Form T2200 E - Declaration Of Conditions Of Employment (Page 2 of 2) in pdf

Protected B

when completed

Yes

8. Did you pay this employee wholly or partly by commission according to the volume of sales made or contracts negotiated? . . . . .

If yes, indicate the commissions paid ($

) and the type of goods sold or contracts negotiated (

Is there a business development account or other similar commission income account available from

Yes

which the employee's employment expenses are paid or reimbursed? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If yes, is the commission income from this account included in box 14 of the T4 slip? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

9. Did this employee's contract of employment require him or her to:

Yes

• rent an office away from your place of business?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

• employ a substitute or assistant? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

• pay for supplies that the employee used directly in his or her work?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

• pay for the use of a cell phone?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

Did you or will you reimburse this employee for any of these expenses? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If yes, indicate the type of expense and amount you did or will reimburse:

Included on T4 slip

Amount

Type of expense

Yes

10. Did this employee's contract of employment require him or her to use a portion of his or her home for work? . . . . . . . . . . . . . . .

If yes, approximately what percentage of the employee's duties of employment were performed at their home office?

Yes

Did you or will you reimburse this employee for any of his or her home office expenses? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If yes, indicate the type of expense and amount you did or will reimburse:

Amount

Type of expense

Included on T4 slip

Yes

11. Did this employee work for you as a tradesperson? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If yes, did you require this employee, as a condition of employment, to purchase and provide tools

Yes

that were used directly in his or her work? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If yes, do all of the tools itemized on the list provided to you by the employee satisfy this condition? . . . . . . . . . . . . . . . . . . . . .

Please sign and date the list.

Yes

12. Did this employee work for you as an apprentice mechanic? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If yes, was this employee registered in a program established under the laws of Canada or of a province or territory

Yes

that leads to a designation under those laws as a mechanic licensed to repair self-propelled motorized vehicles? . . . . . . . . . . . .

Did you require this apprentice mechanic, as a condition of employment, to purchase and provide tools that were used

Yes

directly in his or her work? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If yes, are all of the tools itemized on the list provided to you by the employee used in connection with the employee's work for

Yes

you as an apprentice mechanic in the program described in this question? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Please sign and date the list.

Yes

13. Did this employee work for you in forestry operations? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

Did this employee, as a condition of employment, have to provide a power saw (including a chain saw or tree trimmer)? . . . . . . .

Employer declaration

I certify that the information provided on this form is, to the best of my knowledge, correct and complete.

Name of employer (print)

Name and title of authorized person (print)

ext.

Date

Telephone number

Signature of employer or authorized person

Note: Please clearly print the name and telephone number of the authorized person in case we need to call to verify information.

See the privacy notice on your return.