Statistics Canada - Producer Prices Division
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Collected under the authority of the Statistics Act.
Revised Statutes of Canada, 1985, Chapter S19.
Completion of this questionnaire is a legal requirement under this act.
Month
Survey purpose
The prices you report are essential to the production of indexes measuring the movement of prices in the Canadian economy. In order to enhance the information you provide in this survey, Statistics Canada plans to combine the responses relating to your organization with the information you previously provided on this survey.
The reporting form sets out our request for price information for the period shown. We urge you to read the instructions carefully and fill in the requested information. Thank you for your cooperation.
If necessary, please make address label corrections below.
Company
Attn:
Street
City, Province
A1A 1A1
Please return the questionnaire by the end of the month.
Statistics Canada, Producer Prices Division, 170, Tunney's Pasture Driveway, Ottawa, Ontario K1A 0T6 Fax: 613-951-3117 or 1-855-314-8765
Should you require further information with respect to this report, please contact the Producer Prices Division Contact indicated on the reverse side. Please feel free to call collect or call 1-888-951-4550 for general enquiries.
The information and data pre-coded on this form reflects the respondent's preference.
Record linkages
To enhance the data from this survey, Statistics Canada may combine it with information from other surveys or from administrative sources.
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.
Fax or other electronic 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.
Respondent:
Contact :
CONTACT NAME
Email address@statcan.gc.ca
Commodity Specialist
(613) 951-
Commodity Specialist
To complete this Price Report:
1) In Box A enter the transaction price in effect on the 15th of the month indicated.
2) In Box B enter “NS” if no sales occurred and give an estimate in Box A for the transaction prices.
3) If there is any change in the description of product and/or transaction description please amend.
Product ID
- Commodity Description:
- Description of Product:
- Transaction Description:
- C1:
- C3:
- C2:
- C4:
Date of last reported price change :
YYYY-MM
C1 to C4 Transaction description as specified above
Circle reasons for price change
Further explanation of price change
(pertinent market information)
Date:
- A
- B
- C1
- C2
- C3
- C4
- D
- 1
- 2
- 3
- 4
- 5
- 6
- 7
Reasons for price change :
- Material costs
- Labour costs
- Competitive factors
- Physical content
- Terms of sale
- Exchange rate
- Others - describe