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Complete this form if you consent to give your support to a joint application between yourself and your employer to extend a COVID-19 temporary layoff beyond August 30, 2020 through a variance to the Employment Standards Act.

 

It's called a variance because you're asking the Employment Standards Branch to vary part of the Act. It allows for work situations that don't strictly meet the standards but still follow their intent, such as an extension to a temporary layoff.

 
  • You should have received written notice from your employer clearly explaining why they want to apply for a variance and asking for you to support the application
  • If you haven't received written notice yet, check your inbox. Most employers send this information by email

 

Remember, if you've been laid off due to COVID-19, you have options.

 

Please confirm support
Today's date

Employer Name: 
 
Date (YYYY-MM-DD) : 2024-12-10
 
I, , give my support to extend a COVID-19 temporary layoff beyond August 30, 2020 to as specified by my employer through a variance to the Employment Standards Act.
 

 

Employee Details

Full legal name:
Job title or role: 
Email: 
Phone number: 
Legal Name:
 
Positition:
 
Email:
 
Phone:

 

 

Send a Copy to Your Employer

  • Download the PDF to your desktop by clicking the “download” button that can be found on the top right corner or bottom centre of the page, depending on your browser
  • Send a copy to your employer (email is preferred)
  • Keep a copy for your records
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