Casual New Hire Request Form This form is to be used ONLY for employees who meet one or more of the following criteria:

• Appointments lasting less than 3 months; Employed on an intermittent basis; No regularly scheduled hours of work; Employed under an arrangement where they may elect to work or not when requested to do so.

Casual Employees are paid on the bi-weekly payroll. Information on how to pay casual employees can be found on the HR website

Employee ID (if known): UW student ID number (if applicable):

EMPLOYEE INFORMATION (to be completed by Employee)

First name: Initial(s): Last name:

Social Insurance Number (SIN): 9 digits

Date of birth:

(MM/DD/YYYY)

SIN expiry date (if begins

with ‘9’):

(MM/DD/YYYY)

Permanent address: (for T4 purposes – Department address not accepted):

Street:

City:

Province: Country:

Gender: Male Female Postal code: E-mail:

Are you currently employed at UW: Yes No If Yes, please list position: Current position: Department: Date(s):

POSITION INFORMATION (to be completed by Hiring Manager)

Position title: Department: Org unit (4 digits): Work location:

Start date: (MM/DD/YYYY) End date*:(MM/DD/YYYY) Hourly rate:

* Note: If the expected end date is not known, leave the end date blank.The hiring department should submit a Notice of Termination to HR once employment has ended.

Additional payment types: • Vacation pay: 4% vacation pay will be paid in each pay period: If time off is approved by the department it will be unpaid.

Departments are responsible for submitting Public Holiday Pay as outlined in the Employment Standards Act.

APPROVALS/AUTHORIZATIONS

Hiring manager:

Print name Signature Date Phone extension

This document is deemed to include all the terms and conditions relating to my employment with the University, notwithstanding any other written or oral representations which may have been made to me. I accept this appointment and the above terms subject to Human Resources approval. I agree to the conditions of employment and policies and procedures at the University of Waterloo as they exist now or as they may be changed from time to time (If I am not a Canadian citizen my signature indicates that I am eligible to work under current Canadian Immigration law).

Employee:

Print name Signature Date

Please send this completed form along with a Personal Information Form (including a Void Cheque) and the Federal and Provincial TD1 Tax Forms to EC1.

Questions or concerns? Email hrhelp@uwaterloo.ca.

Human Resources Use Only: Initials: Date entered: Distribution: Original to Human Resources; 1 copy to Employee; 1 copy to Department HRAD-FR-004 Rev. 2 August 2017

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