Form Esdc Emp5604 E PDF Details

The ESDC EMP5604 E form, a critical document initiated by Employment and Emploi et Social Development Canada, serves as a comprehensive employment contract specifically designed for in-home caregivers and their employers. This template is meticulously tailored to ensure that all caregiver employer/employee agreements thoroughly cover essential information and clauses to allow the ESDC/CIC to evaluate the likely impact of the employment on Canada's labor market. By including detailed sections that cover every aspect from personal and employment information of both the employer and the employee, job description, work location, contract duration, requirements for a valid work permit, to specifics on work schedules, wages, recruitment fees, accommodation provisions, and transportation costs, this form aims at fostering a transparent, fair, and mutually beneficial working relationship between caregivers and their employers. These provisions ensure that the employment standards not only meet but also exceed provincial or territorial labor laws, thereby safeguarding the rights and interests of both parties involved. In doing so, the form plays a pivotal role in regulating the in-home caregiver employment sector, ensuring that it contributes positively to the Canadian labor market while also providing protection and clear guidelines for employers and employees alike.

QuestionAnswer
Form NameForm Esdc Emp5604 E
Form Length7 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 45 sec
Other namescanada caregiver pdf, emp5604 fillable form, sample filled lmia application form, esdc emp 5604

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Employment and

Emploi et

Social Development Canada

Développement social Canada

PROTECTED WHEN COMPLETED - B

IN-HOME CAREGIVER EMPLOYER/EMPLOYEE CONTRACT

All information and clauses set out in this employment contract template must be addressed if applicable in all Caregiver Employer/Employee contracts to enable ESDC/CIC to assess whether the employment is likely to have a neutral or positive effect on the labour market in Canada.

EMPLOYER #1

Last name:

 

Given name(s):

 

 

 

Relationship with the person(s) receiving care:

Street address:

City:Province/Territory:

Postal Code:

 

Telephone (home):

 

Telephone (work):

 

 

 

 

 

Email:

EMPLOYER #2 (if applicable)

EMPLOYER information must be provided for each person who will contribute to wages paid to the EMPLOYEE or will provide instruction to the EMPLOYEE.

Last name:

 

Given name(s):

 

 

 

Relationship with the person(s) receiving care:

Street address:

City:Province/Territory:

Postal Code:

 

Telephone (home):

 

Telephone (work):

 

 

 

 

 

Email:

EMPLOYEE - Job Offer of Employment - Caregiver

Note: provide employee's current address, i.e. address abroad if foreign worker is still living abroad or in-Canada address.

Last name:

 

 

 

 

Given name(s):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of birth (YYYY/MM/DD):

 

 

Street address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

Province/Territory:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country:

 

 

 

 

 

 

 

 

Postal Code:

 

 

 

 

 

 

 

 

 

 

Telephone (home):

 

 

 

 

Telephone (work):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Email:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ESDC EMP5604 (2014-11-001) E

Page 1 of 7

1. EMPLOYEE'S PLACE OF WORK

Will the EMPLOYEE work at EMPLOYER's residence in Canada as indicated above?

Yes

No

If no, provide the details of where the EMPLOYEE will work:

Street address:

City:Province/Territory:

Postal Code:

 

Telephone (home):

 

Telephone (work):

 

 

 

 

 

Email:

Description of the house and the household where care will be provided

Total number of rooms:

 

Total number of bedrooms:

 

 

 

Details of all household members (ALL adults and minors residing in the house):

Surname

Given name(s)

Age

1.

2.

3.

4.

5.

If more space is required, add an annex to this contract and cross-reference.

The PARTIES agree as follows:

2. Duration of contract

This contract shall have a duration of

 

months from the date the EMPLOYEE assumes his/her functions.

Anticipated start date

3. Work permit

Both parties agree that this contract is conditional upon the EMPLOYEE obtaining a valid work permit pursuant to the Immigration and Refugee Protection Act and its Regulations, and his/her successfull entry into Canada.

ESDC EMP5604 (2014-11-001) E

Page 2 of 7

4. Job description

The EMPLOYEE agrees to provide services as a caregiver in the home of the person requiring care.

Details of person(s) requiring care:

 

 

 

Type of care

Last Name

Given name

Age

(child, elderly person or a person with a

 

 

 

disability, chronic or terminal illness)

 

 

 

 

1.

 

 

 

 

 

 

 

2.

 

 

 

 

 

 

 

3.

 

 

 

 

 

 

 

4.

 

 

 

 

 

 

 

5.

 

 

 

 

 

 

 

If more space is required, add an annex to this contract and cross-reference.

Describe care responsibilities/duties (specify if there will be meal preparation, shopping, driving, housekeeping, pet care, etc.):

5. Work schedule and wages

The parties agree to abide by provincial/territorial labour/employment standards regarding wages and leave.

1.

The EMPLOYEE shall work

 

hours per week.

 

 

 

 

 

 

 

 

2.

The EMPLOYEE's workday shall begin at

and end at

, or if the schedule varies by day, specify work

 

hours:

 

 

 

 

 

 

3.

The EMPLOYEE shall be entitled to

 

minutes for each paid or unpaid meal break.

 

 

 

 

 

 

 

 

 

number of paid

or unpaid

 

 

 

 

minutes.

4.

The EMPLOYEE shall be entitled to

 

health breaks of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

The EMPLOYEE shall be entitled to

 

 

day(s) off per week, on

 

 

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.

The EMPLOYEE shall be entitled to

 

 

days of paid vacation per year. The schedule shall be confirmed by the

 

EMPLOYER and the EMPLOYEE at least

 

 

weeks in advance of the proposed date.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7.

The EMPLOYEE shall be entitled to

 

 

days of paid

or unpaid

sick leave per year.

 

 

 

8. The EMPLOYEE shall be entitled to all applicable provincial, territorial and national statutory and public holidays with pay.

ESDC EMP5604 (2014-11-001) E

Page 3 of 7

9.The EMPLOYER agrees to pay the EMPLOYEE for his/her work by cheque or alternate means if mutually agreed and with documentation and receipts, the gross wages before deductions in the amount of:

$

 

per hour worked. Equivalent to $

 

per week.

 

 

 

 

 

10. The EMPLOYER agrees to pay the wages on the following basis:

 

 

weekly

 

bi-weekly

 

monthly.

 

11. The EMPLOYER agrees to pay the EMPLOYEE for the overtime hours of

(e.g. 1.5 X regular rate) after

(e.g. after 44 hours a week).

12.The EMPLOYER agrees to review and adjust the EMPLOYEE's wages at least once a year to ensure they meet or exceed the prevailing wage rate for the occupation in the region where the EMPLOYEE shall be employed.

13.The EMPLOYER and EMPLOYEE will indicate wage increases by amending no. 9 of this section of the contract in writing, and with all EMPLOYER and EMPLOYEE signatures and the date of the amendment.

14.The EMPLOYER agrees to pay taxes and submit all deductions payable as prescribed by law (including, but not limited to, employment insurance, income tax, Canada Pension Plan or Quebec Pension Plan).

NOTE: Employers are reminded that overtime hourly rates may vary, for example, depending on the day of the week or for national statutory or public holidays.

6. Recruitment Fees

The EMPLOYER shall not recoup from the EMPLOYEE, through payroll deductions or any other means, the fees they have paid to a third party recruiter or recruitment agency, or their authorized representative(s) for services related to hiring and retaining the EMPLOYEE.

NOTE: Should the EMPLOYER’S third party recruiter or recruitment agency, or their authorized representative(s) charge the EMPLOYEE for any recruitment fees, the EMPLOYER must reimburse the EMPLOYEE in full for any such costs disclosed with proof by the EMPLOYEE.

7.Accommodation

In the case the EMPLOYEE does not reside in the EMPLOYER's home, the EMPLOYER agrees to ensure that affordable and suitable accommodation is available for the EMPLOYEE (applies to lower-skilled occupations only).

The EMPLOYER

will /

will not provide the EMPLOYEE with accommodation (Mark X beside appropriate box)

1.In the case where the EMPLOYEE resides in the EMPLOYER's home the EMPLOYER agrees to provide the EMPLOYEE with meals, where applicable, and an adequate, properly heated and ventilated room AT NO COST. The door of the room shall be equipped with a lock and a safety bolt from within the room and the EMPLOYEE will be provided with the corresponding key.

2.The EMPLOYER shall provide the EMPLOYEE with independent access to the residence (for example, house keys, security code) where the EMPLOYEE resides.

ESDC EMP5604 (2014-11-001) E

Page 4 of 7

except for long-distance calls if applicable

3. The EMPLOYER agrees to provide the employee with (check if applicable):

Private Bathroom

Telephone access (no charge)

Radio (in his/her room)

Television (in his/her room)

Internet access (no charge)

Other, specify:

Description of EMPLOYEE's room and furnishings:

8. Transportation costs - THIS SECTION IS NOT APPLICABLE TO HIGHER-SKILLED OCCUPATIONS

Use the appropriate clause according to the situation. Strike out the clause which does not apply.

1.In the situation where the caregiver resides abroad:

The EMPLOYER agrees to pay the EMPLOYEE's transportation costs for the round trip travel from his/her country of permanent residence or of current residence to the place of work in Canada, namely from

 

to

(country of permanent residence or of current residence)

 

(place of work in Canada).

It is the EMPLOYER's obligation and responsibility to pay for the transportation costs and they cannot be passed on to the foreign worker (for example, the EMPLOYEE must not pay the transportation on behalf of the employer to be reimbursed at a later date). Under no circumstances are transportation costs recoverable from the EMPLOYEE.

OR

2. In the situation where the caregiver resides in Canada:

If the EMPLOYEE is currently in Canada, the EMPLOYER agrees to pay the costs of transporting the EMPLOYEE from his/her current Canadian address to the new place of work in Canada, namely from

 

and

(current Canadian address)

(new place of work in Canada).

The EMPLOYER also agrees to pay for the return transportation cost of the EMPLOYEE to his/her country of permanent residence. It is the EMPLOYER's obligation and responsibility to pay for the transportation cost and it cannot be passed on to the foreign worker (for example, the EMPLOYEE must not pay the transportation on behalf of the employer to be reimbursed at a later date). Under no circumstances are transportation costs recoverable from the EMPLOYEE.

NOTE: Transportation costs include the purchase of tickets for a caregiver to travel by plane, train, boat or bus from his/ her country of permanent residence or of current residence to the location of work in Canada. If caregiver is already in Canada, transportation costs include the worker's travel to the new location of work. The mode of transportation must have the least negative impact on the caregiver in terms of travel time, expenses and inconvenience. Travel costs do not include for example, hotels, meals and miscellaneous expenses during the worker's travel to Canada or the new place of work in Canada.

ESDC EMP5604 (2014-11-001) E

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3.If there is a termination of the employer-employee relationship and the EMPLOYEE is hired by a NEW EMPLOYER who has a neutral or positive Labour Market Impact Assessment (LMIA) under the Lower-skilled Occupation Stream, the EMPLOYEE shall release the ORIGINAL EMPLOYER with the obligation of his/her return transportation cost to his/her country of permanent residence. The NEW EMPLOYER is responsible for the EMPLOYEE's transportation costs to the new location of work in Canada and back to the EMPLOYEE 's country of permanent residence. The EMPLOYER is obliged to and responsible for paying the transportation costs (i.e. the ORIGINAL EMPLOYER pays incoming transportation costs and the NEW EMPLOYER pays for the return transportation costs to the country of permanent residence). These costs cannot be passed on to the EMPLOYEE (i.e. EMPLOYEE pays for his/her own transportation on behalf of the EMPLOYER and is reimbursed at a later date). Under no circumstances are transportation costs recoverable from foreign workers.

NOTE: Temporary foreign workers who change jobs must ensure that their work permits are modified accordingly and EMPLOYERS who hire temporary foreign workers already in Canada must apply to ESDC/Service Canada for an LMIA and obtain a neutral or positive opinion.

9.Health care insurance - THIS SECTION IS NOT APPLICABLE TO HIGHER-SKILLED OCCUPATIONS

1.The EMPLOYER agrees to provide health care insurance of similar coverage to that of the public provincial/territorial health insurance plan at no cost to the EMPLOYEE until such time as the EMPLOYEE is eligible for applicable provincial/territorial health insurance.

2.The employer agrees not to deduct money from the EMPLOYEE's wages for this purpose.

10.Workplace safety insurance (called Worker's Compensation) - THIS SECTION IS NOT APPLICABLE TO HIGHER-SKILLED OCCUPATIONS

1.The EMPLOYER agrees to register the EMPLOYEE under the relevant provincial/territorial government insurance plan or its equivalent (for free, on-the-job injury or illness insurance).

2.The EMPLOYER agrees not to deduct money from the EMPLOYEE's wages for this purpose.

11.Notice of resignation

Should he/she wish to terminate the present contract, the EMPLOYEE agrees to give the EMPLOYER written notice thereof at

least weeks in advance. The parties agree to abide by provincial/territorial labour/employment standards regarding written notice of resignation.

It is recommended that a copy of the relevant portions of provincial/territorial labour standards be attached as an appendix.)

12. Notice of termination of employment

The EMPLOYER must give written notice before terminating the contract of the EMPLOYEE. This notice shall be given at least weeks in advance. The parties agree to abide by provincial/territorial labour/employment standards regarding written

notice of termination of employment.

It is recommended that a copy of the relevant portions of provincial/territorial labour standards be attached as an appendix.)

ESDC EMP5604 (2014-11-001) E

Page 6 of 7

SIGNATURE OF ALL EMPLOYERS

I have read and accepted all the terms and conditions stipulated in the present contract.

I declare that the information I have given in this employment contract is truthful, complete and correct and that I will abide by the terms and conditions outlined therein.

I will abide by the employment and labour standards in the province/territory where the EMPLOYEE resides.

I will provide a Record of Employment on termination of employment.

I agree to maintain complete records of employment, including any additional or overtime hours worked and to provide the employee with accurate records reflecting their employment, salary and allowable deductions on their behalf.

EMPLOYER #1:

 

 

 

 

Given name (print):

Surname (print):

 

 

 

 

 

 

 

 

 

EMPLOYER'S Signature:

Date (YYYY/MM/DD):

 

 

 

 

 

 

 

 

EMPLOYER #2 (if applicable):

 

 

 

 

Given name (print):

Surname (print):

 

 

 

 

 

 

 

EMPLOYER #2 Signature:

Date (YYYY/MM/DD):

 

 

 

 

 

 

 

 

 

Add above information and signature of all EMPLOYERS listed on this employment contract.

SIGNATURE OF EMPLOYEE

I have read and accepted all the terms and conditions stipulated in the present contract.

I declare that the information I have given in this employment contract is truthful, complete and correct and I will abide by the terms and conditions outlined therein.

I will abide by the terms and conditions of this employment contract and the employment and labour standards in my province/ territory of residence.

Given name (print):

Surname (print):

 

 

 

 

 

 

 

EMPLOYEE'S Signature:

Date (YYYY/MM/DD):

 

 

 

 

 

 

 

ESDC EMP5604 (2014-11-001) E

Page 7 of 7

How to Edit Form Esdc Emp5604 E Online for Free

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With regards to the fields of this precise form, here's what you should know:

1. While submitting the emp5604 fillable form, be sure to include all of the important blank fields in their corresponding form section. This will help to hasten the process, allowing your information to be processed promptly and accurately.

esdc emp5604 form completion process shown (portion 1)

2. Just after this section is filled out, go to type in the applicable details in these - Postal Code, Telephone home, Telephone work, Email, EMPLOYEE Job Offer of Employment, Note provide employees current, Last name, Given names, Date of birth YYYYMMDD, Street address, City, Country, Telephone home, Email, and ProvinceTerritory.

Telephone home, Country, and Date of birth YYYYMMDD inside esdc emp5604 form

3. In this particular step, look at Will the EMPLOYEE work at, Yes, If no provide the details of where, Street address, City, ProvinceTerritory, Postal Code, Telephone home, Telephone work, Email, Description of the house and the, Total number of rooms, Total number of bedrooms, Details of all household members, and Surname. These should be taken care of with highest attention to detail.

Email, Will the EMPLOYEE work at, and ProvinceTerritory inside esdc emp5604 form

4. The subsequent part needs your involvement in the subsequent parts: If more space is required add an, The PARTIES agree as follows, Duration of contract, This contract shall have a, months from the date the EMPLOYEE, Anticipated start date, Work permit, and Both parties agree that this. Make sure that you fill in all of the needed information to move forward.

Filling out part 4 in esdc emp5604 form

5. This document has to be completed by going through this segment. Here there's an extensive list of form fields that need appropriate information for your form submission to be complete: disability chronic or terminal, If more space is required add an, and Describe care.

Stage no. 5 in filling in esdc emp5604 form

Those who work with this form frequently make some mistakes while completing If more space is required add an in this section. Be certain to go over everything you enter here.

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