![]() Under the provisions of the Privacy Act, individuals have the right to protection of, and access to, their personal information. For Employment Benefits, services and training, this may include the provision of information to your province/territory for the administration of the Labour Market Development Agreements or to third party service providers. The information will be retained in "Personal Information Bank(s) "ESDC-PPU-150", "Insurance Claim File-Local Office" and/or "ESDC-PPU-293", "Employment Benefits and Support Measures" and will be used and disclosed in accordance with the conditions listed therein. Completion is voluntary however failure to complete this form will result in you not being considered for the aforementioned benefits. The information you provide is collected under the authority of the Employment Insurance Act (1996) to determine your eligibility for Unemployment Benefits (including Family Supplement) Employment Benefits, employment services and training. If we need more information to process your report, you’ll receive a message at the end of your report asking you to call us. If you stay on a page for more than 10 minutes, you’ll be disconnected. The Internet Reporting Service is simple, fast, convenient and secure. You can submit your reports by Internet or by telephone. You need this code and your social insurance number (SIN) to submit your reports. This statement included a 4-digit access code. When you applied for benefits, Service Canada mailed you a benefit statement. Next report due on: Insert date Download the Employment Insurance reporting calendar Earnings: Insert total earnings for work week 2.Hours: Insert total hours for work week 2.Hours and earnings for the week of: Insert work week 2 Earnings: Insert total earnings for work week 1.Hours: Insert total hours for work week 1. ![]()
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