A-0700-AA (2010-04)
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Ministère de l’Immigration et des Communautés culturelles
LIVE-IN CAREGIVER EMPLOYMENT CONTRACT
EMPLOYER N° 1
LAST NAME
THE PARTIES AGREE AS FOLLOWS:
CONTRACT DURATION
1. This contract shall have a duration of __________ months from the date that the EMPLOYEE assumes her functions.
WORK PERMIT
2. Both parties agree that this employment contract is conditional upon the EMPLOYEE obtaining a work permit pursuant to the Immigration and Refugee
Protection Act and its Regulations, and her entry into Canada under the Live-in Caregiver Program.
EMPLOYEE’S PLACE OF WORK
Note : Under the Live-in Caregiver Program, only work done in Canada under a valid work permit is taken into account towards fulfillment of requirements
for obtaining permanent residence. Any work done outside Canada is not counted.
3. Will the EMPLOYEE work at the EMPLOYER’s residence in Canada as indicated above? Yes
No
If no, state where the EMPLOYEE will work (i.e., the residence in Canada of the person receiving care):
LIVE-IN CAREGIVER (EMPLOYEE)
ADDRESS
TELEPHONE (HOME)
E-MAIL
TELEPHONE (WORK)
N°
ST.
APT.
CITY
FIRST NAME
SEX
M
F
POSTAL CODE
FAX
EMPLOYER N° 2 (if any)
Note: Employer information must be provided for each person who will contribute to wages paid to the live-in caregiver or who may be called
upon to give her instructions.
LAST NAME
ADDRESS
TELEPHONE (HOME)
E-MAIL
TELEPHONE (WORK)
N°
ST.
APT.
CITY
FIRST NAME
SEX
M
F
POSTAL CODE
DATE OF BIRTH
YEAR
MONTH
DAY
LAST NAME
OTHER NAMES USED
FIRST NAME
SEX
M
F
IF THE PERSON IS LIVING ABROAD: HOME ADDRESS ABROAD
N°
CITY
ST.
APT.
POSTAL CODE
COUNTRY
FAX
RESIDENCE ADDRESS
TELEPHONE
N°
ST.
APT.
CITY
POSTAL CODE
IF THE PERSON IS LIVING IN QUÉBEC: MAILING ADDRESS IN QUÉBEC IF DIFFERENT FROM THAT OF THE EMPLOYER
TELEPHONE (HOME)
TELEPHONE (OTHER)
N°
ST.
APT.
CITY
POSTAL CODE
E-MAIL
DESCRIPTION OF THE RESIDENCE AND ITS OCCUPANTS (EMPLOYEE’S place of work)
JOB DESCRIPTION
4. Total number of rooms: __________
5. Total number of bedrooms: __________
6.
Identification of