Form T2200 E - Declaration Of Conditions Of Employment printable pdf download

Protected B

DECLARATION OF CONDITIONS OF EMPLOYMENT

when completed

The employer must complete this form for the employee to deduct employment expenses from his or her income.

The employee does not have to file this form with his or her return, but must keep it in case we ask to see it. For details about claiming employment expenses,

see Guide T4044, Employment Expenses, or interpretation bulletins IT-352, Employee's Expenses, Including Work Space in Home Expenses, and IT-522,

Vehicle,Travel and Sales Expenses of Employees.

Part A – Employee information (please print)

Last name

First name

Tax year

Social insurance number

Home address

Business address

Job title and brief description of duties

Part B – Conditions of employment

Yes

1. Did this employee's contract require him or her to pay his or her own expenses while carrying out the duties of employment? . . . .

Answer "yes" even if you provide an allowance or a reimbursement in respect of some or all such expenses.

If no, the employee is not entitled to claim employment expenses, and you are not required to answer any of the other questions.

2. Did you normally require this employee to travel to locations that were not your place of business or between

Yes

different locations of your places of business, during the course of performing his or her employment duties? . . . . . . . . . . . . . . .

If yes, what was the employee's area of travel (be specific)?

3. Did you require this employee to be away for at least 12 consecutive hours from the municipality and metropolitan

Yes

area (if there is one) of your business where the employee normally reported for work?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If yes, how frequently?

Year

Month

Day

Year

Month

Day

4. Indicate the period(s) of employment during the year:

From

If there was a break in employment, specify dates:

Yes

5. Did this employee receive or was he or she entitled to receive a motor vehicle allowance? . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If yes, indicate:

• the amount received as a fixed allowance, such as a flat monthly allowance . . . . . . . . $

• the per km rate used

($/km), and the amount received . . . . . . . . . . . . $

• the amount of the allowance that was included on the employee's T4 slip

. . . . . . . . . $

Yes

Did this employee have the use of a company vehicle? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

Was the employee responsible for any of the expenses incurred for the company vehicle? . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If yes, indicate the amount and type of expenses:

Amount

Type of expense

Yes

6. Did you require this employee to pay for expenses for which he or she did or will receive a reimbursement? . . . . . . . . . . . . . . .

If yes, indicate the amount and type of expenses that were:

Amount

Type of expense

Included on T4 slip

Yes