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248 Forms
 
Arranged Employment for Skilled Workers
Number Title
EMP5275 Arranged Employment Application for Skilled Workers
 
Canada Pension Plan
Number Title
ISP1000 Application for Canada Pension Plan Retirement
ISP1002 Pension Sharing of Retirement Pension(s) Canada Pension Plan, Application for
ISP1003 Estimate Request for Canada Pension Plan Retirement Pension
ISP1011 Direct Deposit, Canada Pension Plan and Old Age Security, Request for
ISP1014 Cancellation of Pension Sharing for Canada Pension Plan Retirement Pension(s)
ISP1151 Disability Benefits - Canada Pension Plan, Application for
ISP1152 Application for benefits for under age 18 children of a Canada Pension Plan Disabled Contributor
ISP1200 Canada Pension Plan Death Benefit, Application Kit
ISP1201 Canada Pension Plan Notification of Death Form
ISP1300 Canada Pension Plan Survivor's Pension and Child(ren)'s Benefit(s), Application Kit
ISP1400 Canada Pension Plan Child's Benefit, Application for a
ISP1401 Declaration of Attendance at School or University, Canada Pension Plan
ISP1603CPP Consent to Communicate Information to a Representative
ISP1606 Authorization to Communicate Information, CPP
ISP1613 Consent to Deduction and Payment - Canada Pension Plan
ISP1618A Irrevocable Consent to Deduct and Pay an Insurer
ISP1618B Consent for Service Canada and Insurer to Communicate Disability Benefit Information
ISP1618C Request to Deduct and Pay a One-time Retroactive Payment to an Insurer
ISP1640 Child Rearing Provision, Canada Pension Plan
ISP1809 Legal Marriage, Statutory Declaration
ISP1811 Statutory Declaration - Separation of Legal Spouses
ISP1901 Canada Pension Plan Credit Split, Kit
ISP2000 Statement of Contributions to Canada Pension Plan, Application for
ISP2502 Authorization to Disclose Information / Consent for Medical Evaluation
ISP3004CPP Statutory Declaration of Common-law Union (dual signatures, CPP/OAS)
ISP3104CPP Statutory Declaration of Common-law Union - Allowance for the Survivor (single signature, OAS/CPP)
ISP3505CPP Certificate of Incapability-OAS/CPP
ISP3506CPP Agreement to administer benefits under the Old Age Security Act and/or the Canada Pension Plan by a Private Trustee
ISP3507CPP Agreement to administer benefits under the Old Age Security Act and/or the Canada Pension Plan by an Agency or Institution
ISP3520CPP Income Tax Deductions, Request for
 
Canadian Agricultural Skills Service
Number Title
AAC5090-BC Canadian Agricultural Skills Service (CASS) Application for Funding - British Columbia
AAC5090-NB Canadian Agricultural Skills Service (CASS) Application for Funding - New Brunswick
AAC5090-NL Canadian Agricultural Skills Service (CASS) Application for Funding - Newfoundland and Labrador
AAC5090-NS Canadian Agricultural Skills Service (CASS) Application for Funding - Nova Scotia
AAC5090-ON Canadian Agricultural Skills Service (CASS) Application for Funding - Ontario
AAC5090-YK Canadian Agricultural Skills Service (CASS) Application for Funding - Yukon
 
Dispute Resolution and Labour-Management Partnership Program
Number Title
LAB1169 Application for Funding - Single Applicant
LAB1170 Application for Funding - Multi Applicants
 
Employment Insurance
Number Title
INS2882 Request for Payment of Benefit on Behalf of a Deceased Person
INS3141 Training Course Information
INS3166 Request for Record of Employment
INS3280 Appointment of Representative
INS3925 Record of Employment Order/Re-Order Form
INS5140 Medical Certificate for Employment Insurance Sickness Benefits
INS5178 Direct Deposit Application for Unemployment/Employment Benefits
INS5216 Medical Certificate for Employment Insurance Compassionate Care Benefits
INS5219 Registration to Record of Employment Web (ROE Web)
INS5222 Best 14 Questionnaire
NAS2557T4U Duplicate T4U-TP4U-T4E and/or Itemized Statement of Benefits Paid, Request for
 
Employment Programs
Number Title
EMP3699 YES - Summer Career Placements Application / Agreement
EMP5100 Application for a Work-Sharing Agreement
EMP5101 Work-Sharing Unit Attachment
EMP5209 Application for Funding
EMP5216 Forecast of Cashflow
EMP5253 Targeted Wage Subsidies - Employer Application for Funding
EMP5259 Application for Financial Assistance under the Skills Development Employment Benefit
EMP5260 Self-Employment Employment Benefit Participant Application
EMP5298 Opportunities Fund for Persons with Disabilities - Skills for Employment Application
EMP5321 Opportunities Fund for Persons with Disabilties - Self-Employment Application
EMP5332 YES - Skills Link - Individual Work Experience Application for Funding
EMP5335 Job Creation Partnerships (JCP) / Targeted Wage Subsidies (TWS)
EMP5340 YES - Skills Link - Individual Skills Enhancement (ISE) Information Sheet / Application for Funding
EMP5360 Client Application - Information Sheet - Opportunities Fund For Persons With Disabilities Assistance To Individuals
EMP5362 Employment Insurance Part II and Consolidated Revenue Funds Direct Deposit Application Form
 
Fire Prevention
Number Title
LAB1019 Fire Report
LAB1020 Casualty Report
 
Government Annuities
Number Title
NAS2359 Transfer Purchaser's Rights, Application to
NAS2474 Election of Option Under Group Contract
NAS2557 Duplicate T4U-TP4U-T4E and/or Itemized Statement of Benefits Paid, Request for
NAS2568 Cancel Annuity, Application to
NAS2628 Separation Under Group Annuity Contract, Notice of
NAS2658 Defer Commencement of Annuity, Election to
NAS2681 Notice of Change of Name by Marriage
NAS2697 Documents in Order of Preference for Proof of Age
NAS2895 Register Annuity Contract, Application to
NAS2904 Delete Named Joint Purchaser, Application to
NAS2913 Change Annuity Contract, Application to
NAS2919 Designation / Change of Beneficiary
NAS2920 Designation / Revocation of Beneficiary
NAS2921 Beneficiary Claim Statement
NAS2944 Declaration Regarding Use of an Assumed Name
NAS5035 Government Annuities Direct Deposit from Canada, Applicant Request
NAS5043 Government Annuities Direct Deposit from United States, Applicant Request
NAS5044 Government Annuities Direct Deposit from United Kingdom (England, Northern Ireland, Scotland, Wales), Applicant Request
NAS5045 Government Annuities Direct Deposit from Europe (Austria, Belgium, France, Germany, Ireland, Netherlands, Portugal), Applicant Request
NAS5046 Government Annuities Direct Deposit from Switzerland, Applicant Request
NAS5047 Government Annuities Direct Deposit from Australia, Applicant Request
 
International Benefits
Number Title
ATG-AGE Antigua and Barbuda/Canada Agreement - Application for an Age Benefit from Antigua and Barbuda
ATG-FG1 Antigua and Barbuda/Canada Agreement - Application for a Funeral Grant from Antigua and Barbuda
ATG-INV Antigua and Barbuda/Canada Agreement - Application for an Invalidity Benefit from Antigua and Barbuda
ATG-SVR Antigua and Barbuda/Canada Agreement - Application for Survivors Benefits from Antigua and Barbuda
AUS140-CA(B) Australia/Canada Agreement - Application for Australian Benefits
C/N 202 Netherlands/Canada Agreement - Application for a Netherlands Old Age Pension
C/N 202A Netherlands/Canada Agreement - Application for a Netherlands Supplementary Allowance
C/N 203-A Netherlands/Canada Agreement - Application for a Netherlands Survivor's Benefit and Dependent Child Allowance
C/N 203-B Netherlands/Canada Agreement - Application for a Netherlands Dependent Child Allowance
C/N 203-C Netherlands/Canada Agreement - Application for a Netherlands Orphan's Benefit
CA/HU 1 1 Hungary/Canada Agreement - Application for a Hungarian Old Age and/or Disability Pension
CA/HU 1 2 Hungary/Canada Agreement - Application for a Hungarian Survivor's Pension
CAN-BAR 1 Barbados/Canada Agreement - Application for Barbadian Benefits
CAN-PHI 1 (D) Philippines/Canada Agreement - Application for Philippine Death Benefits
CAN-PHI 1 (R/D) Philippines/Canada Agreement - Application for a Philippine Retirement and/or Disability Pension
CAN/BEL 4 (R/I) Belgium/Canada Agreement - Application for a Belgian Retirement and/or Invalidity Pension
CAN/BEL 4 (S) Belgium/Canada Agreement - Application for a Belgian Survivor's Pension
CAN/IT 1 (R/OA/D) Italy/Canada Agreement - Application for an Italian Retirement, Old Age and/or Disability Benefit
CAN/IT 1 (S) Italy/Canada Agreement - Application for Italian Survivor's Benefits
CDN-P1 Portugal/Canada Agreement - Application for a Portuguese Old Age and/or Disability Pension
CDN-P2 Portugal/Canada Agreement - Application for Portuguese Death Benefits
CDN/A 3 (OA/I) Austria/Canada Agreement - Application for an Austrian Old Age and/or Invalidity Pension
CDN/A 3 (W/O) Austria/Canada Agreement - Application for an Austrian Widow's (Widower's) and/or Orphan's Pension
CDN–GR 1 (OA/I) Greece/Canada Agreement - Application for a Greek Old Age and/or Invalidity Pension
CDN–GR 1 (S) Greece/Canada Agreement – Application for a Greek Survivor’s Pension
CY/CDN 1 Cyprus/Canada Agreement - Application for Cypriot Benefits
D/C 1 Germany/Canada Agreement - Application for a German Retirement and/or Disability Pension
D/C 2 Germany/Canada Agreement - Application for German Survivor's Benefits
ISP5005 Foreign Benefits under an Agreement on Social Security, Interim Application for
ISP5005-FRA France/Canada Agreement - Application for a French Disability Benefit
ISP5053-ATG Antigua and Barbuda/Canada Agreement - Application for CPP Disability Benefits
ISP5053-AUS Australia/Canada Agreement, Application for CPP Disability Benefits
ISP5053-BEL Belgium/Canada Agreement - Application for CPP Disability Benefits
ISP5053-BRB Barbados/Canada Agreement - Application for CPP Disability Benefits
ISP5053-CHE Switzerland/Canada Agreement - Application for CPP Disability Benefits
ISP5053-DMA Dominica/Canada Agreement – Application for CPP Disability Benefits
ISP5053-FRA France/Canada Agreement - Application for CPP Disability Benefits
ISP5053-GRD Grenada/Canada Agreement - Application for CPP Disability Benefits
ISP5053-HUN Hungary/Canada Agreement - Application for CPP Disability Benefits
ISP5053-IRL Ireland/Canada Agreement - Application for CPP Disability Benefits
ISP5053-ISL Iceland/Canada Agreement – Application for CPP Disability Benefits
ISP5053-JAM Jamaica/Canada Agreement - Application for CPP Disability Benefits
ISP5053-JRS/GNS Jersey, Guernsey/Canada Agreement - Application for CPP Disability Benefits
ISP5053-KNA St. Kitts and Nevis/Canada Agreement - Application for CPP Disability Benefits
ISP5053-LCA Saint Lucia/Canada Agreement - Application for CPP Disability Benefits
ISP5053-LUX Luxembourg/Canada Convention - Application for CPP Disability Benefits
ISP5053-MLT Malta/Canada Agreement - Application for CPP Disability Benefits
ISP5053-NZL New Zealand/Canada Agreement - Application for CPP Disability Benefits
ISP5053-PHI Philippines/Canada Agreement - Application for CPP Disability Benefits
ISP5053-TTO Trinidad and Tobago/Canada Agreement - Application for CPP Disability Benefits
ISP5053-TUR Turkey/Canada Agreement - Application for CPP Disability Benefits
ISP5053-VCT Saint Vincent and the Grenadines/Canada Agreement - Application for CPP Disability Benefits
ISP5054-ATG Antigua and Barbuda/Canada Agreement - Application for Canadian Old Age, Retirement and Survivors Benefits
ISP5054-AUS Australia/Canada Agreement, Application for Canadian Old Age, Retirement and Survivor's Benefits
ISP5054-BEL Belgium/Canada Agreement - Application for Canadian Old Age, Retirement and Survivors Benefits
ISP5054-BRB Barbados/Canada Agreement - Application for Canadian Old Age, Retirement and Survivors Benefits
ISP5054-CHE Switzerland/Canada Agreement - Application for Canadian Old Age, Retirement and Survivors Benefits
ISP5054-DMA Dominica/Canada Agreement – Application for Canadian Old Age, Retirement and Survivors Benefits
ISP5054-FRA France/Canada Agreement - Application for Canadian Old Age, Retirement and Survivors Benefits
ISP5054-GRD Grenada/Canada Agreement - Application for Canadian Old Age, Retirement and Survivors Benefits
ISP5054-HUN Hungary/Canada Agreement - Application for Canadian Old Age, Retirement and Survivors Benefits
ISP5054-IRL Ireland/Canada Agreement - Application for Canadian Old Age, Retirement and Survivors Benefits
ISP5054-ISL Iceland/Canada Agreement – Application for Canadian Old Age, Retirement and Survivors Benefits
ISP5054-JAM Jamaica/Canada Agreement - Application for Canadian Old Age, Retirement and Survivors Benefits
ISP5054-JRS/GNS Jersey, Guernsey/Canada Agreement - Application for Canadian Old Age, Retirement and Survivors Benefits
ISP5054-KNA St. Kitts and Nevis/Canada Agreement - Application for Canadian Old Age, Retirement and Survivors Benefits
ISP5054-LCA Saint Lucia/Canada Agreement - Application for Canadian Old Age, Retirement and Survivors Benefits
ISP5054-LUX Luxembourg/Canada Convention - Application for Canadian Old Age, Retirement and Survivors Benefits
ISP5054-MLT Malta/Canada Agreement - Application for Canadian Old Age, Retirement and Survivors Benefits
ISP5054-NZL New Zealand/Canada Agreement - Application for Canadian Old Age, Retirement and Survivors Benefits
ISP5054-PHI Philippines/Canada Agreement - Application for Canadian Old Age, Retirement and Survivors Benefits
ISP5054-TTO Trinidad and Tobago/Canada Agreement - Application for Canadian Old Age, Retirement and Survivors Benefits
ISP5054-TUR Turkey/Canada Agreement - Application for Canadian Old Age, Retirement and Survivors Benefits
ISP5054-VCT Saint Vincent and the Grenadines/Canada Agreement - Application for Canadian Old Age, Retirement and Survivors Benefits
ISP5055-ATG Antigua and Barbuda/Canada Agreement - Application for CPP Child's Benefits
ISP5055-AUS Australia/Canada Agreement, Application for CPP Child's Benefits
ISP5055-BEL Belgium/Canada Agreement - Application for CPP Child's Benefits
ISP5055-BRB Barbados/Canada Agreement - Application for CPP Child's Benefits
ISP5055-CHE Switzerland/Canada Agreement - Application for CPP Child's Benefits
ISP5055-DMA Dominica/Canada Agreement – Application for CPP Child’s Benefits
ISP5055-FRA France/Canada Agreement - Application for CPP Child's Benefits
ISP5055-GRD Grenada/Canada Agreement - Application for CPP Child's Benefits
ISP5055-HUN Hungary/Canada Agreement - Application for CPP Child's Benefits
ISP5055-IRL Ireland/Canada Agreement - Application for CPP Child's Benefits
ISP5055-ISL Iceland/Canada Agreement – Application for CPP Child’s Benefits
ISP5055-JAM Jamaica/Canada Agreement - Application for CPP Child's Benefits
ISP5055-JRS/GNS Jersey, Guernsey/Canada Agreement - Application for CPP Child's Benefits
ISP5055-KNA St. Kitts and Nevis/Canada Agreement - Application for CPP Child's Benefits
ISP5055-LCA Saint Lucia/Canada Agreement - Application for CPP Child's Benefits
ISP5055-LUX Luxembourg/Canada Convention - Application for CPP Child's Benefits
ISP5055-MLT Malta/Canada Agreement - Application for CPP Child's Benefits
ISP5055-NZL New Zealand/Canada Agreement - Application for CPP Child's Benefits
ISP5055-PHI Philippines/Canada Agreement - Application for CPP Child's Benefits
ISP5055-TTO Trinidad and Tobago/Canada Agreement - Application for CPP Child's Benefits
ISP5055-TUR Turkey/Canada Agreement - Application for CPP Child's Benefits
ISP5055-VCT Saint Vincent and the Grenadines/Canada Agreement - Application for CPP Child's Benefits
ISP5300-ITA Italy/Canada Agreement - Application for Canadian Old Age, Retirement and Survivors Benefits
ISP5303-ITA Italy/Canada Agreement - Application for CPP Disability Benefits
ISP5308-ITA Italy/Canada Agreement - Application for CPP Child's Benefits
ISP5511-USA United States/Canada Agreement - Application for Canadian Benefits
ISP5900-DNK Denmark/Canada Agreement - Application for Canadian Benefits
ISP5910-DEU Germany/Canada Agreement – Application for Canadian Old Age, Retirement and Survivors Benefits
ISP5915-DEU Germany/Canada Agreement – Application for CPP Disability Benefits
ISP5916-DEU Germany/Canada Agreement – Application for CPP Child’s Benefits
ISP5950-NOR Norway/Canada Agreement - Application for Canadian Benefits
ISP5970-SWE Sweden/Canada Agreement - Application for Canadian Benefits
ISP5990-NLD Netherlands/Canada Agreement – Application for Canadian Old Age, Retirement and Survivors Benefits
ISP5993-NLD Netherlands/Canada Agreement – Application for CPP Disability Benefits
ISP5994-NLD Netherlands/Canada Agreement – Application for CPP Child’s Benefits
SE 401-05 F (OA) France/Canada Agreement - Application for a French Old Age Pension
SE 401-05 F (S) France/Canada Agreement - Application for a French Survivors' Pension
TUR/CAN 1 (OA/I) Turkey/Canada Agreement - Application for a Turkish Old Age and/or Invalidity Pension
TUR/CAN 1 (S) Turkey/Canada Agreement - Application for Turkish Survivor Benefits
 
Labour Standards and Workplace Equity
Number Title
LAB1044 Manager - Unjust Dismissal
LAB1045 Manager, Superintendent, or Exercising Management Functions - Hours of Work Exclusions
LAB1096 Permanent Full-Time Employees Terminated
LAB1099 Permanent Full-Time Employees Promoted
LAB1102 Permanent Full-Time Employees Hired
LAB1105 Salary Summary: Permanent Full-Time Employees
LAB1111 Occupational Groups: Permanent Full-time Employees
LAB1112 Schedule VI - Employment Equity: Employer Identification, Report Summary and Certification of Accuracy
LAB1168 Certificate of Commitment to Implement Employment Equity, Federal Contractors Program
 
National Homelessness Initiative
Number Title
EMP5328 Homelessness - Application for NHI Funding
EMP5338 Homelessness - Application for Community Entity Funding
 
New Horizons for Seniors Program
Number Title
ISP7000 New Horizons for Seniors Program Grant Application / Agreement
 
Occupational Health and Safety
Number Title
LAB1009 Employer's Annual Hazardous Occurrence Report (Canadian Occupational Safety and Health Regulations, Section 15.10)
LAB1010 Employer's Annual Hazardous Occurrence Report (Aviation Occupational Safety and Health Regulations, Subsection 9.7(2))
LAB1051 Preliminary Event Report
LAB1052 Notice to Employees Regarding the Application for Exemption at: (Workplace)
LAB1056 Assurance of Voluntary Compliance
LAB1058 Work Place Committee Report
LAB1059 Minutes - Safety & Health Committee
LAB1069 Refusal to Work Registration
LAB1070 Hazardous Occurrence Investigation Report (Canada Occupational Safety and Health Regulations, Section 15.8)
LAB1145 Employer's Annual Hazardous Occurrence Report (Marine Occupational Safety and Health Regulations, Subsection 14.7(2))
LAB1159 Validation of an Existing Safety and Health Committee, Application for
LAB1160 Exemption from Establishing a Safety and Health Committee, Application for
LAB1167 Employer's Annual Hazardous Occurrence Report (Trains Occupational Safety and Health Regulations, Subsection 11.8(2))
 
Old Age Security
Number Title
ISP1603OAS Consent to Communicate Information to a Representative
ISP3000 Old Age Security Pension, Application for the
ISP3004OAS Statutory Declaration of Common-law Union (dual signatures, CPP/OAS)
ISP3008 The Allowance, Application for
ISP3010 Consent to Deduction and Payment - Old Age Security
ISP3015 Authorization to Communicate Information, OAS
ISP3025 (2004-2005) Guaranteed Income Supplement or Statement of Income for the Allowance or Allowance for the Survivor July 2004 - June 2005 (for the income year 2003)
ISP3025 (2005-2006) Guaranteed Income Supplement or Statement of Income for the Allowance or Allowance for the Survivor July 2005 - June 2006 (for the income year 2004)
ISP3025 (2006-2007) Guaranteed Income Supplement or Statement of Income for the Allowance or Allowance for the Survivor July 2006 - June 2007 (for the income year 2005)
ISP3026 (2004-2005) Renewal of the Guaranteed Income Supplement or Statement of Income for the Allowance or Allowance for the Survivor - July 2004 - June 2005 (for the income year 2003)
ISP3026 (2005-2006) Renewal of the Guaranteed Income Supplement or Statement of Income for the Allowance or Allowance for the Survivor July 2005 - June 2006 (for the income year 2004)
ISP3026 (2006-2007) Renewal of the Guaranteed Income Supplement or Statement of Income for the Allowance or Allowance for the Survivor July 2006 - June 2007 (for the income year 2005)
ISP3104OAS Statutory Declaration of Common-law Union - Allowance for the Survivor (single signature, OAS/CPP)
ISP3505OAS Certificate of Incapability-OAS/CPP
ISP3506OAS Agreement to administer benefits under the Old Age Security Act and/or the Canada Pension Plan by a Private Trustee
ISP3507OAS Agreement to administer benefits under the Old Age Security Act and/or the Canada Pension Plan by an Agency or Institution
ISP3520OAS Income Tax Deductions, Request for
 
Social Insurance Number
Number Title
NAS2120 SIN / Replacement SIN Card, Application for
 
Youth
Number Title
EMP5219A Payment Claim or Advance and Activity Report
EMP5317 Participant Information Form
EMP5318 Participant Assessment Report
EMP5319 Activity Results Report


   
Last modified: 2006-03-23 top Important Notices