Unassociated Document


    
      

    

    Exhibit 4.1

     

    
      		
              

              9th
      Floor, 100 University Avenue

              Toronto,
      Ontario M5J 2Y1 Canada

              Telephone
      1-800-564-6253

              www.computershare.com

            


    

     

     

     

    

     

     

     

    
      
        

      

Amended
and Restated Dividend Reinvestment Plan – Declaration and Enrollment
Form

     

    
      
        

      



    


    The Proceeds of Crime
(Money Laundering) and Terrorist Financing Act (Canada) and the Regulations
made thereunder (collectively,
the “Act”) require that Computershare Trust Company of Canada
(“Computershare”) collect and record specified information on accounts it opens
for individuals or entities under a plan.

    Please
read the Instructions below before completing the Declaration and Enrollment
Form.

    


    


     

    INSTRUCTIONS

    In order
that Computershare may comply with its legal obligations under the Act, this
Declaration and Enrollment Form must be completed in full and signed by all
registered holder(s). Otherwise Computershare cannot process your
enrollment.

    


    


    Part
A – PARTICIPANT DECLARATION

    If a plan
account is registered to:

    
      	
              1)

            	
              an individual account holder or
      more than one holder – each individual must complete their Date of
      Birth and Principal Business or
Occupation.

            


    

    


    
      	
              2)

            	
              a Corporation – it must mail or
      hand-deliver this Declaration and Enrollment Form along with a copy of its
      official corporate records relating to the authority to operate this
      account. Neither Date of Birth nor Principal Business or Occupation is
      required to be completed. Mark the applicable account holder status
      box.

            


    

    


    
      	
              3)

            	
              a Trust, Partnership, or an
      unincorporated Fund or Organization – complete the field for
      Principal Business or Occupation. Date of Birth is not required to be
      completed. Mark the applicable account holder status box. As space on this
      form is limited to two holder declarations and signatures, photocopies of
      this form may be made if required.

            


    

    


    


    Part
B – THIRD PARTY DETERMINATION

    


    In order
that Computershare may comply with its legal obligations under the Act, you must
check one of the two boxes provided with regard to any third party interest in
the account, and fill in the additional fields if required, including a
description of the relationship. For example, are you an agent, custodian,
attorney, or legal guardian, or otherwise holding the account on behalf of a
spouse, relative, business partner or friend?

    


    


    Part
C – ENROLLMENT PARTICIPATION

    


    This
section must be completed to process your request for
enrollment.


    


    
      
        
           


        

        
           


          
            

          

        

        
           


        

      

    

     

    
      		
              

              9th
      Floor, 100 University Avenue

              Toronto,
      Ontario M5J 2Y1 Canada

              Telephone
      1-800-564-6253

              www.computershare.com

            


    

    
Registered
Name in which account is held (e.g. John Smith)

    
      		
              TOCQ

            


    

    
      
 

    Amended
and Restated Dividend Reinvestment Plan – Declaration and Enrollment
Form

     

    
      

    

     A
– PARTICIPANT DECLARATION

    


    I/We, the
account holder(s) named above, hereby certify as follows:

    


    
      	
                     
      1) Date of Birth:

            	 
      	 
      	
              Principal
      Business or Occupation:

            	 
      
	 
      	
              Day         
      Month         
      Year

            	 
      	 
      	
              (e.g.
      cashier, student, retired, accounting
firm)

            


    

    


    
      	
                     
      2) Date of Birth:

            	 
      	 
      	
              Principal
      Business or Occupation:

            	 
      
	 
      	
              
                Day         
      Month         
      Year

              

            	 
      	 
      	
              (e.g.
      cashier, student, retired, accounting
firm)

            


    

    


    and that
the account holder is (Check
the appropriate account holder status box, if applicable):

    


    
      	
              o

            	
              a
      Corporation, Trust, Partnership, or an unincorporated Fund or Organization
      (Required
      documents enclosed, as applicable)

            	
              o

            	
              a
      Financial Entity or Securities Dealer and is exempt from Third Party
      Determination in Section B below. (Proceed to part
      C)

            


    

    


    B
– THIRD PARTY DETERMINATION – Check one of the two boxes below. If the second
box is marked, you must provide the information

    


    
      	
              o

            	
              This
      account is not

              intended
      to be used

              by,
      or on behalf of, a

              3rd
      party.

            	
              o

            	
              This
      account is intended to be used by, or on behalf of, a 3rd party and I have
      completed the required information fields below.

            
	 
      	 
      	
              Name
      of 3rd party:                                                                                                                                                                                             
       

            
	 
      	 
      	
              Address
      of 3rd party:                                                                                                                                                                                          

            
	 
      	 
      	
              Date
      of Birth of 3rd party (if an individual):                                                                                                                                                    

            
	 
      	 
      	 
      	
              Nature
      of Principal Business or Occupation of 3rd party:                                                                                                                            

            
	 
      	 
      	 
      	
              If
      3rd party is a Corporation, provide incorporation number and place of
      issue:                                                                                      

            
	 
      	 
      	 
      	
              Describe
      relationship between account holder and 3rd party, in respect of the
      account:                                                                       

            


    

     

    C
– ENROLLMENT PARTICIPATION

    


    I/We wish
to participate in FULL
Reinvestment. I/We acknowledge that all dividends/distributions payable
by Thomson Reuters Corporation on all common shares of Thomson Reuters
Corporation now held or any future holdings in this account will be
reinvested.

    


    By
enrolling and participating in the Amended and Restated Dividend Reinvestment
Plan of Thomson Reuters Corporation (the “plan”), I/we confirm that I/we are a
holder of common shares and I/we have read, fully understand and agree to be
bound by the terms and conditions of the plan, along with the prospectus or
brochure that governs the plan. I/We agree that participation in the plan will
continue until I/we notify Computershare in writing that I/we desire to
terminate participation. I/We acknowledge that participation in the plan,
including withdrawals from the plan, will be subject to the terms and conditions
of the plan, along with the prospectus or brochure that governs the plan. I/We
also confirm the completeness and accuracy of the information I/we have provided
in this Declaration and Enrollment Form.

    


    To
be valid, this form must be signed by all registered account holder(s) or
applicable authorized individual(s). If you do not sign and return this form,
you will continue to receive dividend/distribution payments in
cash.


     

    
      	
              Signature
      1 - Please keep signature within the box

            	 
      	
              Signature
      2 - Please keep signature within the box

            	 
      	
              Day
      Month Year

            
		 		 	


    

     

    Privacy
Notice

    


    Computershare
is committed to protecting individuals’ personal information. In the course of
providing our services, we receive non-public personal information - from
transactions we perform for investors, forms sent to us, other communications we
have with investors or representatives, etc. This information could include
name, address, social insurance number, social security number, securities
holdings and other financial information. We use this to administer investor
accounts, to better serve investors’ and clients’ needs and for other lawful
purposes relating to our services. We have prepared a Privacy Code to tell you
more about our information practices and how personal information is protected.
It is available at our website, www.computershare.com, or by writing us at 100
University Avenue, Toronto, Ontario,
M5J 2Y1, Canada.

    


    


    
      	
              Please
      return completed form to:

            	
              Computershare,
      9th Floor, 100 University Ave, Toronto, Ontario M5J 2Y1,
      Canada