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Employer Registration Form for the TWF Web ... - Service Canada

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Employer Registration Form for the TWF Web ... - Service Canada Powered By Docstoc
					            Human Resources and                     Ressources humaines et                                                                  Please Print
            Skills Development Canada               Développement des compétences Canada                                  PROTECTED WHEN COMPLETED - B



                  Employer Registration Form for the Temporary Foreign Worker Web Service

Personal Information Collection Statement

The information you provide on this application form is collected by Human Resources and Skills Development Canada (HRSDC) under the authority of the
Immigration and Refugee Protection Act (IRPA) and Immigration and Refugee Protection Regulations (IRPR) for the purpose of registering with the Temporary
Foreign Worker (TFW) Web Service. Completion is voluntary; however, failure to complete this form will result in your registration not being processed.

The information you provide, when included in a request for a labour market opinion (LMO), may be shared with Citizenship and Immigration Canada (CIC) for
the administration and enforcement of the IRPA and IRPR as permitted by the Department of Human Resources and Skills Development Act (DHRSD Act), and
may be accessed by the Canada Border Services Agency (CBSA) for the purpose of issuing work permits at ports of entry. HRSDC may also provide
information to CBSA in order for that agency to investigate and enforce the IRPA and IRPR in relation to an LMO.

The information may also be shared with provincial/territorial governments for the purpose of administration and enforcement of provincial/territorial legislation,
including employment standards and occupational health and safety legislation, as permitted by the DHRSD Act. The information may also be used by HRSDC
for policy analysis, research, and/or evaluation in relation to the entry and hiring of foreign workers to Canada or the IRPA.

The information you provide is administered under Part 4 of the DHRSD Act and the Privacy Act. You have the right to access and request correction of your
personal information, which is described in Personal Information Bank PPU 440 of Info Source. Instructions for making formal requests are outlined in the Info
Source publication available online at: infosource.gc.ca.


                                                                  EMPLOYER INFORMATION

1. Canada Revenue Agency Business Number               2. Are you incorporated?               3. Legal Name
                                                              Yes            No

4. Web site address                                                                                                     5. Business start date (YYYY-MM-DD)


6. Main business activity




7. Would you like to be considered for the accelerated labour market opinion (A-LMO) Initiative?

      Yes              No


                                                          FIRST OFFICE LOCATION INFORMATION

8. Office name


Mailing address
9. Number and street                                                                                                        10. City


11. Province                                                                        12. Postal code           13. Telephone number (Area Code)


Business address (if different from mailing address)
14. Number and street                                                                                                       15. City


16. Province                                                                                                                17. Postal code


NOTE: To register other office locations operating under the same CRA business number and where temporary foreign workers will be hired,
complete the “Appendix - Additional Employer Office Locations”.


                                                                  Aussi disponible en français



HRSDC EMP5536 (2012-03-001) E                                              Page 1 of 4
                                                             USERS CONTACT INFORMATION
System user roles description

Administrator role allows the system user to:
  -oversee the employer’s account activity
  -modify the employer’s profile information
The administrator cannot complete or submit LMO applications to Service Canada.

Primary representative role allows the system user to:
  -complete and submit LMO applications to Service Canada
  -assign secondary representatives, as needed

You must identify users for both the administrator and primary representative roles. If both roles are not assigned to the same person, complete also questions
25 to 32.
18. System user role number 1                                                   19. If you are already registered to the TFW Web Service, provide your current
                                                                                User ID
                     Administrator       Primary representative
                     Both
20. System user name number 1                                                   21. Job title
Family name       Given name            Middle name


22. Telephone number (Area code)                                                23. Fax number (Area code)


24. Email address                                                               25. Preferred language of correspondence
                                                                                                        English              French

26. System user role number 2                                                   27. If you are registered to the TWF Web Services, provide your current
                     Administrator       Primary representative                 User ID

                     Both

28. System user name number 2                                                   29. Job title
Family name       Given name            Middle name


30. Telephone number (Area code)                                                31. Fax number (Area code)


32. Email address                                                               33. Preferred language of correspondence
                                                                                                         English           French

                                                             SIGNATURE OF ADMINISTRATOR
         I am the administrator of this company’s account. I have read and understand the Personal Information Collection Statement found at the
         beginning of this application. I declare that the information provided in this application is true and accurate.



         Signature of administrator                                                 Printed name of administrator



         Job title                                                                  Date (YYYY-MM-DD)

                                                       SIGNATURE OF PRIMARY REPRESENTATIVE
         NOTE: If you are both the administrator and the primary representative of this company’s account, you must also complete and sign this
         section.

         I am the primary representative of this company’s account. I have read and understand the Personal Information Collection Statement
         found at the beginning of this application. I declare that the information provided in this application is true and accurate.


         Signature of primary representative                                        Printed name of primary representative




         Job title                                                                  Date (YYYY-MM-DD)

                                                             INFORMATION FOR EMPLOYERS
                                Send this completed registration form by mail or fax to the nearest Service Canada Centre
                        For the list of the appropriate centres, please consult the Temporary Foreign Worker Program Web site at:
                                               hrsdc.gc.ca/eng/workplaceskills/foreign_workers/listhrcc.shtml

HRSDC EMP5536 (2012-03-001) E                                            Page 2 of 4
                                             Appendix - Additional Employer Office Locations
Complete this appendix to register additional office locations operating under the same CRA business number and where temporary foreign workers will be
hired. These locations must have the same system users as those in the first location. You may print copies of this appendix, if required.

                                                                   OFFICE LOCATION
1. Office name

Mailing address
2. Number and street                                                                              3. City


4. Province                                                                5. Postal Code         6. Telephone number (Area code)

Business address (if different from mailing address)
7. Number and street                                                                              8. City


9. Province                                                                10. Postal Code


                                                                   OFFICE LOCATION
1. Office name

Mailing address
2. Number and street                                                                              3. City


4. Province                                                                5. Postal Code         6. Telephone number (Area code)

Business address (if different from mailing address)
7. Number and street                                                                              8. City


9. Province                                                                10. Postal Code


                                                                   OFFICE LOCATION
1. Office name

Mailing address
2. Number and street                                                                              3. City


4. Province                                                                5. Postal Code         6. Telephone number (Area code)

Business address (if different from mailing address)
7. Number and street                                                                              8. City


9. Province                                                                10. Postal Code


                                                                   OFFICE LOCATION
1. Office name

Mailing address
2. Number and street                                                                              3. City


4. Province                                                                5. Postal Code         6. Telephone number (Area code)

Business address (if different from mailing address)
7. Number and street                                                                              8. City


9. Province                                                                10. Postal Code




HRSDC EMP5536 (2012-03-001) E                                          Page 3 of 4
Instruction Sheet to complete the Employer Registration Form for the TFW Web Service

Employer Information
   1. Canada Revenue Agency (CRA) Business Number: Provide the first 9 digits of your CRA business number.
   2. Are you incorporated? Indicate whether your company is incorporated or not.
   3. Legal name: Provide your employer legal business name.
   4. Web site address: Provide your company’s Web site address.
   5. Business start date (YYYY-MM-DD): Provide the date when your business started using the format (Year-Month-Day).
   6. Main business activity: Describe the principal business activity of your company.
   7. Would you like to be considered for the accelerated labour market opinion (A-LMO)? Indicate if you would like to be considered for the A-LMO Pilot
      Project, which applies at the present time to higher skilled occupations (excluding the film and entertainment-related occupations). For more information
      on the A-LMO Pilot Project, visit the Temporary Foreign Worker Program Web site at:
      hrsdc.gc.ca/en/workplaceskills/foreign_workers/index.shtml



First Office Location Information
   8. Office name: Provide your employer business name.
   Mailing address: Provide the complete mailing address of your company.
   9. Number and street: Provide the number and street where your company is located.
   10. City: Provide the city or town in which your company is located.
   11. Province: Provide the province in which your company is located.
   12. Postal code: Provide the postal code of your company.
   13. Telephone Number: Provide the telephone number at which your company can be reached during business hours.
   Business address (if different from mailing address): Provide the complete physical address of your company.
   14. Number and street: Provide the number and street of your company’s physical address.
   15. City: Provide the city or town of your company’s physical address.
   16. Province: Provide the province of your company’s physical address.
   17. Postal code: Provide the postal code of your company’s physical address.


User Contact Information
   18. System user role #1 - Administrator, Primary Representative or Both: Select your account representative role.
   19. If you are already a registered to the TFW Web Service, provide your current User ID: Indicate your current user ID, if you are already registered.
   20. System user name #1 (Family name – Given name – Middle name): Provide your full name, as per official documents (e.g., birth certificate,
       citizenship ID, driver’s license)
   21. Job title: Provide your job title.
   22. Telephone number: Provide your telephone number at work.
   23. Fax number: Indicate your fax number for sending information or correspondence, if applicable.
   24. Email address: Provide an email address where you can be reached, if applicable.
   25. Preferred language of correspondence: Indicate the official language to be used in correspondence with you
       (English or French)


Signature of Administrator
As the administrator of the company’s account, you must sign the employer registration form for the TFW Web Service. You also have to print your name and
write the date.


Signature of Primary Representative

As the primary representative of the company’s account, you must sign the employer registration form for the TFW Web Service. You also have to print your
name and write the date.

Note: If you are the administrator and the primary representative of your company’s account, your signature is also required for section:
SIGNATURE OF ADMINISTRATOR.


Information for Employers
Once completed and signed, mail or fax this registration form to the nearest Service Canada Centre.




HRSDC EMP5536 (2012-03-001) E                                            Page 4 of 4

				
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