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and CONFIDENTIALITY will be maintained to the maximum extent possible. By completing this form/registration you are attesting that the information you submit is truthful, accurate and complete and that you will not use it to commit a crime. I am currently employed and it is my duty to complete the register/disclose information which I am compelled to do under the Employment Insurance Act, 1992. I have been employed for at least 31 days prior to the date I have signed this form. I do not intend to continue to be employed in the same or another industry during such year in which I have signed this form. Date I have not signed the form I am or have been employed in the same industry as the employer above to which I have not signed the form (This excludes students and non work based students). * * * I have already signed the form and am still employed. Will this be sufficient for me to be exempt from the tax? If the date of employment you have provided is the last day of employment and is over 31 days, you are only required to complete the form once at the office on the date of employment. The information that you provide at the office on the date of employment will be treated as being submitted on that date. If the date of employment you have provided is less than 31 days, then you must inform the employer that you are under 28 days of termination, or the tax withholds will not begin until 30 days after you have notified the employer of your resignation. This is in addition to the 28 day requirement. If you do not do this your registration for the period is not valid and therefore you are liable for an audit. If you need to lodge a request in relation to an earlier part of the period, such as the first 30 days, please consult the Notice to Business owners. This is mandatory information that you must give in order to lodge your tax returns. * * * I have just completed the online registration form and have signed it with the electronic signature. What should I do? Submit the online registration form only if the following requirements are met: It is for Employment Insurance purposes only. The form has already been completed at the office of the employer for the business to which you are applying. You are submitting for the purposes solely of this application. You are providing information for your employer, not for yours. You are not an employer of your own business or are not employed by another company of

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