This document is an employee information form for Q4. It collects an employee's personal details like name, address, phone numbers, banking information, emergency contact, and date of birth. The employee confirms the accuracy of the provided information and signs and dates the form. HR then adds employment details like position, department, salary, benefits, and tax exemptions. The personal information will be kept private by Q4 and only disclosed as required by law.

1. Q4 Employee Information Form
Employee Information PLEASE PRINT:
Last Name: Mailing address (incl. postal code):
First Name:
Preferred Name:
Date of Birth: Home Phone:
SIN: Mobile Phone:
Gender:  Female  Male Private e-mail:
Emergency Contact: (Please up-date future changes)
Name: Relationship:
Emergency Number: Alternate Number:
Banking Information: (Please attach a Voided Cheque)
Bank Name:
Bank No (3 digits): Branch No/Transit No/Routing No (5 Account No (7 or 11 digits):
digits):
Full Bank Address:
The personal information you provided in this form will be held by Q4 for the purpose of fulfilling local employment law obligations and employee management.
Your personal information will be held by Q4 and not communicated to anyone outside the company without your permission, except as may be required to
comply with applicable laws. I hereby confirm that the information I provided in this form is correct:
Date Employee Signature
Position Title: Career Job Date of hire:
Level: Code:
To be completed by HR
Department: Cost Centre: Annual Base Salary:
Manager: Other: Annual Variable:
Benefits: Annual Vacation:
□ Entered into SL:
TD-1 Basic Exemption:
TD1-ON Basic Exemption: