Rural Summer Jobs Employer Claim Form 2012
Section 1: Employer Information
File Number ___________________
Employer/Legal Company name ___________________________________
Revenue Canada Number (Mandatory) _____________________________
Contact name (First and Last) ____________________________________
Business Phone number _________________________________________
Business fax number ____________________________________________
E-Mail address _________________________________________________
Section 2: Student Declaration - To be completed upon completion of work the term.
By signing below I am confirming that the number of hours worked listed is true and that I have submitted the Student Eligibility Checklist.
Section 3: Employer Declaration
I certify that the information regarding the number of hours worked is true and accurate and I further certify that all students have been paid at least the applicable minimum wage. I confirm that I am in compliance with the program criteria. I hereby consent to the collection and use of my business information by the Ministry of Training, Colleges and Universities and the Ministry of Agriculture, Food and Rural Affairs, for the purposes set out in the notice above.
NOTICE: Personal information collected on this form will be used by the Ministry of Training, Colleges and Universities and the Ministry of Agriculture, Food and Rural Affairs to administer the Rural Summer Jobs Service program. The personal information may also be used to contact you to assess client satisfaction. By completing and signing this form, you are consenting to the collection and use of your personal information. Questions about the collection of personal information may be addressed to the Ministry of Agriculture, Food and Rural Affairs, Summer Jobs Service Program Coordinator, 1 Stone Road West, Guelph, ON, N1G 4Y2 or at 1-888-588-4111.
For more information:
Toll Free: 1-877-424-1300
Local: (519) 826-4047