B284 Election or Revocation of the Election for Semi-Annual Reporting

Fill out this form if you are a licensee or a registrant under the Air Travellers Security Charge Act, Excise Tax Act (other than Part IX), Excise Act, or Excise Act, 2001, and you want to apply to file returns twice a year instead of monthly.

Ways to get the form

• Download and fill out with Acrobat Reader

  You must download and open fillable PDFs in Acrobat Reader 10 or higher.

  • Accessible Fillable PDF (b284-fill-21e.pdf)

• Print and fill out by hand

  • Standard print PDF (b284-21e.pdf)

• Ask for an alternate format

  You can order alternate formats such as digital audio, electronic text, braille, and large print.

  • Order alternate formats for persons with disabilities