Offer of Employment: Home Child Care Provider or Home Support Worker (IMM 5983)
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Offer of Employment: Home Child Care Provider or Home Support Worker [IMM 5983] (PDF, 2.2 MB)
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Offer of Employment Form – Home Child Care Provider and Home Support Worker Pilots (IMM 5983)
The form is to be completed by:
- the employer, and
- the employee
Note: Your employer must complete and sign this form and send you a copy to include with your application package. You must read and sign the declaration at the bottom of the form.
Section 1: Hiring a Caregiver
To be completed by the employer
Select which type of caregiver you are hiring:
- Home Child Care Provider – NOC 44100 (NOC 2021) or NOC 4411 (NOC 2016) (excluding foster parents)
- Home Support Worker – NOC 44101 (NOC 2021) or NOC 4412 (NOC 2016) (excluding housekeeping work)
If you applied before November 2022
On November 16, 2022, we switched to the 2021 version of the National Occupational Classification (NOC).
If you submitted an application before November 16, 2022, your job offer or qualifying work experience will still be assessed as per the NOC 2016 requirements.
- Home child care provider – NOC 4411 was replaced with NOC 44100
- Home support worker – NOC 4412 was replaced with NOC 44101
Section 2: Employer Information
To be completed by the employer
Write the information required in each field.
Annual Income disclosure on this form is optional. If you do not provide it in this form, an officer may request it from you during processing.
Section 3: Employee Information
To be completed by the employee
Write the information required in each field.
Section 4: Residential Work Location
To be completed by the employer
- Select “yes” or “no” to tell us if the employee will be working from your residence.
- If you select “no”, tell us the details of where the employee will work
Section 5: Duration of Contract
To be completed by the employer
- Tell us how long the contract is with the employee.
- Tell us the anticipated start date of the employee.
Section 6: Job Description
To be completed by the employer
- Tell us the employee’s job title.
- List the daily duties and description of the employee’s responsibilities as a caregiver.
- Tell us the employee’s minimum experience or skill requirements.
- Tell us the details of the person(s) the employee agrees to provide services as a caregiver.
Section 7: Work Schedule and Wages
To be completed by the employer
Answer each question.
Section 8: Benefits
To be completed by the employer
Tell us which benefits you will provide the employee.
Section 9: Recruitment Fees
The employer shall not recover from the employee, through payroll deductions or any other means, the fee they have paid to a third party recruiter or recruitment agency, or their authorized representative(s) for services related to hiring and retaining the employee.
If the third party recruiter or recruitment agency, or their authorized representative(s) charge the employee for any recruitment fee, the employer must reimburse the employee in full.
Section 10: Notice of Resignation
To be agreed to by the employer and the employee
If the employee wants to terminate the present contract, the employee agrees to give the employer a written notice in advance. Indicate the number of weeks you have agreed on.
The employer and the employee agree to abide by the provincial / territorial labour / employment standards on written notice of resignation.
We recommend that a copy of the relevant portions of provincial / territorial labour standard be attached as an appendix.
Section 11: Notice of Termination of Employment
To be agreed to by the employer and the employee
The employer must give written notice before terminating the contraction of the employee. The employer must indicate the number of week(s) in advance this notice will be given to the employee.
The employer and the employee agree to abide by the provincial / territorial labour / employment standards on written notice of resignation.
We recommend that a copy of the relevant portions of provincial / territorial labour standard be attached as an appendix.
Section 12: Declaration of Employer
To be completed by the employer
You must carefully read and add check marks on the form to declare that you agree to all statements.
Section 13: Consent of Employer
To be completed by the employer
Select “yes” or “no” if you consent to be contacted about your experience in the hiring of a caregiver under the Home Support Work Pilot or Home Child Care Provider Pilot.
Section 14: Signature of Employer
To be completed by the employer
- Print your surname and given name
- Include your signature and
- Date
Section 15: Declaration of Employee
To be completed by the employee
You must carefully read and add check marks on the form to declare that you agree to all statements.
Section 16: Signature of Employee
To be completed by the employee
- Print your surname and given name
- Include your signature and
- Date
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