Employee No. Date: ................................................................................ I, the undersigned employee, hereby authorize CHEM‑ TURA CANADA CO./CIE to deduct from wages owing me, commencing with my first weekly pay of 200 , and subsequently from each weekly pay an amount equivalent to weekly Union Dues, and if notified by the local union to do so, an amount equivalent to the Union’s Initiation Fee, both amounts determined in accordance with the Constitution of the United Steelworkers as advised by Local Union No. 13691. The amount so de‑ ducted will be remitted by the Company to the Union as advised by Local Union No. 13691. Name: .............................................................................. Witness............................................................................ Signature of Employee:....................................................
Employee No. Check one of the following I wish to exercise my right to work as a senior employee under the collective agreement. I understand that junior employees may be displaced. I do not wish to exercise my bumping rights. Signature: The completion of this form does not guarantee that the employee will be successful in retaining a job. A photocopy of this completed form to be made available to the Recording Secretary of the Union within one working day of receipt of the completed form. At any time after a period of sixty (60) days the employee may inform the Company they wish to exercise their bumping rights. LAFARGE CANADA INC. ñ DUNDAS QUARRY STUDENT RETURN TO SCHOOL ACKNOWLEDGEMENT DATE: WORK TERM TO NOT TO EXCEED FOUR (4) MONTHS BETWEEN MAY 1 TO OCTOBER 1 NAME: I agree that I will be returning to school at the end of this work term, however, if my situation changes, I agree that I may be rehired, following the work term, only as a probationary employee.
Employee No. Signature .................................................... Date ........./........../......... ....................................................
Employee No. Signature .................................................... Date ........./........../......... Account No. Account Name Specimen Signature Card Authorized Name (First) : Signature Form ( 1 ) Signature Form ( 2 ) Signing Authority : Singly Jointly, withdrawal limit (If any) Other instructions (please specify) Authorized Name (second delegate) : Signature Form ( 1 ) Signature Form ( 2 ) Signing Authority : Singly Jointly, withdrawal limit (If any) Other instructions (please specify) The customer has sign in front of me after the verification process for his signature, and personality according to BAB records, The image of them are met,and his ID card. Staff Name Approval Staff Name Employee No. Signature Date Employee No. Signature Date For Bank Use Only 5-1-S 003-E مقر جذومن
Employee No. New (A) or Change (D) (circle one) DIRECT DEPOSIT #1 CHK SAV $ . %
Employee No. DEPARTMENT holiday period from to and I require the advance pay by payroll period EMPLOYEE SIGNATURE APPROVED BY DEPARTMENT HEAD DATE RECEIVED BY PAYROLL Employee's Name (Please hereby make for days Bereavement Leave Pay due to death Name of Deceased whose to and whose residence The above - noted member of my immediate died on SIGNATURE
Employee No. APPROVED DATE: NOT APPROVED DATE: REASON NON - APPROVAL: SIGNATURE POSITION Dept. Section Head NOTE: Should an employee's application be then the affected must immediately receive a copy of this application upon its part of the of Settlement for new Collective Agreement May to April the Employer and Union, the hereto agree to commit themselves to the Employer continue its practice of to the Union Job for within the prior to and Per the Union’s request, the Employer prepared to all of the Job lo at earliest of Agreement. Under of the Collective Agreement, the Union is receptive to amend the said Clause to conform to the provisions as outlined under Article of the Collective Agreement between The Regional Municipality of and the Canadian Union of Public Employees, Local if and when such provisions to implemented by the Employer. Should the Employer introduce Rotating Shifts, then the Employer and Union will negotiate an applicable Shift Premium Rate. Should the Parties reach agreement on the then the matter shalt be referred lo Arbitration for a final and binding adjudication. O F The Employer shall Employees fully for of a medical check-up if Employees are to have one as a condition of
Employee No. Employment Status (full time, part time, ongoing, contract, contractor/temp staff) Role Title Business Unit Manager’s Name Manager’s Email Address Nominated working from home address In Case of Emergency are you currently living alone? (Yes or No) Is this address within a bushfire safer precinct? If no, please provide address. (Yes or No) Are your emergency contacts up to date in CHRIS21? (Yes or No) Are you considered a “vulnerable person” for the purposes of COVID-19? These are the nominated days that I will be working from home (insert days of the week and any additional information required here) Nature of the work that I will be doing while working at home for this period Equipment and assets that I will need during this period Applicant: I understand that: this agreement may be terminated at any time by either party by written notice of the intention to do so; either party may amend this agreement by mutual consent; I must be available via telephone during ordinary working hours; if the address of the working remotely site changes, the agreement automatically terminates and a new agreement will need to be negotiated; both parties have obligations under the Work Health and Safety Act 2012, Work Health and Safety Regulations 2012, and Return to Work Act 2014; both the employer and the employee have a duty of care regarding working from home; I must deny family, friends or other household members or visitors access to OCPSE equipment and information. I hereby declare that I understand the conditions under which approval for a working from home arrangement is granted, as described in DTF’s Flexible Work Arrangements Guideline, as well as DTF policies, standards and procedures regarding Security, Work Health and Safety and the Code of Ethics for the SA Public Sector, and agree to be bound by them. Please check the following box I have read and agree to the above conditions. Signed employee1 Name (Please print) Date Forward your completed Word Document to your Manager by email Manager reviews and if they endorse the application forwards it to their Director (or Commissioner as relevant) for approval. Part B - Manager’s review I have reviewed the information provided by the employee and undertaken any follow up action and discussions required. Signed (by Manager who has HR Delegation) ** Name (Please print) Position Date ** An electronic signature can be included here or the manager can include the following wording in this section “I have completed this fo...
Employee No. Rank .......................................... Cell............................ Date of Birth…….…….…………......…… National ID ……………………….………. Gender….....… Email Address……………………………. Next of Kin: ….……………………………………………. Home Address .............……………………………………………………………………………………….
Employee No. DEPARTMENT: ……………………………………………………………………………...
