Date: __________________________________________
Expected Start Date: _____________________________
International Cinematographers Guild
Local 669
217-3823 Henning Drive, Burnaby, BC, V5C 6P3
Phone: 778-330-1669 Fax: 778-330-1670
Email: camera@icg669.com
PRODUCTION COMPANY INFORMATION (to be completed by the production company)
EMPLOYEE INFORMATION (to be completed by the employee/dependent contractor)
Please check one: ☐ Employee
IN THE EVENT OF AN EMERGENCY, PLEASE NOTIFY:
DURATION OF EMPLOYMENT (to be completed by the employer & employee/dependent contractor)
Daily Employee OR Weekly Employee
(Guarantee of 60 weekly working hours (70 pay hours) must be paid)
Initial the appropriate box:
EMPLOYMENT PROVISIONS (to be completed by the employee/dependent contractor)
Guaranteed Hours (if any)
Please indicate dollar amount
Guaranteed Hours / Days / Special Provisions
Nothing contained in this deal memorandum shall provide for lesser rates, terms and conditions, nor otherwise violate the
Collective Agreement entered into by ICG 669 and the Company. This contract is null and void, at the option of the employee or
dependent contractor, if a collective agreement is not entered into between ICG 669 and the Production Company prior to the
expected start date for the employee or dependent contractor.
Agreed:
____________________________________ ____________________________________
Employee/Dependent Contractor Signature Employer Representative Signature
R
evised Aug. 8, 2019
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