T4E Statement of Employment Insurance Benefits

2024V1 - updated 2023-10-05

<Return>

<T4E>

<T4ESlip>

<RCPNT_NM>

<snm></snm>
Recipient surname
Required, 20 alphanumeric
- first 20 letters of the recipient's surname, as it appears on the information return slip
- omit titles such as Mr., Mrs., etc.
- do not include first name or initials

<gvn_nm></gvn_nm>
Recipient first name
- 12 alphanumeric
- first 12 letters of the recipient's first given name, as it appears on the information return slip
Note: If only initials are available, provide the recipient's first initial.

<init></init>
Recipient initial
- 1 alphanumeric
- initial of the recipient's second given name, as it appears on the information return slip

</RCPNT_NM>

<RCPNT_ADDR>

<addr_l1_txt></addr_l1_txt>
Recipient address - line 1
- 30 alphanumeric
- first line of the recipient's address, as it appears on the information return slip

<addr_l2_txt></addr_l2_txt>
Recipient address - line 2
- 30 alphanumeric
- second line of the recipient's address, as it appears on the information return slip

<cty_nm></cty_nm>
Recipient city
- 28 alphanumeric
- city in which the recipient is located, as it appears on the information return slip

<prov_cd></prov_cd>
Recipient province code
- 2 alpha
- Canadian province, in which the recipient is located as it appears on the information return slip or the state in the USA where the recipient is located, as it appears on the information return slip
- use the abbreviations listed in the T619 - Electronic transmittal under section: Transmitter province or territory code
- when the recipient's country code is neither CAN nor USA, enter ZZ in this field

<cntry_cd></cntry_cd>
Recipient country code
- 3 alpha
- the country in which the recipient is located
- use the alphabetic country codes as outlined in the International Standard (ISO)3166 - Codes for the Representation of Names of Countries
- always use CAN for Canada, and USA for the United States of America

<pstl_cd></pstl_cd>
Recipient postal code
- 10 alphanumeric
- recipient's Canadian postal code, as it appears on the information return slip
- format: alpha, numeric, alpha, numeric, alpha, numeric, example: A9A9A9
- or the recipient's USA zip code, as it appears on the information return slip
- or when the recipient's country code is neither CAN nor USA, enter the foreign postal code

</RCPNT_ADDR>

<sin></sin>
Recipient social insurance number (SIN)
- Required, 9 numeric
- recipient's social insurance number, as it appears on the information return slip
- when the recipient has failed to provide a SIN, enter zeroes in the entire field

<rcpnt_nbr></rcpnt_nbr>
Recipient's number
- 20 alphanumeric
- the recipient's identification number (i.e., benefit number, old age security number)
Note: All or a portion of this number should be printed on the information return slip.

<bn></bn>
CRA account number
- Required, 15 alphanumeric
- the complete Business Number (BN), example: 000000000RP0000 or Non-Resident number, example: AAA000000 assigned for the filing of information returns with the CRA
- must correspond to the "CRA account number" on the related information return summary

<rpt_tcd></rpt_tcd>
Report Type Code
Required, 1alpha
- originals = O
- amendments = A
- cancel = C
Note: An amended return cannot contain an original slip.

<rpay_rt></rpay_rt>
T4E repayment rate
- 3 numeric, example: 50%=050; 100%=100
- T4E slip, box 7

<amd_rcd></amd_rcd>
T4E amendment reason code
- 2 numeric

<T4E_AMT>
- enter dollars and cents for all of the financial amounts with a field length of 9 numeric characters

<ben_pay_amt></ben_pay_amt>
T4E total benefits paid
- T4E slip, box 14

<regu_oth_ben_amt></regu_oth_ben_amt>
T4E regular and other benefits paid
- T4E slip, box 15
- enter the regular benefits paid included in box 14, "Total benefits paid"

<empt_supt_amt></empt_supt_amt>
T4E employment benefits and support measures paid
- T4E slip, box 17
- enter the employment benefits and support measures paid included in box 14, "Total benefits paid"

<tx_tuit_amt></tx_tuit_amt>
Taxable tuition assistance
- T4E slip, box 20

<non_tx_tuit_amt></non_tx_tuit_amt>
Non taxable tuition assistance
- T4E slip, box 21

<itx_ddct_amt></itx_ddct_amt>
T4E income tax deducted
- T4E slip, box 22

<qc_itx_ddct_amt></qc_itx_ddct_amt>
T4E Quebec income tax deducted
- T4E slip, box 23

</T4E_AMT>

<OTH_INFO>
Other Income Amounts
- the T4E slip will allow you to report up to six (6) Other Income Amounts for an individual. If the individual has all eight (8) Other Income Amounts you must issue two T4E slips
- 9 numeric
- enter dollars & cents

<tx_xmpt_ben_amt></tx_xmpt_ben_amt>
T4E tax-exempt benefits
- T4E slip, "Other Information Box 18"
- enter the tax exempt benefits received by a Status Indian included in box 14, "Total benefits paid"

<nr_tx_ddct_amt></nr_tx_ddct_amt>
T4E non-resident tax deducted
- T4E slip, "Other Information Box 24"
Note: Slips with non-resident tax must be filed under a separate return using your non-resident account number.

<opay_rpay_amt></opay_rpay_amt>
T4E overpayment recovered or repaid
- T4E slip, "Other Information Box 26"

<rev_itx_ddct_amt></rev_itx_ddct_amt>
T4E reversal of income tax deductions
- T4E slip, "Other Information Box 27"

<rpay_amt></rpay_amt>
T4E Total repayment
- T4E slip, "Other Information Box 30"

<pay_con_rev_amt></pay_con_rev_amt>
T4E Payment out of the consolidated revenue fund
- T4E slip, "Other Information Box 33"

<qmpb_amt></qmpb_amt>
T4E Quebec maternity and parental benefits payments
- T4E slip, "Other Information Box 35"

<ppip_ben_pay_amt></ppip_ben_pay_amt>
Provincial Parental Insurance Plan benefits payments
- T4E slip, "Other Information Box 36"

<ei_mtrnt_prntl_trnng_rfndbl_amt></ei_mtrnt_prntl_trnng_rfndbl_amt>
EI maternity and parental benefits payments
- T4E slip, "Other Information Box 37"

</OTH_INFO>

</T4ESlip>

<T4ESummary>

<PAYR_NM>

<l1_nm></l1_nm>
Payer name - line 1
Required, 30 alphanumeric
- first line of payer's name
- if "&" is used in the name area enter as "&amp;"

<l2_nm></l2_nm>
Payer name - line 2
- 30 alphanumeric
- Second line of payer's name

<l3_nm></l3_nm>
Payer name - line 3
- 30 alphanumeric
- use for "care of" or "attention"

</PAYR_NM>

<PAYR_ADDR>

<addr_l1_txt></addr_l1_txt>
Payer address - line 1
- 30 alphanumeric
- first line of the payer's address

<addr_l2_txt></addr_l2_txt>
Payer address - line 2
- 30 alphanumeric
- second line of the payer's address

<cty_nm></cty_nm>
Payer city
- 28 alphanumeric
- city in which the payer is located

<prov_cd></prov_cd>
Payer province code
- 2 alpha
- Canadian province in which the payer is located or the USA state in which the payer is located
- use the abbreviations listed in the T619 - Electronic transmittal under section: Transmitter province or territory cod.
- when the payer's country code is neither CAN nor USA, enter ZZ in this field

<cntry_cd></cntry_cd>
Payer country code
- 3 alpha
- country in which the payer is located
- use the alphabetic country codes as outlined in the International Standard (ISO)3166 - Codes for the Representation of Names of Countries
- always use CAN for Canada, and USA for the United States of America

<pstl_cd></pstl_cd>
Payer postal code
- 10 alphanumeric
- payer's Canadian postal code, format: alpha, numeric, alpha, numeric, alpha, numeric, example: A9A9A9
- or the payer's USA zip code
- or when the payer's country code is neither CAN nor USA, enter the foreign postal code

</PAYR_ADDR>

<CNTC>

<cntc_nm></cntc_nm>
Contact name
- Required, 22 alphanumeric
- contact's first name followed by surname for this information return
- omit titles such as Mr., Mrs., Miss

<cntc_area_cd></cntc_area_cd>
Contact area code
- Required, 3 numeric
- area code of telephone number

<cntc_phn_nbr></cntc_phn_nbr>
Contact telephone number
- Required, 3 numeric with a (-), followed by 4 numeric.
- telephone number of contact

<cntc_extn_nbr></cntc_extn_nbr>
Extension Number
- 5 numeric
- extension of contact.

</CNTC>

<tx_yr></tx_yr>
Taxation year
- Required, 4 numeric
- taxation year (i.e., 2001)

<slp_cnt></slp_cnt>
Total number of information return slip records
- Required, 7 numeric
- total number of information return slip records filed with this information return summary

<bn></bn>
CRA account number
- Required, 15 alphanumeric
- the complete Business Number (BN)example: 000000000RP0000 or Non-Resident number, example: AAA000000 assigned for the filing of information returns with the CRA

<rpt_tcd></rpt_tcd>
Report Type Code
- Required, 1alpha
- Originals = O
- Amendments = A
Note: An amended return cannot contain an original slip.

<fileramendmentnote></fileramendmentnote>
Filer amendment note  
- use for report type A only
- 1309 alphanumeric

<T4E_TAMT>
The following amount fields are 13 numeric characters in length. Enter dollars and cents.

<tot_ben_amt></tot_ben_amt>
T4E total benefits paid
- T4E slip, box 14

<tot_regu_oth_amt></tot_regu_oth_amt>
T4E regular and other benefits paid
- T4E slip, box 15
- enter the regular benefits paid included in box 14, "Total benefits paid"

<tot_empt_supt_amt></tot_empt_supt_amt>
T4E employment benefits and support measures paid
- T4E slip, box 17
- enter the employment benefits and support measures paid included in box 14, "Total benefits paid"

<tot_itx_amt></tot_itx_amt>
T4E income tax deducted
- T4E slip, box 22

<tot_qc_itx_amt></tot_qc_itx_amt>
T4E Quebec income tax deducted
- T4E slip, box 23

<tot_tx_tuit_amt></tot_tx_tuit_amt>
Taxable tuition assistance
- T4E slip, box 20

<non_tx_tuit_tamt></non_tx_tuit_tamt>
Non-taxable tuition assistance
-T4E slip, box 21

<tot_nr_tx_ddct_amt></tot_nr_tx_ddct_amt>
Total non-resident Tax deducted amount
- T4E slip, box 24 amount

</T4E_TAMT>

</T4ESummary>

</T4E>

</Return>