Service Canada Forms


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Service Canada Forms


NumberGroupTitle
hrb5040VolunteerismCanada’s Volunteer Awards Program
EMP5663Employment and Social Development CanadaGrant Application for Funding – Enabling Accessibility Fund (EAF) - Youth Innovation Component
SC-EMP5686Employment and Social Development CanadaWEPP APPLICATION GUIDE FOR PAYMENT OF TRUSTEE FEES AND EXPENSES (For proceedings on or after November 20th, 2021)
EMP5691Employment and Social Development CanadaSigning Officers Form
EMP5725Employment and Social Development CanadaAccessible Canada - National AccessAbility Week Funding - 2025 and 2026
EMP5317Employment and Social Development CanadaYouth Employment and Skills Strategy Program – Participant Report (PR)
BOA5098AdministrationBoard Member with the Employment Insurance Board of Appeal Recommendation Form
EMP5318EmploymentParticipant Assessment Report
EMP5397EmploymentCanada Summer Jobs - Employer and Employee Declaration
EMP5523EmploymentApplication for Funding
EMP5538EmploymentForecast of Project Expenditures (FPE)
EMP5539EmploymentClaim Form
EMP5540EmploymentClaim Form
EMP5541EmploymentClaim Form
EMP5542EmploymentActivity Report
EMP5100EmploymentApplication for a Work-Sharing Agreement
EMP5101EmploymentWork-Sharing Unit Attachment
EMP5216EmploymentForecast of Cashflow
EMP5318AEmploymentParticipant Assessment Report
EMP5319EmploymentActivity Results Report
EMP5398EmploymentCanada Summer Jobs (CSJ) - Payment Claim and Activity Report
EMP5566EmploymentSigning Officers Form Grant Agreement
EMP5567EmploymentSigning Officers Form Contribution Agreement
EMP5571EmploymentConcept Paper Template
EMP5396AEmploymentCanada Summer Jobs Application / Agreement
EMP5623EmploymentSummer Work Experience (SWE) - Employer and Employee Declaration
EMP5671EmploymentStandard Grant Application for Funding
EMP5672EmploymentGrant Application for Funding – Supporting Black Canadian Communities (SBCC)
EMP5573EmploymentBUDGET DETAIL TEMPLATE - GRANT PROGRAMS 'SET B'
EMP5572EmploymentBUDGET DETAIL TEMPLATE - GRANT PROGRAMS 'Set A'
EMP5670EmploymentGrant Application for Funding – Enabling Accessibility Fund (EAF) – Small Projects Component
EMP5674EmploymentApply to volunteer on a technical committee
EMP5679EmploymentApplication for Funding - Supporting Black Canadian Communities (SBCC)
EMP5680EmploymentConcept Application Form: Reaching Home - Community Capacity and Innovation (CCI) Funding
EMP5681EmploymentApplication for Funding - Enabling Accessibility Fund for mid-sized projects
EMP5683EmploymentExpression of Interest Form
EMP5682EmploymentApplication for Funding
EMP5684EmploymentApplication for Funding - Early Learning and Child Care small projects component under the Enabling Accessibility Fund
EMP5689EmploymentDisposition of Capital Assets Form
EMP5688EmploymentCall for Concepts Application Form
EMP5687EmploymentExpression of Interest Form
ESDC-EMP5568EmploymentBudget Detail Template - Set A - Youth Employment and Skills Strategy and Opportunities Fund for Persons with Disabilities
EMP5696EmploymentBlack-led Philanthropic Endowment Fund
EMP5717EmploymentApplication for Funding - Youth Employment and Skills Strategy (YESS) program
EMP5716EmploymentOpportunities Fund for Persons with Disabilities – Participant Information Form
EMP5724EmploymentSigning Officers Form - New Horizons for Seniors Program (NHSP)
EMP5616EmploymentCanada Summer Jobs - Employee Consent Form
EMP5728EmploymentSocial Finance Fund: Fonds de finance sociale - CAP Finance Activity Report
EMP5729EmploymentSocial Finance Fund: Conditionally Repayable Contributions Activity Report
EMP5730EmploymentSocial Finance Fund: Non-Repayable Contributions Activity Report
EMP5731EmploymentSocial Finance Fund: Boann Social Impact L.P. Conditionally Repayable Contributions Forecast of Project Expenditures
EMP5732EmploymentSocial Finance Fund: Realize Capital Partners Investco Inc. Conditionally Repayable Contributions Forecast of Project Expenditures
EMP5733EmploymentSocial Finance Fund: Non-repayable Contributions Forecast of Project Expenditures
EMP5734EmploymentSocial Finance Fund: CAP Finance Forecast of Project Expenditures
EMP5737EmploymentSocial Finance Fund: Boann Social Impact L.P. Conditionally Repayable Contributions Claim Form
EMP5736EmploymentSocial Finance Fund: Non-repayable Contributions Claim Form
EMP5735EmploymentSocial Finance Fund: Fonds de finance sociale - CAP Finance Claim Form
EMP5739EmploymentSustainable Development Goals (SDG) Funding Program: Contributions Stream Progress Results Report
EMP5738EmploymentSocial Finance Fund: Realize Capital Partners Investco Inc.’s Conditionally Repayable Contributions Claim Form
EMP5740EmploymentSustainable Development Goals (SDG) Funding Program Projects funded from the 2023 Call for Proposals Grant Stream - Progress Results Report
ESDC-NHSP0004New Horizons for Seniors ProgramNew Horizons for Seniors Program - Regional Committee Application Form
NAS5050Direct Deposit - Grants and ContributionsGrants and Contributions Direct Deposit Request Form
INS5240Employment InsuranceJob Search Form
INS2882Employment InsuranceRequest for Payment of Benefit on Behalf of a Deceased Person
INS2987Employment InsuranceApplication to Antedate Claim for Benefit
INS3124Employment InsuranceConsent to Disclosure and/or Use of Personal Information
INS3141Employment InsuranceTraining Course Information
INS3164Employment InsuranceFarm Questionnaire
INS3166Employment InsuranceRequest for Record of Employment
INS3280Employment InsuranceAppointment of Representative
INS3366Employment InsuranceRights and Responsibilities - Employment Insurance and You - A Shared Responsibility
INS3977Employment InsuranceEmployment Questionnaire
INS5108Employment InsuranceAvailability for Work
INS5109Employment InsuranceQuit (Voluntary separation from employment)
INS5110Employment InsuranceFired (Dismissed)
INS5140Employment InsuranceMedical Certificate for Employment Insurance Sickness Benefits
INS5168Employment InsuranceMaternity and/or Parental benefits Annex 3
INS5178Employment InsuranceDirect Deposit Application for Unemployment/Employment Benefits
INS5205Employment InsuranceAfter You Apply For Worksharing Benefits
INS5210Employment InsuranceRequest for Reconsideration of an Employment Insurance (EI) decision
INS5217Employment InsuranceAnnex 5 - Compassionate Care Benefits
INS5223Employment InsuranceFamily Member Attestation for Employment Insurance Family Caregiver Benefits or Compassionate Care Benefits
INS5234Employment InsuranceTeachers Questionnaire
INS5237Employment InsuranceNon-Availability Questionnaire
INS5238Employment InsuranceROE WEB Client Employer Consent Form
INS5241Employment InsuranceClaimant Attestation - Highest Weeks of Insurable Earnings (Variable Best Weeks)
INS5245Employment InsuranceFamily Relationship with your Employer
INS5216BEmployment InsuranceMedical Certificate for Employment Insurance Compassionate Care Benefits
INS5242BEmployment InsuranceMedical Certificate for Employment Insurance Family Caregiver Benefits
INS5247Employment InsuranceINTERSTATE USA EMPLOYMENT AUTHORIZATION QUESTIONNAIRE
INS5246Employment InsuranceCONSENT TO RELEASE INFORMATION
INS5248Employment InsuranceLABOUR DISPUTE QUESTIONNAIRE
INS5249Employment InsuranceREIMBURSEMENT AGREEMENT
INS5257Employment InsuranceAuthorization to Release Medical Information for Employment Insurance Compassionate Care or Family Caregiver Benefits
INS5216AEmployment InsuranceAuthorization to release a medical certificate for Compassionate Care benefits
INS5242AEmployment InsuranceAuthorization to release a medical certificate for Family caregiver benefits
LAB1204LabourComplaint form - Genetic Testing
LAB1073LabourAttending Physician's Report of Accident
LAB1210LabourEmployment statement required under the Canada Labour Code, Part III
LAB1179Dispute ResolutionNotice of Dispute and Request for Conciliation Assistance under the Canada Labour Code, Part 1, Section 71, (R.S.C., 1985, c. L-2)
LAB1182Dispute ResolutionRequest for the appointment of an arbitrator under the Canada Labour Code, Part I, Section 57(4), (R.S.C., 1985, c. L-2)
LAB1071Injury CompensationMerchant Seamen Compensation Act - Surgeon's Final Report
LAB1072Injury CompensationMerchant Seamen Compensation Act - Surgeon's Report of Death
LAB1075Injury CompensationSupervisor's Report of Accident
LAB1076Injury CompensationInmate's Application for Compensation
LAB1077Injury CompensationAnimal - Related Accident Questionnaire
LAB1079Injury CompensationAssault - Related Incident Questionnaire
LAB1080Injury CompensationVehicle - Related Accident Questionnaire
LAB1082Injury CompensationLoss of Income Form
LAB1085Injury CompensationMerchant Seaman Compensation Act - Report of Accident and Claim
LAB1086Injury CompensationMerchant Seaman Compensation Act - Statement of Employer - Fatal Case
LAB1087Injury CompensationMerchant Seamen Compensation Act - Claim - Dependant
LAB1088Injury CompensationMerchant Seamen Compensation Act - Surgeon's First Report
LAB1155Injury CompensationProduct Liability Related Accident Questionnaire
LAB1185Injury CompensationiNICS Subscriber Enrollment Form
LAB1192Injury CompensationElection to Claim Under the Government Employees Compensation Act (GECA) – Rights Against the Third Party
LAB1078Injury CompensationProperty - Related Accident Questionnaire
LAB1191Injury CompensationThird Party Claim - What you need to know
EMP5596Workplace EquityConcept Paper Template
LAB1198Workplace EquityForm 1 - Employer Identification, Report Summary and Certificate of Accuracy (Employment Equity Forms 2021)
LAB1199AWorkplace EquityForm 2A – Occupational Groups: Permanent Full-Time Employees (Employment Equity Forms 2021)
LAB1199BWorkplace EquityForm 2B – Occupational Groups: Permanent Part-Time Employees (Employment Equity Forms 2021)
LAB1199CWorkplace EquityForm 2C – Occupational Groups: Temporary Employees (Employment Equity Forms 2021)
LAB1199DWorkplace EquityForm 2D – Occupational Groups: Permanent Full-time Employees (Employment Equity Forms 2021)
LAB1199EWorkplace EquityForm 2E – Occupational Groups: Permanent Part-Time Employees (Employment Equity Forms 2021)
LAB1199FWorkplace EquityForm 2F – Occupational Groups: Temporary Employees (Employment Equity Forms 2021)
LAB1199GWorkplace EquityForm 2G – Occupational Groups: All Employees (Employment Equity Forms 2021)
LAB1202AWorkplace EquityForm 5A – Employees Promoted: Permanent Full-Time (Employment Equity Forms 2021)
LAB1202BWorkplace EquityForm 5B – Employees Promoted: Permanent Part-Time (Employment Equity Forms 2021)
LAB1203AWorkplace EquityForm 6A – Employees Terminated: Permanent Full-time (Employment Equity Forms 2021)
LAB1203BWorkplace EquityForm 6B - Employees Terminated: Permanent Part-time (Employment Equity Forms 2021)
LAB1200AWorkplace EquityForm 3A – Salary Summary: Permanent Full-Time Employees (Employment Equity Forms 2021)
LAB1200BWorkplace EquityForm 3B – Salary Summary: Permanent Part-time Employees (Employment Equity Forms 2021)
LAB1201AWorkplace EquityForm 4A – Employees Hired: Permanent Full-time (Employment Equity Forms 2021
LAB1201BWorkplace EquityForm 4B – Employees Hired: Permanent Part-Time (Employment Equity Forms 2021)
LAB1200CWorkplace EquityForm 3C – Salary Summary: Temporary Employees (Employment Equity Forms 2021)
LAB1207Workplace EquityAuthorization Form to Access the Workplace Equity Information Management System (WEIMS)
LAB1208Workplace EquityNarrative Report
LAB1215Workplace EquityAgreement to Implement Employment Equity
LAB1183Labour StandardsRequest for a Review of a Rejected Complaint
LAB1186Labour StandardsApplication for Permit – Hours in Excess of Maximum hours of work
LAB1188Labour StandardsComplaint Form - Monetary and Non-monetary, Road Transport (Trucking)
LAB1189Labour StandardsComplaint Form – Monetary and Non-Monetary
LAB1190Labour StandardsComplaint Form - Unjust Dismissal
LAB1196Labour StandardsReport to the Head of Compliance and Enforcement Pursuant to Subsection 176(5) of the Canada Labour Code, Part III
ESDC-LAB1197Labour StandardsNotice to the Head of Compliance and Enforcement of a group termination of employment and request for waiver under the Canada Labour Code, part III
LAB1205Labour StandardsStudent Internship Agreement as per Section 3 of the Standards for Work Integrated Learning Activities Regulation
LAB1214Labour StandardsStatement of Benefits on Termination required under the Canada Labour Code, Part III
LAB1009Occupational Health and SafetyEMPLOYER'S ANNUAL HAZARDOUS OCCURRENCE REPORT (EAHOR) (Regular/Offboard)
LAB1058Occupational Health and SafetyWork Place Committee Report
LAB1060Occupational Health and SafetyComplaint Registration - Occupational Health and Safety
LAB1069Occupational Health and SafetyRefusal to Work Registration
LAB1070Occupational Health and SafetyHazardous Occurrence Investigation Report (Canada Occupational Safety and Health Regulations, Section 15.8)
LAB1159Occupational Health and SafetyValidation of an Existing Safety and Health Committee, Application for
LAB1184Occupational Health and SafetyWorkplace Investigation Reports on Refusal to Work
LAB1195Occupational Health and SafetyEMPLOYER’S ANNUAL HAZARDOUS OCCURRENCE REPORT (EAHOR) (Onboard)
LAB1206Occupational Health and SafetyEMPLOYER'S ANNUAL HARASSMENT AND VIOLENCE OCCURRENCE REPORT (EAHVOR)
EMP5452Wage Earner Protection ProgramWEPP - Consent to Communicate information to an Authorized Person
EMP5453Wage Earner Protection ProgramWEPP - Appointment of Representative
EMP5456Wage Earner Protection ProgramWage Earner Protection Program (WEPP) - Request for Review by Minister
EMP5692Government of CanadaAge Well at Home – Scaling Up
GC-EMP5676EmploymentInterim Report: Accessibility Standards Canada (ASC)
GC-EMP5675.xdpEmploymentFinal Report: Accessibility Standards Canada (ASC)
ESDC-HRB5072EmploymentOath or solemn affirmation
NAS2120Social Insurance NumberApplication for a Social Insurance Number
EMP5632Service Canada (SC)APPLICATION FOR THE CANADIAN BENEFIT FOR PARENTS OF YOUNG VICTIMS OF CRIME GRANT
CDB0003Canada Disability BenefitCanada Disability Benefit - Consent to Communicate Information to an Authorized Person
CDB0004Canada Disability BenefitApplication for the Canada Disability Benefit
CDB0005Canada Disability BenefitCanada Disability Benefit Legal representative Application
CDB0001Canada Disability BenefitRequest for Direct Deposit for the Canada Disability Benefit
CDB0006Canada Disability BenefitRequest for Reconsideration of the Canada Disability Benefit Decision
CDB0007Canada Disability BenefitRequest for Payment on Behalf of a Deceased Beneficiary
NAS2919Government AnnuitiesDesignation / Change of Beneficiary
NAS2920Government AnnuitiesDesignation / Revocation of Beneficiary
EMP5618Employment ProgramsConsultation on Planned Accessibility Legislation - National Youth Forum
EMP5617Employment ProgramsCompensation for Employers of Reservists Program Grant Application Package
EMP5633Employment ProgramsCANADIAN BENEFIT FOR PARENT OF YOUNG VICTIMS OF CRIME INCIDENT REPORT FORM
EMP5634Employment ProgramsCanadian Benefit for Parent of Young Victims of Crime - Consent to Release Personal Information to a Designated Individual
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