EMPLOYEE INFORMATION FORM CASUAL STAFF
This form is for use within Human Resources. Personal information collected on this form is confidential, and is used by Human Resources for the purpose of
setting up casual employment assignments. Please note that Human Resources may disclose this information to relevant stakeholders as required.
pers_info_form
Were you previously employed at Carleton?
YES NO
Banner ID/Carleton Student number:
Title:
Gender:
M F O U
Legal Last Name
First Name
Middle Name
Preferred First Name (if different from first name)
If Carleton Student:
Undergraduate Graduate Not Carleton Student
Citizenship:
Canadian
Permanent Resident
Temporary Resident SIN Expiry Date: YYYY-MM-DD Validated by HR:
If you are a temporary resident, fill in your SIN expiry date above and submit a copy of your work or study
permit with the completed package.
Date of Birth:
YYYY-MM-DD
Social Insurance
Number:
SSS-SSS-SSS
Unit #
Address Delivery Line: Box / Street / RR
City/Town
Province/State
Postal/Zip Code
Country
Email Address
Local Telephone (including area code)
Department Name
Supervisor Name
Type of Work to be Performed TA Work Study
Post. Doc. Sessional Lecturer Other
Carleton University policy states all employees are paid by direct deposit to a Canadian bank. Attach a void cheque or direct deposit authorization form with the
employee’s name on it.
Name and address information is shared by Payroll, Human Resources, Student & Development/Alumni Services through the use of the Banner Database.
The information supplied below will update any current name and address information in the Banner System and these updates will be utilized for any mailings from
the aforementioned units.
The above information is collected for the purpose of Payroll Processing and T4/A Reporting. If you have any questions about this form, please visit our FAQ
page (https://carleton.ca/hr/employee-faq/) or contact Human Resources at humanresources@carleton.ca.
Completed package includes:
Personal Information Form
TD1 Form (Federal Tax Form)
TD1-ON Form (Provincial Tax Form)
Confidentiality Agreement Form
Mandatory Training Form
VOID Cheque or signed Direct Deposit Advice with employee’s
name
Temporary residents must also submit:
Letter of Confirmation of Social Insurance Number (SIN)
Photocopy of valid immigration document indicating eligibility to
work (Work Permit or Study Permit)
Office Use:
Previously Set Up
Set Up/Updated Date
By (Initials)
Confirm TD1 completed
_________________
___________
PPAIDEN:
_________________
___________
PEAEMPL:
_________________
___________
GXADIRD:
_________________
___________
PDABDSU/PDADEDN:
_________________
___________
PEABARG:
_________________
___________
PEAREVW
_________________
___________
Banking Validated
_________________
___________
Package Validated
_________________
___________
Submit complete package to Human Resources at humanresources@carleton.ca or 507 Robertson Hall.
in accordance with this law.
information, please contact the Assistant Director, Infrastructure and Renewal (Human Resources). Carleton University is fully compliant with
FIPPA and
endeavours
at all times to treat your personal information
The information provided will not be used for any
purposes other than those stated upon this form unless the applicant provides express written consent. Should you have any questions concerning your personal
The personal information requested on this form is collected in accordance with Sections 38(2) and 41(1) of the Freedom of Information and Protection of Privacy Act (FIPPA), R.S.O. 1990, c.F.31 as amended.
2021-FEB-12