Application for a Grant or Registration of Heraldic Emblems

Fields marked with *  are mandatory.

Contact Information

Indicate your name as it appears on government-issued identification.

Personal Information

Place of Birth
Please note that a territorial division can be a province, a territory, a state, or any other relevant governmental level.

List your honours that are recognized by the Canadian Honours System (see www.gg.ca/en/order-precedence).

Parents

Children and Grandchildren
How many children (biological, adopted and/or step-children) and grandchildren do you have?

Background Documents

Once you have submitted this form, please send the supporting documents to armorial@gg.ca within the next five (5) working days. After this deadline, incomplete applications will be deleted. You will find the list of required documents on our website.

Personal References

Your references should have known you for at least two years. Family members may not serve as references. An eligibility check will be conducted, and we reserve the right to request additional references.

Reference 1

Reference 2

Declarations and Signature

Criminal Court Proceedings

On my honour, I affirm that:

If you have been convicted of a criminal offence in Canada or elsewhere, or if a pardon or a record suspension has been revoked, explain your situation below.

  • I affirm that all of the information on this form is correct to the best of my knowledge, and that I shall provide any updated information as it changes.
  • I acknowledge that the approval of my request is subject to the recommendation of the chief herald of Canada, as a grant of heraldic emblems is an honour from the Canadian Crown.
  • I acknowledge that my place of residence and, if applicable, the names of my heirs will be included in my grant of heraldic emblems..
  • I understand that the information included in my grant document and the symbolism text will be publicly available as part of the Public Register of Arms, Flags and Badges of Canada.
  • I acknowledge that the chief herald of Canada has the discretion to recommend the revocation of any heraldic emblems granted or registered as a result of this application if I make a false or incomplete statement herein or in the information supplied for this application.

You must be at least 18 years old to sign this form