EMPLOYER FORM

COMPANY DETAILS

Company Name:

Company Address:

Company Telephone:

Website:

Date Business Started:

CRA Number:

Business Activity:

Business Legitimacy Documentation to accommodate pathway options, business legitimacy must be validated by providing the following documentation. You may be asked to provide proof of these documents in the future. Select any/ all to confirm your business legitimacy.

T2 Schedule 100 Balance sheet information

T2 Schedule 125 Income statement information

T2042 Statement (If Farming activity related)

T3010 Registered charity information return

T4 or payroll records for a minimum of 6 weeks prior to the submission of this LMIA application

An attestation confirming that your business is in good financial standing and will be able to meet all financial obligations to any temporary foreign worker you hire for the entire duration of their employment

Number of Employees:

Number of Foreign Workers

Are you a member of any organization?

How did you hear about us?

AUTHORIZED COMPANY REPRESENTATIVE’S DETAIL

Contact Name:

Telephone Number:

Email Address:

JOB REQUIREMENTS
Please visit the government of Canada National Occupation Classification (NOC) reference page to determine which Job Title that best represents NOC CODE

Job Title:

Expect Start Date:

Number of Positions Available:

Working Hours:

Base Salary:

Shift Work: Please Outline

Job Address Line:

Main Duties:

AUTHORIZED COMPANY REPRESENTATIVE’S DETAIL

Education/Skills Requirements

Special Licensing Required

Experience Required to Perform Job

Expected Worker Qualities

BENEFITS

Another benefits worker is eligible for:

LANGUAGE SKILLS

BACKGROUND

Please provide any additional information you feel necessary

IN CONSIDERATION OF the matters described above and of the mutual benefits and obligations set forth in this Agreement.

I hereby declare that the above made statements are true to the best of my knowledge and belief, and that I understand it is made for use as evidence in court and is subject to penalty for perjury.

Your Signature

EMPLOYER FORM

COMPANY DETAILS

AUTHORIZED COMPANY REPRESENTATIVE’S DETAIL

JOB REQUIREMENTS Please visit the government of Canada National Occupation Classification (NOC) reference page to determine which Job Title that best represents NOC CODE

AUTHORIZED COMPANY REPRESENTATIVE’S DETAIL

BENEFITS

LANGUAGE SKILLS

BACKGROUND

JOB REQUIREMENTS
Please visit the government of Canada National Occupation Classification (NOC) reference page to determine which Job Title that best represents NOC CODE