This is an example form to indicate the fields required by Revenu Quebec when gathering data. It does not record any information, the Submit button has been disabled. This form goes nowhere, it is completely non-functional.
Following verbiage is direct from the RQ web site covering this topic:
“If you are currently using one or more sales recording modules (SRMs) in your restaurant establishment, you already have a mandatory billing file number. You do not need to request another one.
Important
Your authorization code is confidential. You are responsible for its use and must keep it in a secure location.
Required information to configure your SRS”
(Notes: The fields and descriptions below are taken verbatim from the RQ web site. It is not a requirement for them, but I suggest adding the TH store # to the form for easier tracking).