Employee Information + Photo 2023

Employee Information

Please fill out your information below.
Personal Information

Please complete all fields below
Name (Legal Name)*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

City Province

Postal CodeCountry
Social Insurance Number*
Phone Number*

Area CodePhone Number
E-mail*
Birth Date*

MonthDayYear
Emergency Contact information
Emergency Contact #1*

First NameLast Name
Phone Number*

Area CodePhone Number
Emergency Contact #2*

First NameLast Name
Phone Number*

Area CodePhone Number
We require a photo for your personnel file and payroll software! Please upload a clear, simple photograph of you that will make it easy to identify you (no sunglasses or filters please!). *

Browse Files

Cancelof
Should be Empty:

Employee Information