The Template Roe Form – Canada is offered in multiple formats, including PDF, Word, and Google Docs. Each version is both customizable and ready for printing, ensuring they cater to your requirements seamlessly.
Template Roe Form Pdf – Canada Editable – PrintableSample
1. Employee Information 2. Employer Information 3. Employment Period 4. Total Insurable Earnings 5. Number of Insurable Hours Worked 6. Reason for Issuance of ROE 7. Comments 8. Certification
PDF
WORD
Examples
[Employer’s Name]
[Employer’s Address]
[Employer’s Contact Number]
[Employer’s Email]
[Employee’s Name]
[Employee’s Address]
[Employee’s Phone]
[Employee’s Email]
This Roe Form (“Form”) is used to report an employee’s work history and earnings to Service Canada, aiding in the application for Employment Insurance (EI) benefits.
The employee’s full name, Social Insurance Number (SIN), and employment status must be accurately filled in this section.
Provide the start and end dates of the employment, the total number of insurable hours worked, and the reason for issuing the ROE.
Report the total earnings, including regular wages, severance pay, and any additional compensation during the employment period.
Indicate the date when the ROE was issued to the employee.
The employer must sign and date the form to certify the accuracy of the information provided above. Any discrepancies may lead to complications in EI benefits for the employee.
[Employer’s Signature]
[Employer’s Name]
[Position/Title]
[Company Name]
[Company Address]
[Company Phone]
[Company Email]
[Individual’s Name]
[Individual’s Address]
[Individual’s Phone]
[Individual’s Email]
This ROE is essential for an employee to claim Employment Insurance (EI) benefits after leaving their job. It outlines the work history, earnings, and reason for cessation.
Ensure that the employee’s SIN is correct to avoid issues with Service Canada.
Detail the exact dates of employment, specifying if both full-time and part-time durations are included.
Calculate total insurable earnings from all pay periods within the reporting timeframe, accounting for any bonuses or commissions.
Select a reason from the available options, such as layoff, resignation, or dismissal, providing additional details as necessary.
A declaration must be completed, confirming the integrity of the information outlined on the form.
[Signature of Employer]
[Name of Employer]
[Job Title]
Printable
