Follow these steps when completing the liaison agency certification:
          
         
            
               
                  
                  
               
               
                  
                  
                     
                     | STEP | ACTION | 
               
               
                  
                  
                     
                     | 1 | If the applicant's signature on the CDN/USA 1 is not witnessed, take no action. (Ottawa
                           will secure a witnessed signature.)
                         | 
                  
                     
                     | 2 | When entering dates, write out the name of the month rather than showing the date
                           entirely in numbers; e.g., March 2, 1990 rather than 3/2/90.
                         | 
                  
                     
                     | 3 | If the applicant is filing for surviving spouse benefits from Quebec, enter the date
                           of birth of the surviving spouse below the signature line on the QUE /USA 1 as follows,
                           “Date of birth of surviving spouse - March 2, 1990.” Initial the entry.
                         | 
                  
                     
                     | 4 | If the certification sections on the CDN/USA 1 or QUE/USA 1 are completed by unauthorized
                           personnel; e.g., a CR in a non-designated FO, take the following action:
                         
                           
                              
                           
                              
                                 • 
                                    If the entries are correct add your initials to the “Verified by” block on the CDN/USA 1 using a different color ink. Make no entry in the “Verified” block on the QUE/USA 1.
                              
                                 • 
                                    If an entry is incorrect, line it out, enter the correct date and add your initials
                                       to the “Verified by” block on the CDN/USA 1 using a different color ink. Place an additional “X” in the “Verified” block of the QUE/USA 1.
                                    
                              
                                 • 
                                    Enter the current date, your signature, title and DIO in the appropriate spaces on
                                       the QUE/USA 1.
                                    
                              
                                 • 
                                    Stamp the QUE/USA 1 with the DIO stamp. |