EMPLOYMENT PROGRAM OF BRITISH COLUMBIA WAGE
The Employment Program of British Columbia is funded by
the Government of Canada and the Province of British Columbia
EMPLOYMENT PROGRAM OF BRITISH COLUMBIA
WAGE SUBSIDY PLACEMENT INCENTIVE
Page 1 of 2
is contracted by the Province of British Columbia to provide services to clients of
the Employment Program of British Columbia.
Service Provider use only
(Employment Services Centre staff are available to help you complete this form)
Section 1: BUSINESS PROFILE
CRA Business Number
City / Town
Have you ever participated in the Wage Subsidy
Service or Targeted Wage Subsidy program?
If "Yes", when?
With which service provider?
Type of Sector
Type of Organization
No. of Years
Size of Organization
(number of employees)
Briefly describe your organization and the types of workers you employ by occupation type:
Has your organization recently experienced any lay-offs?
Will the subsidy result in the displacement of existing employees or volunteers?
Is there a labour stoppage or labour - management dispute in progress?
Is there Union concurrence (if applicable)?
Does your organization have 3rd Party liability coverage?
Do you have WSBC coverage? If 'yes' please provide number
Legal Signing Officers
How many signatures (according to your letter patent or other incorporation documents) are required to bind your organization into a legal agreement?
What combination of signatures below (according to your letters patent or other incorporation documents) are required to bind your organization into a legal agreement?
Please provide name, title and specimen signature for the person(s) authorized to sign:
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