business's locations

Details on this business's location # reported

The following questions ask for details on this business's location that was operational during the reporting period of YYYY-MM-DD to YYYY-MM-DD. For this location, please verify and update the address and provide the requested details.

The following questions ask for details on each of this business's [# reported] locations that were operational during the reporting period of YYYY-MM-DD to YYYY-MM-DD. For each location, please verify and update the address and provide the requested details.

1. Please verify the location address and correct where needed.

• Operating name
• Address (number and street)
• City
• Province, territory
  • Alberta
  • British Columbia
  • Manitoba
  • New Brunswick
  • Newfoundland and Labrador
  • Nova Scotia
  • Northwest Territories
  • Nunavut
  • Ontario
  • Prince Edward Island
  • Quebec
  • Saskatchewan
  • Yukon Territory
• Postal code
• Total operating revenue

2. Was this business location operational for the full year?

• Yes, full year operation
• No, part year operation OR non-operational

3. Statistics Canada reviews all feedback. We invite your comments pertaining to this business location.

Comments

4. What were this location's part year start and end dates?

Part Year Operation Start Date

Part Year Operation End Date

5. What was the reason(s) for part year operation?

Select all that apply.

• Seasonal operation
• Ceased operations
• New store
• Temporarily closed
• Change of fiscal year
• Moved
• Change of ownership
• Other - Specify other reasons:

Details on this business's locations

6. Were there any other business locations not listed that were operating during the reporting period?

• Yes
• No

How many locations?

Details on this business's additional location # reported

7. Please verify the business location address.

• Operating name
• Address (number and street)
• City
• Province, territory
  • Alberta
  • British Columbia
  • Manitoba
  • New Brunswick
  • Newfoundland and Labrador
  • Nova Scotia
  • Northwest Territories
  • Nunavut
  • Ontario
  • Prince Edward Island
  • Quebec
  • Saskatchewan
  • Yukon Territory
• Postal code
• Total operating revenue

8. Was this business location operational for the full year?

• Yes, full year operation
• No, part year operation OR non-operational

9. Statistics Canada reviews all feedback. We invite your comments pertaining to this business location.

Comments

10. What were this location's part year start and end dates?

Part Year Operation Start Date

Part Year Operation End Date

11. What was the reason(s) for part year operation?

Select all that apply.

• Seasonal operation
• Ceased operations
• New store
• Temporarily closed
• Change of fiscal year
• Moved
• Change of ownership
• Other - Specify other reasons:

Changes or events

1. Indicate any changes or events that affected the reported values for this business or organization, compared with the last reporting period.

Select all that apply.

• Strike or lock-out
• Exchange rate impact
• Price changes in goods or services sold
• Contracting out
• Organizational change
• Price changes in labour or raw materials
• Natural disaster
• Recession
• Change in product line
• Sold business or business units
• Expansion
• New or lost contract
• Plant closures
• Acquisition of business or business units
• Other - specify the other changes or events:
• No changes or events

Contact person

1. Statistics Canada may need to contact the person who completed this questionnaire for further information. Is Provided Given Names, Provided Family Name the best person to contact?

• Yes
• No

Who is the best person to contact about this questionnaire?

• First name
• Last name
• Title
• Email address
• Telephone number (including area code)
• Extension number (if applicable)
  The maximum number of characters is 5.
• Fax number (including area code)

Feedback

1. How long did it take to complete this questionnaire?

Include the time spent gathering the necessary information.

• Hours
• Minutes

2. Do you have any comments about this questionnaire?

Why do we conduct this survey?

The purpose of this monthly survey is to obtain information on the quantities of metal being produced by smelters and metal refineries in Canada, including Canadian production originating from external sources.
Information from this survey is used for market analysis, industrial and regional development, establishing trade and tariff policies, and managing natural resources.

Your information may also be used by Statistics Canada for other statistical and research purposes.

Your participation in this survey is required under the authority of the Statistics Act.

Other important information

Authorization to collect this information

Data are collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S-19.

Confidentiality

By law, Statistics Canada is prohibited from releasing any information it collects that could identify any person, business, or organization, unless consent has been given by the respondent, or as permitted by the Statistics Act. Statistics Canada will use the information from this survey for statistical purposes only.

Record linkages

To enhance the data from this survey and to reduce the reporting burden, Statistics Canada may combine the acquired data with information from other surveys or from administrative sources.

Data-sharing agreements

To reduce respondent burden, Statistics Canada has entered into data-sharing agreements with provincial and territorial statistical agencies and other government organizations, which have agreed to keep the data confidential and use them only for statistical purposes. Statistics Canada will only share data from this survey with those organizations that have demonstrated a requirement to use the data.

Section 11 of the Statistics Act provides for the sharing of information with provincial and territorial statistical agencies that meet certain conditions. These agencies must have the legislative authority to collect the same information, on a mandatory basis, and the legislation must provide substantially the same provisions for confidentiality and penalties for disclosure of confidential information as the Statistics Act. Because these agencies have the legal authority to compel businesses to provide the same information, consent is not requested and businesses may not object to the sharing of the data.

For this survey, there are Section 11 agreements with the provincial and territorial statistical agencies of Newfoundland and Labrador, Nova Scotia, New Brunswick, Quebec, Ontario, Manitoba, Saskatchewan, Alberta, British Columbia and the Yukon.

The shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory.

Section 12 of the Statistics Act provides for the sharing of information with federal, provincial or territorial government organizations. Under Section 12, you may refuse to share your information with any of these organizations by writing a letter of objection to the Chief Statistician, specifying the organizations with which you do not want Statistics Canada to share your data and mailing it to the following address:

Chief Statistician of Canada
Statistics Canada
Attention of Director, Enterprise Statistics Division
150 Tunney's Pasture Driveway
Ottawa, Ontario
K1A 0T6

You may also contact us by email at statcan.esdhelpdesk-dsebureaudedepannage.statcan@statcan.gc.ca or by fax at 613-951-6583.

For this survey, there are Section 12 agreements with Natural Resources Canada, the statistical agencies of Prince Edward Island, the Northwest Territories and Nunavut as well as with Le ministère de l'Énergie et des Ressources naturelles du Québec, Transition Énergétique Québec, the Ontario Ministry of Energy, Northern Development and Mines and the British Columbia Ministry of Energy, Mines and Petroleum Resources.

For agreements with provincial and territorial government organizations, the shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory.

Business or organization and contact information

1. Verify or provide the business or organization's legal and operating name and correct where needed.

Note: Legal name modifications should only be done to correct a spelling error or typo.

Legal Name

The legal name is one recognized by law, thus it is the name liable for pursuit or for debts incurred by the business or organization. In the case of a corporation, it is the legal name as fixed by its charter or the statute by which the corporation was created.

Modifications to the legal name should only be done to correct a spelling error or typo.

To indicate a legal name of another legal entity you should instead indicate it in question 3 by selecting 'Not currently operational' and then choosing the applicable reason and providing the legal name of this other entity along with any other requested information.

Operating Name

The operating name is a name the business or organization is commonly known as if different from its legal name. The operating name is synonymous with trade name.

• Legal name
• Operating name (if applicable)

2. Verify or provide the contact information of the designated business or organization contact person for this questionnaire and correct where needed.

Note: The designated contact person is the person who should receive this questionnaire. The designated contact person may not always be the one who actually completes the questionnaire.

• First name
• Last name
• Title
• Preferred language of communication
  • English
  • French
• Mailing address (number and street)
• City
• Province, territory or state
• Postal code or ZIP code
• Country
  • Canada
  • United States
• Email address
• Telephone number (including area code)
• Extension number (if applicable)
  The maximum number of characters is 5
• Fax number (including area code)

3. Verify or provide the current operational status of the business or organization identified by the legal and operating name above.

• Operational
• Not currently operational
  Why is this business or organization not currently operational?
  • Seasonal operations
    • When did this business or organization close for the season?
      • Date
    • When does this business or organization expect to resume operations?
      • Date
  • Ceased operations
    • When did this business or organization cease operations?
      • Date
    • Why did this business or organization cease operations?
      • Bankruptcy
      • Liquidation
      • Dissolution
      • Other - Specify the other reasons why the operations ceased
  • Sold operations
    • When was this business or organization sold?
      • Date
    • What is the legal name of the buyer?
  • Amalgamated with other businesses or organizations
    • When did this business or organization amalgamate?
      • Date
    • What is the legal name of the resulting or continuing business or organization?
    • What are the legal names of the other amalgamated businesses or organizations?
  • Temporarily inactive but will re-open
    • When did this business or organization become temporarily inactive?
      • Date
    • When does this business or organization expect to resume operations?
      • Date
    • Why is this business or organization temporarily inactive?
  • No longer operating due to other reasons
    • When did this business or organization cease operations?
      • Date
    • Why did this business or organization cease operations?

4. Verify or provide the current main activity of the business or organization identified by the legal and operating name above.

Note: The described activity was assigned using the North American Industry Classification System (NAICS).

This question verifies the business or organization's current main activity as classified by the North American Industry Classification System (NAICS). The North American Industry Classification System (NAICS) is an industry classification system developed by the statistical agencies of Canada, Mexico and the United States. Created against the background of the North American Free Trade Agreement, it is designed to provide common definitions of the industrial structure of the three countries and a common statistical framework to facilitate the analysis of the three economies. NAICS is based on supply-side or production-oriented principles, to ensure that industrial data, classified to NAICS, are suitable for the analysis of production-related issues such as industrial performance.

The target entity for which NAICS is designed are businesses and other organizations engaged in the production of goods and services. They include farms, incorporated and unincorporated businesses and government business enterprises. They also include government institutions and agencies engaged in the production of marketed and non-marketed services, as well as organizations such as professional associations and unions and charitable or non-profit organizations and the employees of households.

The associated NAICS should reflect those activities conducted by the business or organizational units targeted by this questionnaire only, as identified in the 'Answering this questionnaire' section and which can be identified by the specified legal and operating name. The main activity is the activity which most defines the targeted business or organization's main purpose or reason for existence. For a business or organization that is for-profit, it is normally the activity that generates the majority of the revenue for the entity.

The NAICS classification contains a limited number of activity classifications; the associated classification might be applicable for this business or organization even if it is not exactly how you would describe this business or organization's main activity.

Please note that any modifications to the main activity through your response to this question might not necessarily be reflected prior to the transmitting of subsequent questionnaires and as a result they may not contain this updated information.

The following is the detailed description including any applicable examples or exclusions for the classification currently associated with this business or organization.

Description and examples

• This is the current main activity
• This is not the current main activity

Provide a brief but precise description of this business or organization's main activity

e.g., breakfast cereal manufacturing, shoe store, software development

Main activity

5. You indicated that is not the current main activity. Was this business or organization's main activity ever classified as: ?

• Yes
  When did the main activity change?
  Date
• No

6. Search and select the industry classification code that best corresponds to this business or organization's main activity.

Select this business or organization's activity sector (optional)

• Farming or logging operation
• Construction company or general contractor
• Manufacturer
• Wholesaler
• Retailer
• Provider of passenger or freight transportation
• Provider of investment, savings or insurance products
• Real estate agency, real estate brokerage or leasing company
• Provider of professional, scientific or technical services
• Provider of health care or social services
• Restaurant, bar, hotel, motel or other lodging establishment
• Other sector

Type of operation

2. Is this plant a smelter and/or refinery of secondary lead?

If your plant is a smelter and/or refinery of any other products besides secondary lead, please select "No".

• Yes
• No

Smelters and refineries of secondary lead

3. For the month of [month], what output did this plant produce?

Select all that apply.

• Refined lead
• Antimonial lead
• Other output - specify:
• Other output - specify:
• Other output - specify:
• Not applicable

4. Please select the unit of measure in which you would like to report questions on refined lead.

• Metric ton
• Short ton
• Kilogram
• Pound

5. For the month of [month], please provide the following for refined lead.

For the month of [month], please provide the following for refined lead.

	Quantity
a. Shipments of lead-bearing products
Shipments
b. Domestic
c. Export
Total (sum of b + c)

6. Please select the unit of measure in which you would like to report questions on antimonial lead.

• Metric ton
• Short ton
• Kilogram
• Pound

7. For the month of [month], please provide the following for antimonial lead.

For the month of [month], please provide the following for antimonial lead.

	Quantity
a. Shipments of lead-bearing products
Shipments
b. Domestic
c. Export
Total (sum of b + c)

8. Please select the unit of measure in which you would like to report questions on [other output 1].

• Metric ton
• Short ton
• Kilogram
• Pound

9. For the month of [month], please provide the following for [other output 1].

For the month of [month], please provide the following for [other output 1].

	Quantity
a. Shipments of lead-bearing products
Shipments
b. Domestic
c. Export
Total (sum of b + c)

10. Please select the unit of measure in which you would like to report questions on [other output 2].

• Metric ton
• Short ton
• Kilogram
• Pound

11. For the month of [month], please provide the following for [other output 2].

For the month of [month], please provide the following for [other output 2].

	Quantity
a. Shipments of lead-bearing products
Shipments
b. Domestic
c. Export
Total (sum of b + c)

12. Please select the unit of measure in which you would like to report questions on [other output 3].

• Metric ton
• Short ton
• Kilogram
• Pound

13. For the month of [month], please provide the following for [other output 3].

For the month of [month], please provide the following for [other output 3].

	Quantity
a. Shipments of lead-bearing products
Shipments
b. Domestic
c. Export
Total (sum of b + c)

14. For the month of [month], what input was used by this plant?

Select all that apply.

• Lead-bearing scrap
• Refined pig lead
• Antimonial pig lead
• Other input - specify:
• Other input - specify:
• Other input - specify:
• Not applicable

15. Please select the unit of measure in which you would like to report questions on lead-bearing scrap.

• Metric ton
• Short ton
• Kilogram
• Pound

16. For the month of [month], please provide the following for lead-bearing scrap.

For the month of [month], please provide the following for lead-bearing scrap.

	Quantity
a. Gate receipts of lead feed
Sources of purchases
b. Domestic
c. Import
Total (sum of b + c)

17. Please select the unit of measure in which you would like to report questions on refined pig lead.

• Metric ton
• Short ton
• Kilogram
• Pound

18. For the month of [month], please provide the following for refined pig lead.

For the month of [month], please provide the following for refined pig lead.

	Quantity
a. Gate receipts of lead feed
Sources of purchases
b. Domestic
c. Import
Total (sum of b + c)

19. Please select the unit of measure in which you would like to report questions on antimonial pig lead.

• Metric ton
• Short ton
• Kilogram
• Pound

20. For the month of [month], please provide the following for antimonial pig lead.

For the month of [month], please provide the following for antimonial pig lead.

	Quantity
a. Gate receipts of lead feed
Sources of purchases
b. Domestic
c. Import
Total (sum of b + c)

21. Please select the unit of measure in which you would like to report questions on [other input 1].

• Metric ton
• Short ton
• Kilogram
• Pound

22. For the month of [month], please provide the following for [other input 1].

For the month of [month], please provide the following for [other input 1].

	Quantity
a. Gate receipts of lead feed
Sources of purchases
b. Domestic
c. Import
Total (sum of b + c)

23. Please select the unit of measure in which you would like to report questions on [other input 2].

• Metric ton
• Short ton
• Kilogram
• Pound

24. For the month of [month], please provide the following for [other input 2].

For the month of [month], please provide the following for [other input 2].

	Quantity
a. Gate receipts of lead feed
Sources of purchases
b. Domestic
c. Import
Total (sum of b + c)

25. Please select the unit of measure in which you would like to report questions on [other input 3].

• Metric ton
• Short ton
• Kilogram
• Pound

26. For the month of [month], please provide the following for [other input 3].

For the month of [month], please provide the following for [other input 3].

	Quantity
a. Gate receipts of lead feed
Sources of purchases
b. Domestic
c. Import
Total (sum of b + c)

Products of smelters and metal refineries

27. For the month of [month], what product did this plant produce, ship or have in stock?

Select all that apply.

• Antimonial lead
• Cadmium
• Cobalt, refined
  Exclude cobalt oxide.
• Copper, refined
• Copper cathodes
• Copper matte
• Copper scrap
• Copper speiss
• Copper from primary source, smelter
• Copper from secondary source and scrap, smelter
• Copper and lead matte
• Copper in matte
• Indium
• Lead, refined from primary
• Lead, refined from secondary
• Lead and antimony bullion
• Lead and bismuth alloy
• Nickel, metallic from refined nickel
  Exclude nickel oxide, electronickel, foundry additives, nickel carbonate and nickel residue for market.
• Nickel, refined
• Nickel in matte
• Selenium
• Silver, refined
• Sulphuric acid, smelter
• Tellurium
• Zinc, refined
• Other product - specify:
• Other product - specify:
• Other product - specify:

28. Please select the unit of measure in which you would like to report questions on antimonial lead.

• Metric ton
• Short ton
• Kilogram
• Pound
• Gram
• Ounce

29. For the month of [month], please provide the following for antimonial lead.

For the month of [month], please provide the following for antimonial lead.

	Quantity
a. Stock at beginning of the month
b. Production
Shipments
c. Domestic
d. Exports
Total shipments (sum of c + d)
Stock at the end of the month: sum of a + b - (c + d)

30. Please select the unit of measure in which you would like to report questions on cadmium.

• Metric ton
• Short ton
• Kilogram
• Pound
• Gram
• Ounce

31. For the month of [month], please provide the following for cadmium.

For the month of [month], please provide the following for cadmium.

	Quantity
a. Stock at beginning of the month
b. Production
Shipments
c. Domestic
d. Exports
Total shipments (sum of c + d)
Stock at the end of the month: sum of a + b - (c + d)

32. Please select the unit of measure in which you would like to report questions on cobalt, refined.

• Metric ton
• Short ton
• Kilogram
• Pound
• Gram
• Ounce

33. For the month of [month], please provide the following for cobalt, refined.

Exclude cobalt oxide.

For the month of [month], please provide the following for cobalt, refined.

	Quantity
a. Stock at beginning of the month
b. Production
Shipments
c. Domestic
d. Exports
Total shipments (sum of c + d)
Stock at the end of the month: sum of a + b - (c + d)

34. Please select the unit of measure in which you would like to report questions on copper, refined.

• Metric ton
• Short ton
• Kilogram
• Pound
• Gram
• Ounce

35. For the month of [month], please provide the following for copper, refined.

For the month of [month], please provide the following for copper, refined.

	Quantity
a. Stock at beginning of the month
b. Production
Shipments
c. Domestic
d. Exports
Total shipments (sum of c + d)
Stock at the end of the month: sum of a + b - (c + d)

36. Please select the unit of measure in which you would like to report questions on copper cathodes.

• Metric ton
• Short ton
• Kilogram
• Pound
• Gram
• Ounce

37. For the month of [month], please provide the following for copper cathodes.

For the month of [month], please provide the following for copper cathodes.

	Quantity
a. Stock at beginning of the month
b. Production
Shipments
c. Domestic
d. Exports
Total shipments (sum of c + d)
Stock at the end of the month: sum of a + b - (c + d)

38. Please select the unit of measure in which you would like to report questions on copper matte.

• Metric ton
• Short ton
• Kilogram
• Pound
• Gram
• Ounce

39. For the month of [month], please provide the following for copper matte.

For the month of [month], please provide the following for copper matte.

	Quantity
a. Stock at beginning of the month
b. Production
Shipments
c. Domestic
d. Exports
Total shipments (sum of c + d)
Stock at the end of the month: sum of a + b - (c + d)

40. Please select the unit of measure in which you would like to report questions on copper scrap.

• Metric ton
• Short ton
• Kilogram
• Pound
• Gram
• Ounce

41. For the month of [month], please provide the following for copper scrap.

For the month of [month], please provide the following for copper scrap.

	Quantity
a. Stock at beginning of the month
b. Production
Shipments
c. Domestic
d. Exports
Total shipments (sum of c + d)
Stock at the end of the month: sum of a + b - (c + d)

42. Please select the unit of measure in which you would like to report questions on copper speiss.

• Metric ton
• Short ton
• Kilogram
• Pound
• Gram
• Ounce

43. For the month of [month], please provide the following for copper speiss.

For the month of [month], please provide the following for copper speiss.

	Quantity
a. Stock at beginning of the month
b. Production
Shipments
c. Domestic
d. Exports
Total shipments (sum of c + d)
Stock at the end of the month: sum of a + b - (c + d)

44. Please select the unit of measure in which you would like to report questions on copper from primary source, smelter.

• Metric ton
• Short ton
• Kilogram
• Pound
• Gram
• Ounce

45. For the month of [month], please provide the following for copper from primary source, smelter.

For the month of [month], please provide the following for copper from primary source, smelter.

	Quantity
a. Stock at beginning of the month
b. Production
Shipments
c. Domestic
d. Exports
Total shipments (sum of c + d)
Stock at the end of the month: sum of a + b - (c + d)

46. Please select the unit of measure in which you would like to report questions on copper from secondary source and scrap, smelter.

• Metric ton
• Short ton
• Kilogram
• Pound
• Gram
• Ounce

47. For the month of [month], please provide the following for copper from secondary source and scrap, smelter.

For the month of [month], please provide the following for copper from secondary source and scrap, smelter.

	Quantity
a. Stock at beginning of the month
b. Production
Shipments
c. Domestic
d. Exports
Total shipments (sum of c + d)
Stock at the end of the month: sum of a + b - (c + d)

48. Please select the unit of measure in which you would like to report questions on copper and lead matte.

• Metric ton
• Short ton
• Kilogram
• Pound
• Gram
• Ounce

49. For the month of [month], please provide the following for copper and lead matte.

For the month of [month], please provide the following for copper and lead matte.

	Quantity
a. Stock at beginning of the month
b. Production
Shipments
c. Domestic
d. Exports
Total shipments (sum of c + d)
Stock at the end of the month: sum of a + b - (c + d)

50. Please select the unit of measure in which you would like to report questions on copper in matte.

• Metric ton
• Short ton
• Kilogram
• Pound
• Gram
• Ounce

51. For the month of [month], please provide the following for copper in matte.

For the month of [month], please provide the following for copper in matte.

	Quantity
a. Stock at beginning of the month
b. Production
Shipments
c. Domestic
d. Exports
Total shipments (sum of c + d)
Stock at the end of the month: sum of a + b - (c + d)

52. Please select the unit of measure in which you would like to report questions on indium.

• Metric ton
• Short ton
• Kilogram
• Pound
• Gram
• Ounce

53. For the month of [month], please provide the following for indium.

For the month of [month], please provide the following for indium.

	Quantity
a. Stock at beginning of the month
b. Production
Shipments
c. Domestic
d. Exports
Total shipments (sum of c + d)
Stock at the end of the month: sum of a + b - (c + d)

54. Please select the unit of measure in which you would like to report questions on lead, refined from primary.

• Metric ton
• Short ton
• Kilogram
• Pound
• Gram
• Ounce

55. For the month of [month], please provide the following for lead, refined from primary.

For the month of [month], please provide the following for lead, refined from primary.

	Quantity
a. Stock at beginning of the month
b. Production
Shipments
c. Domestic
d. Exports
Total shipments (sum of c + d)
Stock at the end of the month: sum of a + b - (c + d)

56. Please select the unit of measure in which you would like to report questions on lead, refined from secondary.

• Metric ton
• Short ton
• Kilogram
• Pound
• Gram
• Ounce

57. For the month of [month], please provide the following for lead, refined from secondary.

For the month of [month], please provide the following for lead, refined from secondary.

	Quantity
a. Stock at beginning of the month
b. Production
Shipments
c. Domestic
d. Exports
Total shipments (sum of c + d)
Stock at the end of the month: sum of a + b - (c + d)

58. Please select the unit of measure in which you would like to report questions on lead and antimony bullion.

• Metric ton
• Short ton
• Kilogram
• Pound
• Gram
• Ounce

59. For the month of [month], please provide the following for lead and antimony bullion.

For the month of [month], please provide the following for lead and antimony bullion.

	Quantity
a. Stock at beginning of the month
b. Production
Shipments
c. Domestic
d. Exports
Total shipments (sum of c + d)
Stock at the end of the month: sum of a + b - (c + d)

60. Please select the unit of measure in which you would like to report questions on lead and bismuth alloy.

• Metric ton
• Short ton
• Kilogram
• Pound
• Gram
• Ounce

61. For the month of [month], please provide the following for lead and bismuth alloy.

For the month of [month], please provide the following for lead and bismuth alloy.

	Quantity
a. Stock at beginning of the month
b. Production
Shipments
c. Domestic
d. Exports
Total shipments (sum of c + d)
Stock at the end of the month: sum of a + b - (c + d)

62. Please select the unit of measure in which you would like to report questions on nickel, metallic from refined nickel.

• Metric ton
• Short ton
• Kilogram
• Pound
• Gram
• Ounce

63. For the month of [month], please provide the following for nickel, metallic from refined nickel.

Exclude nickel oxide, electronickel, foundry additives, nickel carbonate and nickel residue for market.

For the month of [month], please provide the following for nickel, metallic from refined nickel.

	Quantity
a. Stock at beginning of the month
b. Production
Shipments
c. Domestic
d. Exports
Total shipments (sum of c + d)
Stock at the end of the month: sum of a + b - (c + d)

64. Please select the unit of measure in which you would like to report questions on nickel, refined.

• Metric ton
• Short ton
• Kilogram
• Pound
• Gram
• Ounce

65. For the month of [month], please provide the following for nickel, refined.

For the month of [month], please provide the following for nickel, refined.

	Quantity
a. Stock at beginning of the month
b. Production
Shipments
c. Domestic
d. Exports
Total shipments (sum of c + d)
Stock at the end of the month: sum of a + b - (c + d)

66. Please select the unit of measure in which you would like to report questions on nickel in matte.

• Metric ton
• Short ton
• Kilogram
• Pound
• Gram
• Ounce

67. For the month of [month], please provide the following for nickel in matte.

For the month of [month], please provide the following for nickel in matte.

	Quantity
a. Stock at beginning of the month
b. Production
Shipments
c. Domestic
d. Exports
Total shipments (sum of c + d)
Stock at the end of the month: sum of a + b - (c + d)

68. Please select the unit of measure in which you would like to report questions on selenium.

• Metric ton
• Short ton
• Kilogram
• Pound
• Gram
• Ounce

69. For the month of [month], please provide the following for selenium.

For the month of [month], please provide the following for selenium.

	Quantity
a. Stock at beginning of the month
b. Production
Shipments
c. Domestic
d. Exports
Total shipments (sum of c + d)
Stock at the end of the month: sum of a + b - (c + d)

70. Please select the unit of measure in which you would like to report questions on silver, refined.

• Metric ton
• Short ton
• Kilogram
• Pound
• Gram
• Ounce

71. For the month of [month], please provide the following for silver, refined.

For the month of [month], please provide the following for silver, refined.

	Quantity
a. Stock at beginning of the month
b. Production
Shipments
c. Domestic
d. Exports
Total shipments (sum of c + d)
Stock at the end of the month: sum of a + b - (c + d)

72. Please select the unit of measure in which you would like to report questions on sulphuric acid, smelter.

• Metric ton
• Short ton
• Kilogram
• Pound
• Gram
• Ounce

73. For the month of [month], please provide the following for sulphuric acid, smelter.

For the month of [month], please provide the following for sulphuric acid, smelter.

	Quantity
a. Stock at beginning of the month
b. Production
Shipments
c. Domestic
d. Exports
Total shipments (sum of c + d)
Stock at the end of the month: sum of a + b - (c + d)

74. Please select the unit of measure in which you would like to report questions on tellurium.

• Metric ton
• Short ton
• Kilogram
• Pound
• Gram
• Ounce

75. For the month of [month], please provide the following for tellurium.

For the month of [month], please provide the following for tellurium.

	Quantity
a. Stock at beginning of the month
b. Production
Shipments
c. Domestic
d. Exports
Total shipments (sum of c + d)
Stock at the end of the month: sum of a + b - (c + d)

76. Please select the unit of measure in which you would like to report questions on zinc, refined.

• Metric ton
• Short ton
• Kilogram
• Pound
• Gram
• Ounce

77. For the month of [month], please provide the following for zinc, refined.

For the month of [month], please provide the following for zinc, refined.

	Quantity
a. Stock at beginning of the month
b. Production
Shipments
c. Domestic
d. Exports
Total shipments (sum of c + d)
Stock at the end of the month: sum of a + b - (c + d)

78. Please select the unit of measure in which you would like to report questions on [other product 1].

• Metric ton
• Short ton
• Kilogram
• Pound
• Gram
• Ounce

79. For the month of [month], please provide the following for [other product 1].

For the month of [month], please provide the following for [other product 1].

	Quantity
a. Stock at beginning of the month
b. Production
Shipments
c. Domestic
d. Exports
Total shipments (sum of c + d)
Stock at the end of the month: sum of a + b - (c + d)

80. Please select the unit of measure in which you would like to report questions on [other product 2].

• Metric ton
• Short ton
• Kilogram
• Pound
• Gram
• Ounce

81. For the month of [month], please provide the following for [other product 2].

For the month of [month], please provide the following for [other product 2].

	Quantity
a. Stock at beginning of the month
b. Production
Shipments
c. Domestic
d. Exports
Total shipments (sum of c + d)
Stock at the end of the month: sum of a + b - (c + d)

82. Please select the unit of measure in which you would like to report questions on [other product 3].

• Metric ton
• Short ton
• Kilogram
• Pound
• Gram
• Ounce

83. For the month of [month], please provide the following for [other product 3].

For the month of [month], please provide the following for [other product 3].

	Quantity
a. Stock at beginning of the month
b. Production
Shipments
c. Domestic
d. Exports
Total shipments (sum of c + d)
Stock at the end of the month: sum of a + b - (c + d)

Changes or events

1. Indicate any changes or events that affected the reported values for this business or organization, compared with the last reporting period.

Select all that apply.

• Strike or lock-out
• Contracting out
• Natural disaster
• Recession
• New or lost contract
• Plant closures
• Vacation or maintenance periods
• Equipment failure
• Seasonal operations
• Plant expansion or contraction
• Other - specify the other changes or events:
• No changes or events

Contact person

1. Statistics Canada may need to contact the person who completed this questionnaire for further information. Is Provided Given Names, Provided Family Name the best person to contact?

• Yes
• No

Who is the best person to contact about this questionnaire?

• First name
• Last name
• Title
• Email address
• Telephone number (including area code)
• Extension number (if applicable)
  The maximum number of characters is 5.
• Fax number (including area code)

Feedback

1. How long did it take to complete this questionnaire?

Include the time spent gathering the necessary information.

• Hours
• Minutes

2. Do you have any comments about this questionnaire?

Canadian Centre for Justice Statistics
Policing Services Program

Confidential when completed

Please provide information as of time of the incident for each victim.

See instructions on last page for items indicated with an asterisk ( * ) or refer to the "Scoring Guide for the Homicide Survey".

This information is collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S-19.

Completion of this questionnaire is a legal requirement under this act.

Objective

This survey collects essential data to produce statistics on the incidence and characteristics of homicide offences in Canada. The information is used by federal and provincial policymakers as well as public and private researchers. The data are also widely disseminated by the media for purposes of general public information. The information may also be used by Statistics Canada for other statistical and research purposes.

Confidentiality

Statistics Canada is prohibited by law from releasing any information it collects which could identify any person, business, or organization, unless consent has been given by the respondent or as permitted by the Statistics Act. Statistics Canada will use the information from this survey for statistical purposes.

Record linkages

To enhance the data from this survey and to minimize the reporting burden for respondents, Statistics Canada may combine the information you provide with other survey or administrative data sources.

Instructions

Please return this questionnaire by December 31st, “Collection Year”. Questionnaires may be returned by mail (see address below) or through the Electronic File Transfer system

Correspondence

Statistics Canada
ATTN: Central Reception
200 blvd. de la Technologie
Gatineau, QC J8Z 3H6
Phone: Toll free 1-888-659-8229
Fax: 1-888-883-7999
E-mail: statcan.homisurv-enqhomi.statcan@statcan.gc.ca

Fax or e-mail transmission disclosure

Statistics Canada advises you that there could be a risk of disclosure during facsimile or other electronic transmission. However, upon receipt, Statistics Canada will provide the guaranteed level of protection afforded all information collected under the authority of the Statistics Act.

1. Incident file number
2. Victim number
3. Name of victim
   • Surname
   • Given name(s)
   • Alias
   • OR
   • 9 Unknown
4. Sex of victim
   • 1 Male
   • 2 Female
     • Was the victim pregnant?
     • 1 Yes
     • 2 No
     • 9 Unknown
   • 9 Unknown
5. a. Date of birth of victim
   • Year / Month / Day
   b. If victim's date of birth is unknown, estimate the age at time of incident
   • Years
     OR
     000 Less than 1 year of age (includes newborn)
     999 Unknown
6. Marital status of victim
   • 1 Single (never married)
   • 2 Married (legal)
   • 3 Common-law /cohabitation
   • 4 Divorced
   • 5 Separated (legal or informal)
   • 6 Widowed
   • 9 Unknown
7. Aboriginal identity of victim
   • 00 Not collected / released by police service
   • 01 Not an Aboriginal person
   • 02 First Nations person (Status or non-Status)
   • 03 Métis
   • 04 Inuit
   • 05 Aboriginal person (group unknown)
   • 99 Unknown
8. Employment status of victim (check one only; if more than one applies, check the response closest to the top of the list)
   • 00 Illegal activities (e.g. prostitute, drug dealer, gang member)
   • 01 Employed (includes full time, part-time, casual, self-employed)
   • 02 Unemployed
   • Not in labour force
   • 03 Less than 15 years of age - Go to Question 11
   • 04 Student - Go to Question 11
   • 05 Retired - Go to Question 11
   • 06 Homemaker - Go to Question 11
   • 07 Other – specify (e.g., social assistance, disability) - Go to Question 11
   • 99 Unknown
9. Occupation of victim (enter most recent occupation or other occupation directly related to the homicide)
   • Specify
   • OR
   • 9 Unknown
10. Victim’s death associated with their profession (e.g., police officer, taxi driver, prostitute, drug trafficker, etc.)
    • 1 Yes
    • 2 No
    • 9 Unknown
11. Was this victim randomly selected? *
    • 1 Yes
    • 2 No
    • 9 Unknown
12. Prior to the discovery of this victim, had he or she been reported as a missing person (to you or any other police service)?
    • 1 Yes
    • 2 No
    • 9 Unknown
13. Victim’s previous conviction for criminal activities
    • 88 No previous conviction
    • Most serious conviction
    • 01 Homicide
    • 02 Robbery
    • 03 Other violent offence
    • 04 Property offence
    • 05 Drug offence
    • 06 Other Criminal Code or Federal / Provincial Statute offence
    • 99 Unknown
    • Source of information (e.g., CPIC, your own information system, etc.)
14. Primary method used to cause death
    • 01 Shooting
    • 02 Stabbing
    • 03 Beating / blow(s)
    • 04 Strangulation, suffocation, drowning
    • 05 Poisoning or lethal injection
    • 06 Smoke inhalation, burns (fire, liquid, acid)
    • 07 Exposure, hypothermia
    • 08 Shaken Baby Syndrome
    • 09 Other cause – specify
    • 99 Unknown
15. Weapon used to kill victim (check one only)
    • 88 No weapon used - Go to Question 22
    • 01 Fully automatic firearm
    • 02 Sawed-off rifle / shotgun
    • 03 Handgun (semi-automatic / revolver)
    • 04 Rifle / shotgun
    • 05 Firearm-like weapon
    • 06 Other firearm – type unknown
    • 07 Knife - Go to Question 21
    • 08 Other piercing / cutting instrument - Go to Question 21
    • 09 Club or blunt instrument - Go to Question 21
    • 10 Explosives - Go to Question 22
    • 11 Fire, boiling liquid, acid - Go to Question 22
    • 12 Ligature (e.g., rope, belt, cable) - Go to Question 22
    • 13 Poison, drugs, gas, fumes - Go to Question 22
    • 14 Motor Vehicle - Go to Question 22
    • 15 Other weapon – specify - Go to Question 21
    • 16 Other weapon – type unknown - Go to Question 22
    • 17 Physical force (e.g., hands, feet) - Go to Question 22
    • 18 Water - Go to Question 22
    • 99 Unknown - Go to Question 22
16. Was the firearm recovered?
    • 1 Yes
      2 No - Go to Question 19
      9 Unknown
17. Status of the recovered firearm
    • 0 In possession of owner, loaned / borrowed
    • 1 Stolen
    • 2 Lost or missing
    • 9 Unknown
18. Was the firearm registered with the Canadian Firearm Registry?
    • 1 Yes - Certificate number
    • 2 No
    • 8 Not applicable
    • 9 Unknown
19. Owner of the firearm
    • 1 Chargeable suspect
    • 2 Victim
    • 3 Other
    • 9 Unknown

20. Does chargeable suspect possess a valid Firearms License?

    • 1 Yes
    • 2 No
    • 9 Unknown

21. Classification of the identified weapon

    • 1 Restricted
    • 2 Prohibited
    • 3 Neither restricted nor prohibited
    • 9 Unknown

22. Consumption of alcohol, drug or intoxicating substance by victim (check one only)

    • 8 No alcohol or drug consumed - Go to Question 24
    • 1 Both alcohol and drug consumption
    • 2 Alcohol consumption only
    • 3 Drug consumption only - Go to Question 24
    • 4 Consumption of intoxicating substance – inhalant, etc. - Go to Question 24
    • 5 Consumption of intoxicant – type unknown - Go to Question 24
    • 9 Unknown - Go to Question 24

23. Blood-alcohol level of victim (milligrams of alcohol per 100 millilitres of blood)

    • Specify level
    • OR
    • 999 Unknown

24. Victim was first to use or first to threaten to use physical force or violence in this incident

    • 1 Yes
    • 2 No
    • 9 Unknown

25. Closest Chargeable Suspect – Victim Relationship * (code the closest relationship between any of the chargeable suspects and this victim)

    Chargeable suspect number (Question 2 on Charged / Suspect-Chargeable Questionnaire)

    • Specify chargeable suspect number
    • OR
    • 88 No chargable suspect - End
    • Victim killed by:
    • Spousal relationship
    • 01 Husband (opposite sex, legally married)
    • 02 Common-law husband (opposite sex)
    • 03 Seperated husband (opposite sex, legally married)
    • 04 Seperated common-law husband (opposite sex)
    • 05 Divorced husband (opposite sex)
    • 06 Wife (opposite sex, legally married)
    • 07 Common-law wife (opposite sex)
    • 08 Seperated wife (opposite sex, legally married)
    • 09 Seperated common-law wife (opposite sex)
    • 10 Divorced wife (opposite sex)
    • 38 Same-sex spouse (legally married)
    • 39 Same-sex spouse (common-law)
    • 40 Seperated same-sex spouse (legally married)
    • 41 Seperated same-sex spouse (common-law)
    • 42 Divorced same-sex spouse
    • Other family relationship
    • 13 Father
    • 14 Step-father
    • 15 Mother
    • 16 Step-mother
    • 17 Son
    • 18 Step-son
    • 19 Daughter
    • 20 Step-daughter
    • 21 Brother
    • 22 Sister
    • 23 Other family
    • Other intimate relationship
    • 24 Boyfriend
    • 25 Girlfriend
    • 26 Same sex relationship
    • 27 Extra-marital lover
    • 28 Ex-boyfriend / girlfriend
    • 29 Other intimate relationship
    • Acquaintance
    • 30 Close friend
    • 31 Neighbour
    • 32 Authority figure
    • 43 Reverse authority figure
    • 33 Business relationship
    • 34 Criminal relationship *
    • 35 Casual acquaintance
    • 36 Stranger
    • 37 Other – specify
    • 99 Unknown

Instructions

The Investigating Officer is the ideal person to complete this form.

11. Random homicide – A homicide that does not aim to target one specific individual. If solved, it will normally involve the killing or a stranger who is engaging in the normal course of their daily lives or who is “in the wrong place at the wrong time”. A homicide may be considered random even if the victim is selected from a pre-determined group as long as all members of the group have an equal chance of being chosen. For example, if a perpetrator is seeking to kill a female child this homicide may be random if all female children were at risk.

25. Criminal relationship – refers to a relationship between a prostitute and client, drug trafficker and drug user, etc.

Thank you for your cooperation

Canadian Centre for Justice Statistics
Policing Services Program

Confidential when completed

Please provide information as of time of the incident for each chargeable suspect.

See instructions on last page for items indicated with an asterisk ( * ) or refer to the “Scoring Guide for the Homicide Survey”.

This information is collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S-19.

Completion of this questionnaire is a legal requirement under this act.

Objective

This survey collects essential data to produce statistics on the incidence and characteristics of homicide offences in Canada. The information is used by federal and provincial policymakers as well as public and private researchers. The data are also widely disseminated by the media for purposes of general public information. The information may also be used by Statistics Canada for other statistical and research purposes.

Confidentiality

Statistics Canada is prohibited by law from releasing any information it collects which could identify any person, business, or organization, unless consent has been given by the respondent or as permitted by the Statistics Act. Statistics Canada will use the information from this survey for statistical purposes.

Record linkages

To enhance the data from this survey and to minimize the reporting burden for respondents, Statistics Canada may combine the information you provide with other survey or administrative data sources.

Instructions

Please return this questionnaire by December 31st, “Collection Year”. Questionnaires may be returned by mail (see address below) or through the Electronic File Transfer system.

Correspondence

Statistics Canada
ATTN: Central Reception
200 blvd. de la Technologie
Gatineau, QC J8Z 3H6
Phone: Toll free 1-888-659-8229
Fax: 1-888-883-7999
E-mail: homi-surv@statcan.gc.ca

Fax or e-mail transmission disclosure

Statistics Canada advises you that there could be a risk of disclosure during facsimile or other electronic transmission. However, upon receipt, Statistics Canada will provide the guaranteed level of protection afforded all information collected under the authority of the Statistics Act.

1. Incident file number
2. Chargeable suspect number
3. Name of chargeable suspect
   • Surname
   • Given name(s)
   • Alias
   • OR
   • 09 Unknown
4. Gender of chargeable suspect
   • 1 Male
   • 2 Female
5. a. Date of birth of chargeable suspect
   • Year / Month / Day
   b. If chargeable suspect’s date of birth is unknown, estimate the age at time of incident
   • Years
   • OR
   • 999 Unknown
6. Marital status of chargeable suspect
   • 1 Single (never married)
   • 2 Married (legal)
   • 3 Common-law / cohabitation
   • 4 Divorced
   • 5 Separated (legal or informal)
   • 6 Widowed
   • 9 Unknown
7. Aboriginal identity of chargeable suspect
   • 00 Not collected / released by police service
   • 01 Not an Aboriginal person
   • 02 First Nations person (Status or non-Status)
   • 03 Métis
   • 04 Inuit
   • 06 Aboriginal person (group unknown)
   • 05 Not provided by the chargeable suspect
   • 99 Unknown
8. Employment status of chargeable suspect (check one only; if more than one applies, check the response closest to the top of the list)
   • 00 Illegal activities (e.g. prostitute, drug dealer, gang member)
   • 01 Employed (includes full time, part-time, casual, self-employed)
   • 02 Unemployed
   • Not in labour force
   • 03 Less than 15 years of age - Go to Question 10
   • 04 Student - Go to Question 10
   • 05 Retired - Go to Question 10
   • 06 Homemaker - Go to Question 10
   • 07 Other – specify (e.g., social assistance, disability) - Go to Question 10
   • 99 Unknown
9. Occupation of chargeable suspect (enter most recent occupation or other occupation directly related to the homicide)
   • Specify
   • OR
   • 9 Unknown
10. Country of residence of chargeable suspect
    • 1 Canada
    • 2 United States
    • 3 Other country
    • 9 Unknown
11. Clearance status of chargeable suspect
    • 1 Charges laid or recommended
    • 2 Cleared by suicide of chargeable suspect - Go to Question 13
    • 3 Cleared otherwise – specify - Go to Question 13
12. Most serious charge laid or recommended against the chargeable suspect
    • 1 Murder 1st-degree
    • 2 Murder 2nd-degree
    • 3 Manslaughter
    • 4 Infanticide
13. FPS number of chargeable suspect
    • Specify FPS number
    • 8 Not applicable
    • 9 Unknown
14. Chargeable suspect’s previous conviction for criminal activities
    • 88 No previous conviction
    • Most serious conviction
    • 01 Homicide
    • 02 Robbery
    • 03 Other violent offence
    • 04 Property offence
    • 05 Drug offence
    • 06 Other Criminal Code or Federal / Provincial Statute offence
    • 99 Unknown
    • Source of information (e.g., CPIC, your own information system, etc.)
15. Suspected mental or developmental disorder (e.g., schizophrenia)
    • 0 Suspected
    • 1 Yes - specify
    • 2 No
    • 9 Unknown
16. Consumption of alcohol, drug or intoxicating substance by chargeable suspect (check one only)
    • 8 No alcohol or drug consumed
    • 1 Both alcohol and drug consumption
    • 2 Alcohol consumption only
    • 3 Drug consumption only
    • 4 Consumption of intoxicating substance – inhalant, etc.
    • 5 Consumption of intoxicant – type unknown
    • 9 Unknown
17. History of family violence involving this chargeable suspect and any homicide victim(s) in this incident *
    • 0 Not a family homicide
    • 1 Yes
    • 2 No
    • 9 Unknown

Instructions

The Investigating Officer is the ideal person to complete this form.

17. History of family violence – refers to violence (e.g. spousal abuse, child or parent battering) between, family members (codes 1-23 and 38-42 on question 25 of the Victim Questionnaire). Even one previously known incidence of violence is sufficient to score “Yes”. The violence must involve this accused person and the victim killed in this incident.

Thank you for your co-operation