AGREEMENT TO DEDUCT PAYROLL FEE SEC. 13(3) ESA,2000
 
I,
FIRST NAME LAST NAME

been provided all the information regarding payroll policies on the date of

  YEAR/MONTH/DATE
 
________ I must submit my hours worked during the previous week and have them signed off by my supervisor no later than Mondays 3:00pm local time.

________ I understand the I must send all request regarding payroll no later than Monday of each week.

________ Any hours that are submitted after payroll is closed end of business day every Tuesday of each week, will be paid on the following pay period.

________ It is my responsibility to provide correct and current mailing address for delivery of their pay cheques. In the event Trillium must re-issue a cheque due to inaccurate mailing address, a banking service charge of $35.00 will be applied and deducted from the new cheque.

________ If an incorrect bank account number is given for direct deposit or bank account has been close, a manual cheque will then be issued and mailed to the employee. A banking service charge of $35.00 will be applied and deducted from the cheque.

Trillium Interim Staffing Inc.

Employee Signature :

DATE :

TIS Consultant Signature :

DATE :

Email Address(To whom the pdf wil be mailed)