Fillable Service Canada Worksharing Utilization Report (Government of Canada)

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Service Canada Worksharing Utilization Report (Government of Canada)

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The Service Canada Worksharing Utilization Report (Government of Canada) form is 1 page long and contains:

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Country of origin: CANADA
File type: PDF

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Service
Canada
Worksharing Utilization Report
If Hours Worked are 0, Please complete
Week starting date (Sunday)
Agreement Number:
Employer:
This column is
no longer in
use
SIN# First Name Last Name
Normal
Weekly
Hours
Hours
Worked
Days not
available
(excluding
sick)
Days missed due
to sick
Paid sick
leave
amount
All other
paid
amounts
Hours
Missed
Work-
sharing
Comments
% of Utilization
I am aware that the information I provide is subject to verification. If I provide information or make a representation of declaration that I know is false or misleading, a penalty may be imposed. I declare that the
informtion given by me on this form is true to the best of my knowledge.
Certified By:
Phone Number:
Position
Date:
Totals
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Service Canada Worksharing Utilization Report (Government of Canada)

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Completed 6 June 2021

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