If you know your employer’s legal name, write it on the form. The employer’s legal name may be on your pay cheque, pay stub, or T4 slip. The employer’s legal name may be different from the name it operates as. For example, the employer’s legal name might be 123456 Ontario Inc. and operate as John Smith & Sons.
If you do not know the employer’s legal name, write down what you know about the employer / business name. If you do not know any business name, please write “don’t know”.
If this employer operates using any other name(s), please provide these names.
Some employers will have a legal and a business or operating name. See explanation above. Please write the employer’s operating name or business name here if it is different from the legal name. If you know the employer or business has different name(s), write them in this section.
Please describe the type of work this business does. For example, "Fast Food," or "Computer sales."
The Ontario government uses business numbers as easy way to identify employers. This number is in reference to your employer's Canada Revenue Agency Business Number. You can find this number on your Record of Employment (ROE). This number will help us check the identity of the business you are claiming has violated your employment standards rights. If you know this number, please write it on the form.
Note: If your employer is bankrupt or in receivership, and your employment has been terminated, please consult the federal government’s Wage Earners' Protection Program website www.servicecanada.gc.ca/eng/sc/wepp/index.shtml for more information on money you may be entitled to receive.
Please put the employer’s head office, main office, or headquarters location here.
Put a check mark (✓) in the "I don’t know my employer's address" box if you don’t know your employer's address.
Write the address where you performed your job if it is different from the employer’s head office, main office, headquarters, or address provided above. See examples provided above.
If the location where you work(ed) is the same as your employer’s address, put a check mark (✓) in the "Same as above" box.
If you know the email address of your employer, please write it on the form.
If you know the website of your employer, please write the website address on the form. For example, “www.example.com.”
If you know the name and position of the person you reported to at work, please write it on the form.
If you know your employer’s telephone number, please write it on the form.
If you know your employer's fax number, please write it on the form.
This information is provided as a public service. Although we endeavour to ensure that the information is as current and accurate as possible, errors do occasionally occur. Therefore, we cannot guarantee the accuracy of the information. Readers should, where possible, verify the information before acting on it.
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