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Forms: Employment Standards

  • Content last reviewed: October 2014

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Employment Standards Claim [ Form #: MOL-ES-0002 ]
This form is used to recover money and benefits from an employer.

EPFNA (Foreign National Live-In Caregivers Claim) [ Form #: MOL-ES-016 ]
This form is used to file a claim under the Employment Protection for Foreign Nationals Act (Live-in Caregivers and Others), 2009 (EPFNA) .

Hours of Work and Averaging Hours [ Form # MOL-ES-001 ]
This form is used by employers if they want an employee to work more than 48 hours a week or they want to average an employee's hours of work for overtime pay purposes.

Medical Certificate to Support Entitlement to Family Caregiver Leave, Family Medical Leave, and/or Critically Ill Child Care LeavePDF [197 Kb]
This is a form that employees may wish to provide to a qualified health practitioner to fill out, in order to support their eligibility to take one of these leaves.

Notice of Settlement [ Form # MOL-ES-047F / # MOL-ES-048F ]
These forms are used to notify the Ministry of Labour that an employment standards claim has been settled by a claimant and an employer.

Notice of Termination
This form is used by employers when 50 or more employees are terminated at an employer's establishment within a four-week period. This is often referred to as mass termination.