6. Did the employee receive an allowance or a reimbursement for expenses? ....................................................................... Yes No
If yes, enter the amounts received by the employee and the portion of these amounts included in box A
of the employee’s RL-1 slip:
Portion included in
Allowance Reimbursement box A of the RL-1 slip
(a) Motor-vehicle expenses: $ $ $
(b) Travel expenses: $ $ $
(c) Other expenses. Specify: $ $ $
7. Was the employee entitled to be reimbursed for expenses related to office rent, the salary or wages of an assistant
or substitute, or supplies used directly in the performance of his or her duties? ............................................................... Yes No
If you paid amounts related to such expenses, provide the following information:
(a) Type of expenses paid:
(b) Amount of expenses paid: $
(c) Portion of this amount included in box A of the employee’s RL-1 slip: $
3.3 Motor-vehicle expenses and travel expenses
8. Was the employee required to perform some or all of his or her duties away from your place of business,
or at various locations? ................................................................................................................................................. Yes No
If yes, provide the following information:
(a) Percentage of work hours spent at your place of business: %
(b) Percentage of work hours spent at customers’ premises or on the road: %
(c) Percentage of work hours spent at the employee’s home: %
9. Did the employee’s duties require the employee to spend at least 12 consecutive hours away from the municipality or
metropolitan area where your place of business (to which the employee ordinarily reported for work) is located? ............. Yes No
If yes, where was the employee required to perform his or her duties?
10. Was the employee required to supply a motor vehicle? ................................................................................................... Yes No
11. Under the employment contract, was the employee required to incur travel or motor-vehicle expenses? ........................... Yes No
If yes, provide particulars:
3.4 Cost of supplies, expenses related to an office in the home and other expenses
12. Under the employment contract, was the employee required to purchase supplies used directly in carrying out his
or her duties? ............................................................................................................................................................... Yes No
If yes, provide particulars:
13. Under the employment contract, was the employee required to pay salary or wages to an assistant or substitute? ............. Yes No
14. Did the employee have an office at your place of business? ............................................................................................. Yes No
15. Under the employment contract, was the employee required to maintain an office outside your place of business? ............ Yes No
If yes, and if the employee maintained the office in his or her home, check the appropriate box or boxes.
The employee performed his or her duties primarily (more than 50%) at that office.
The employee used that office exclusively to earn employment income, and to meet clients
or other people on a regular and ongoing basis in the normal course of his or her duties.
16. Under the employment contract, was the employee required to incur other expenses not mentioned in this form? ........ Yes No
If yes, provide particulars:
3.5 Expenses of a sharesman
17. If the employee is a sharesman or a sharesman’s helper, was he or she required under the employment contract to incur
or contribute to certain expenses? ................................................................................................................................. Yes No
If yes, provide particulars:
TP-64.3-V (2020-10)
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