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Submit a bank note image reproduction request

Use this form to submit a request to reproduce bank note images.

  • After you submit this form, you will receive a copy by email. It will contain instructions on how to provide your mock-up (or sample) if you did not already do so when completing this form.
  • After receiving both your completed form and your mock-up, we will normally reply within three to five business days.
Personal information collected by the Bank of Canada is protected under the Privacy Act. The information you provide is used to respond to your inquiry. For further information about the Bank of Canada’s privacy practices, please consult the Bank’s General Privacy Policy.

    Contact information

    Description of proposed reproduction

    Intended use of proposed reproduction

    Mock-up of proposed reproduction

    Questions or comments

    * denotes a required field.