Employers Requiring Assistance Employer Form Step 1 of 5 20% Company Legal Name(Required) Business Operating Name (if applicable) Business Number (9-digit)(Required) RP0001Employer ID (if known) Business Address (Headquarters, Main office address)(Required) Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Is Job Location Different from Business Address?(Required) Yes No Job Location (if different from Business Address)(Required) Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Is Mailing Address different from Business Address? Yes No Mailing Address of the business(Required) Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Employer's Name(Required) Employer's Job Title/Position in The Company(Required) Business Phone Number(Required) Cell Number (if applicable) Primary Fax Number (if applicable) Employer's Email Address(Required) Enter Email Confirm Email Company Website SECONDARY CONTACT'S INFORMATIONContact Name Job Title or Position in the Company Business NumberCell Number (if applicable)Email Enter Email Confirm Email Alternative Contact Number (if applicable) Business InformationType of Business(Required) Transportation/ Trucking Fast Food Service Medical Industry Manufacturing Light-duty Cleaning Construction (Water/Sewer) Construction (Asphalt/ Paving) Hotel & Hospitality Hair dressing/ Beauty Caregiver Welding Machine Operation Day care Medical Industry Carpentry Material Handling Manufacturing Concrete Heavy-duty cleaning Assembly Drywall Roofing Retail Bakery Warehouse & Distribution Wholesale Restaurant Painting & Decorating Power/ Solar Energy Landscaping Gas Station Customer Service Automotive Other Other service/ industry not listed above:(Required) Please check the appropriate type of business:(Required) Incorporated / Limited Partnership Sole Proprietor Other What date was the company established?(Required) MM slash DD slash YYYY How many locations does the company have?(Required) Please list the locations - Company Street address, City/ Town, Province, Postal Code, Full Time Employees, Part-time EmployeesCompanyStreet addressCity/TownProvincePostal CodeFull Time EmployeesPart-time Employees Add RemoveIs this business a franchise?(Required) Yes No Name of the Franchise Corporation?(Required) Is the corporate head office aware of this application for temporary foreign workers (TFW)?(Required) Yes No Not Applicable Reason not applicable(Required) Advertising InformationDo you have an existing Job Bank Account?(Required) Yes No Not Applicable If yes; please add Ian Wood (Our Immigration Consultant) as a Third-party Representative using the following information; Email: info@ijwimmigrationsolutions.ca ICCRC Membership #: R528565 Status: Third-party RepresentativeTo be eligible you must register on Job Bank so we may advertise for you? Yes No We will need further documentation to register on Job Bank on your behalf.Benefits(Required) As per collective agreement Bonuses Commission Dental Benefits Disability Benefits Gratuities Group Insurance Benefits Life Insurance Benefits Medical Benefits Mileage Paid Pension Plan Benefits Piece Work RESP Benefits RRSP Benefits Vision Care No Benefits Other Other benefit(s) not listed above:(Required) 5. EMPLOYMENT STANDARDSAre You Aware of the Provincial Labour Standards For Your Province?(Required) Yes No Which of the following documentation(s) do you require for this application?(Required) Driver’s License Drug Test Certifications Other Other: (please indicate other required documentation(s) not listed above;(Required) How many working hours on average per week is required for this application?(Required) 30 Hrs 35 Hrs 37.5 Hrs 40 Hrs Other Other hours:(Required) What are the potential positions being offered to by the Employer?List(Required)Job TitleLocationHourly Rate $ Add RemoveIs there overtime required?(Required) Yes No If yes, how many hours worked before overtime is paid?(Required) What is the overtime rate? x 1.25 x 1.33 x 1.5 DOCUMENTS TO RETURN ASAP(Required) PD7A (CRA Document - Latest Month) Proof of Corporation Document Provincial WorkSafe Certificate (3 or more) Schedule 100 & 125 (CRA Documents) or Accountant Attestation Wages section of the Collective Agreement (if applicable) Upload Files Here(Required) Drop files here or Select files Max. file size: 64 MB, Max. files: 10. Notes: i. For CRA Documents - these can be found in ‘CRA My Account’, or ask your Account/ Bookkeeper ii. Job offers and Employment contracts will be advised upon during or after the initial meetingIMPORTANT REMINDERTo avoid delays in the processes, please ensure all necessary documents and information are provided
