Jobs Csj Report 2022-2026

Parental Insurance MERCs sub total 15 Overhead costs Overhead sub total 17 Grand total boxes 13 15 17 18 Less advance 19 Total 20 EDSC EMP5398 2022-04-011 E Page 1 of 2 CANADA SUMMER JOBS CSJ ACTIVITY REPORT 21 Have all CSJ employee s received all information concerning health and safety standards and regulations regarding their work environment and if necessary safety equipment required for their job Please explain 22 Briefly describe the duties performed by the participant s during their CSJ work experience. Employment and Social Development Canada Emploi et D veloppement social Canada Protected when completed- B Canada Summer Jobs CSJ Payment Claim and Activity Report CSJ Project number Period covered by this claim inclusive period of participants working Start Date YYYY-MM-DD Is the address shown below different from that last reported by you Yes Is this your final claim No If yes please also complete the Activity Report on page 2 of this form. Was a participant with a disability hired for any CSJ position s If yes please indicate the job title and employee name. Job title TYPE End Date YYYY-MM-DD Name Organization common name as used on application for funding City/town Province/territory Name of contact person Area code - telephone number Postal code Wage costs Employee name Col 1 Col 2 No* of Total hours Period of work Period of work weeks per per Hourly rate paid to Start Date End Date participant participant Col 3 Col 4 Col 5 Col 6 Col 7 Claimed for this period to nearest dollar Type 4 Col 9 Sub Total Hourly rate of ESDC Funding approved per Col 8 Amount For not-for-profit organization only mandatory employment related costs MERCs E*I. premiums C. P. P. /Q*P. P. contributions Vacation pay Health or education tax if applicable Worker s compensation or liability insurance if applicable Others eg. If 4 or more youth were employed at your organization include the additional participants on a separate form. Participant s name Supervisor s name Duties performed 23 How many of your CSJ-funded employees did you retain as paid employees following the end of your CSJ agreement Employer Questionnaire It is mandatory to have completed the employer questionnaire prior to submitting your final claim* Please provide the tracking number you received after completing your CSJ Employer Questionnaire. Recipient employer Certification I certify that the information is true and correct to the best of my knowledge and claimed in accordance with the agreement and I am authorized to sign on behalf of the employer. NOTE The information provided in this application will be administered in accordance with the Privacy Act and the Access to Information Act. Signature Area Code/Telephone No* for enquiries Print Name and Position Additional signature when required. Job title TYPE End Date YYYY-MM-DD Name Organization common name as used on application for funding City/town Province/territory Name of contact person Area code - telephone number Postal code Wage costs Employee name Col 1 Col 2 No* of Total hours Period of work Period of work weeks per per Hourly rate paid to Start Date End Date participant participant Col 3 Col 4 Col 5 Col 6 Col 7 Claimed for this period to nearest dollar Type 4 Col 9 Sub Total Hourly rate of ESDC Funding approved per Col 8 Amount For not-for-profit organization only mandatory employment related costs MERCs E*I. premiums C. P. P. /Q*P. P. contributions Vacation pay Health or education tax if applicable Worker s compensation or liability insurance if applicable Others eg.