Homepage > Blank Emp5398 Template
Article Guide

The EMP5398 form is an essential document for employers participating in the Canada Summer Jobs (CSJ) program, which provides financial assistance for hiring youth. This form serves as both a payment claim and an activity report, ensuring that employers can accurately report on their funded employment activities. Key sections of the form include employer information, the period of work covered, and details regarding wage costs for participants. It also requires employers to confirm whether they hired participants with disabilities and to describe the job duties performed by these employees. The form emphasizes compliance with health and safety regulations and mandates completion of an employer questionnaire prior to submitting claims. Essential certifications and signatures affirm the accuracy of the information provided, making the EMP5398 critical for successful participation in the CSJ program.

Form Sample

Employment and

Emploi et

Social Development Canada

Développement social Canada

CANADA SUMMER JOBS (CSJ) PAYMENT CLAIM AND ACTIVITY REPORT

PROTECTED WHEN COMPLETED- B

1

CSJ file number

 

2

Period covered by this claim (inclusive period of participants working)

 

 

 

 

 

 

 

 

 

YYYY-MM-DD

 

 

 

YYYY-MM-DD

 

 

 

 

 

 

 

 

 

 

 

 

 

To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3

Is the address shown below different from that last reported by you?

4

Is this your final claim?

 

 

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

No

If yes, please also complete the Activity Report on page 2 of this form.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5

Was a participant with a disability hired for any CSJ position(s)?

 

 

 

 

Yes

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

If yes, please indicate the job title and employee name.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Job title:

 

Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Official use

102Cost Center

122Doc. no.

123 Date of Receipt

(YYYY-MM-DD)

1

6Name of employer (Organization common name)

TYPE

2

7Mailing address

8City/town

9Province/territory

10 Postal code

11 Name of contact person

12 Area code - telephone number

Wage costs

 

Period of work

 

 

 

 

 

 

 

No. of

Total

Hourly rate paid

Hourly rate of ESDC

Claimed for this period

 

 

weeks per

hours per

to participant

Contribution approved

(to nearest dollar)

Job Title

From

participant

participant

 

per participant

 

Employee name

To

 

 

 

 

 

 

 

 

 

Type 4

 

 

 

 

 

 

 

Col 1

Col 2

Col 3

Col 4

Col 5

Col 6

Col 7 (Col 4 X 6)

 

 

 

 

 

 

 

13

Sub total

14

 

E.I. premiums

 

 

 

 

 

 

 

 

 

 

 

C.P.P./Q.P.P. contributions

 

For not-for-profit

 

 

 

Vacation pay

 

organization only

 

 

 

 

mandatory employment

Health or education tax (if applicable)

 

related costs (MERCs)

 

 

 

 

 

 

 

 

 

 

 

Worker's compensation or liability insurance (if applicable)

 

 

 

 

 

 

 

 

Others (eg. Parental Insurance)

 

 

 

 

 

 

 

MERCs sub total

15

 

 

 

 

 

 

 

 

 

16

 

 

 

 

Official use

(amount eligible for this claim)

Internal

Order

Overhead costs

Overhead sub total

Grand total [boxes 13 + 15 + 17]

Less advance

17

18

19

20

Total

EDSC EMP5398 (2020-04-010) E

Page 1 of 3

CANADA SUMMER JOBS (CSJ) ACTIVITY REPORT

21Have all CSJ employee(s) received all information concerning health and safety standards and regulations regarding their work environment and if necessary, safety equipment required for their job?

Yes

No

Please explain

22Briefly describe the duties performed by the participant(s) during their CSJ work experience. (If 4 or more youth were employed at your organization, include the additional participants on a separate form).

Job title:

Participant's nameSupervisor's name:

Duties performed

Job title:

Participant's nameSupervisor's name:

Duties performed

Job title:

Participant's nameSupervisor's name:

Duties performed

Job title:

Participant's nameSupervisor's name:

Duties performed

23.How many of your CSJ-funded employees did you retain as employees following the end of your CSJ agreement?

24Employer Questionnaire

It is mandatory to have completed the employer questionnaire prior to submitting your final claim. Please provide the tracking number you received after completing your CSJ Employer Questionnaire.

25Recipient (employer) Certification

I certify that the information is true and correct to the best of my knowledge and claimed in accordance with the agreement and I am authorized to sign on behalf of the employer.

I certify that I have asked participants to complete the participant questionnaire to report on their experience with the Canada Summer Jobs program. NOTE: The information provided in this application will be administered in accordance with the Privacy Act and the Access to Information Act.

Signature

 

Date (YYYY-MM-DD)

 

Area Code/Telephone No. (for enquiries)

Print Name and Position

Additional signature when required:

Signature

 

Date (YYYY-MM-DD)

 

Area Code/Telephone No. (for enquiries)

Print Name and Position

EDSC EMP5398 (2020-04-010) E

Page 2 of 3

145

Official use

Type

3

Cheque stub information

 

Expenditure

 

 

Certified pursuant to Section 34 of the FAA.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature

 

 

 

Authorized officer (Signature)

 

Date

Print Name and Title

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The pre-audit has been performed and is accurate.

 

 

 

Pre-audit performed by:

 

System Approval

 

 

 

 

 

 

 

 

 

 

 

(Signature)

 

(Signature)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Manager,Corporate Services/ Chief, Administrative Services

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Signature)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EDSC EMP5398 (2020-04-010) E

Page 3 of 3

Document Specifications

Fact Name Description
Purpose The EMP5398 form is used for Canada Summer Jobs (CSJ) Payment Claims and Activity Reports.
Governing Law This form is governed by Canada Summer Jobs program regulations.
Sections The form consists of two main sections: payment claim details and an activity report.
Eligibility Employers must confirm if they hired participants with disabilities when completing the form.
Final Claim Employers must indicate if this is their final claim and complete additional reporting if so.
Privacy Compliance Information provided is protected under the Privacy Act and the Access to Information Act.

Steps to Filling Out Emp5398

Completing the Emp5398 form is an essential step in claiming your Canada Summer Jobs (CSJ) funding. Following these instructions will help ensure all necessary information is accurately provided, setting the stage for processing your claim without unnecessary delays.

  1. Gather necessary information: Before starting the form, collect details such as your CSJ file number, mailing address, contact information, and wage costs for employees.
  2. Fill out the CSJ file number: Enter your CSJ file number in the designated box.
  3. Specify the period covered: Enter the inclusive period during which participants worked, using the YYYY-MM-DD format for both start and end dates.
  4. Address confirmation: Indicate if the address listed is different from what you reported last. Answer 'Yes' or 'No' as appropriate.
  5. Final claim indication: Mark whether this is your final claim by selecting 'Yes' or 'No.' If you select 'Yes,' remember to complete the Activity Report on page 2 of the form.
  6. Participant with disability: Indicate whether a participant with a disability was hired. If 'Yes,' provide the job title and name of the employee.
  7. Fill in employer’s details: Write your organization’s common name, mailing address, city/town, province/territory, postal code, and the name of the contact person. Include the area code and telephone number as well.
  8. Complete wage costs: For each participant, fill in their job title, name, and the number of weeks worked, hours per week, hourly rate paid, and the amount to be claimed. Ensure to have the calculations correct.
  9. Provide sub totals and totals: Calculate the sub totals for wage costs, mandatory employment-related costs, and provide the grand total at the bottom.
  10. Activity Report section: Confirm that all CSJ employees received health and safety training. Briefly describe the duties for each participant’s role.
  11. Retention information: Indicate how many CSJ-funded employees were retained after the agreement ended.
  12. Employer questionnaire: Note the tracking number from your completed employer questionnaire.
  13. Certification: Sign and date the certification section, ensuring it is accurate and complete. Include your position and, if required, an additional signature.
  14. Final checks: Review all pages for accuracy and completeness, ensuring all required signatures are in place.

Once these steps are completed, follow your organization's submission protocol to send the form to the appropriate government department. Ensure you keep a copy for your records, as this information may be needed in the future. Following this guide closely will support a smoother processing of your claim.

More About Emp5398

What is the purpose of the EMP5398 form?

The EMP5398 form is used by employers participating in the Canada Summer Jobs (CSJ) program to submit a payment claim and activity report. Employers must provide details about the work experience of the participants they hired, including payment information and job duties performed.

Who is required to fill out the EMP5398 form?

Any employer who has hired participants through the CSJ program must fill out this form. This includes providing details about wages paid to participants and information related to their work experience.

What information is required to complete the EMP5398 form?

The form requires the employer's contact details, the period covered by the claim, employee names, job titles, the number of hours worked, and the hourly rates. In addition, employers must answer questions related to employee retention, health and safety, and the completion of an employer questionnaire before submission.

Is there a deadline for submitting the EMP5398 form?

Yes, the EMP5398 form should be submitted by the deadline specified in the CSJ program guidelines. It is essential for employers to check the guidelines to ensure timely and accurate submissions to receive the appropriate funding.

What happens if employees with disabilities are hired?

If an employer hires participants with disabilities, they must indicate this on the EMP5398 form. The form includes specific fields to report the job title and names of these employees, which is crucial for tracking the inclusivity of the program.

Do I need to provide any additional documentation when submitting the EMP5398 form?

How does the EMP5398 form protect the information I provide?

The information submitted on the EMP5398 form is protected under the Privacy Act and the Access to Information Act. This means that personal details will be handled confidentially and only used for program-related purposes.

What should I do if I have questions about the EMP5398 form?

If you have questions regarding the EMP5398 form or its completion, it is advisable to contact the designated area code/telephone number provided on the form. Assistance can also be sought from program administrators for clarification on specific queries related to the CSJ program.

Common mistakes

  1. Incomplete Information: One common mistake is leaving sections blank, especially important fields like the employer's name and mailing address. Each section must be filled out completely to avoid delays in processing.

  2. Incorrect Dates: People often enter incorrect dates, such as the claim period or employee start and end dates. Double-checking these dates can help ensure they align with the work periods provided in the accompanying documentation.

  3. Failure to Indicate Disability Status: Not specifying whether a participant with a disability was hired can lead to missed opportunities for additional funding. If applicable, it is essential to clearly state this in the designated section.

  4. Missing Signatures: Submitting the form without required signatures is a frequent oversight. Ensure that all necessary signatures are added to validate the information before submission.

  5. Omitting Employer Questionnaire Tracking Number: If the employer questionnaire has not been completed prior to submission of the claim, the tracking number will not be available. This tracking number is crucial for processing the claim accordingly.

Documents used along the form

In addition to the EMP5398 form, several other documents are commonly utilized in conjunction with the Canada Summer Jobs (CSJ) program. Each document serves a specific purpose and ensures compliance with program requirements. Below is a list of these essential forms and documents.

  • CSJ Employer Questionnaire: This form collects important information from employers applying for the program. It helps validate their eligibility and assess the alignment of their proposed job opportunities with CSJ objectives.
  • CSJ Activity Report: Employers must complete this document to provide a clear overview of the duties performed by the participants. It is an integral part of the final claim process.
  • Job Description Template: A structured outline that details the responsibilities and qualifications for the job positions offered under CSJ. This helps ensure clarity in participant roles and expectations.
  • Payroll Records: Documentation that tracks hours worked and wages paid to participants. These records are critical for verifying the claims submitted through the EMP5398 form.
  • Employer Certification Form: This affirmation by the employer confirms the accuracy of the information provided in the application and that they have conducted proper safety and health training for participants.
  • Safety and Health Standards Checklist: A guideline listing all necessary safety procedures that must be shared with participants to ensure compliance with workplace safety regulations.
  • Retention Report: A report detailing the number of participants retained as employees post-CSJ agreement, highlighting the program's effectiveness in fostering employment opportunities.
  • Financial Summary Document: This summary outlines all costs associated with running the jobs funded by the CSJ program, helping to ensure proper financial management and reporting.
  • Participant Feedback Form: A tool for collecting feedback from participants regarding their experiences during the job period, providing insight into the program's impact and areas for improvement.
  • Evaluation Report: A comprehensive review measuring the outcomes of the CSJ program for both employers and participants, often used for future program planning and improvement.

Each of these documents plays a vital role in managing the Canada Summer Jobs program effectively, ensuring accountability, and promoting a positive experience for both employers and participants. Timely and accurate completion of these forms helps maintain compliance and maximizes the impact of the program.

Similar forms

The Form W-2, also known as the Wage and Tax Statement, serves as a crucial document for employers in the United States. This form details the annual wages paid to employees and the taxes withheld from those earnings. Like the Emp5398 form, the W-2 is essential for processing claims related to employment and is submitted to both the employee and the IRS. Both documents aim to provide a clear breakdown of employment costs and taxation, ensuring compliance with governmental regulations.

The 1099-MISC form is similar to the Emp5398 form in its purpose of reporting payments made to non-employee workers, such as independent contractors. This form provides a summary of total earnings paid to the worker during the year, highlighting both the amount paid and the nature of the work performed. Just as the Emp5398 captures payment details for funding claims in specific programs, the 1099-MISC serves to catalog financial transactions for tax purposes, ensuring transparency in compensation.

The I-9 form, or Employment Eligibility Verification, parallels the Emp5398 form in that it plays a critical role in employment verification processes in the U.S. This form requires employers to verify the identity and employment eligibility of their employees, much like how the Emp5398 collects information on working participants and their roles. Both documents strive for accuracy in detailing employment information, addressing compliance with labor regulations, and safeguarding workers' rights.

The Payroll Summary Report is another document comparable to the Emp5398 form, as it summarizes payroll data for a specific period. This report includes details on employee hours worked, wages paid, and deductions taken, much like the wage costs outlined in the Emp5398. Both documents aim to provide a transparent overview of compensation during specific timeframes, allowing employers to track financial commitments and ensure accuracy in their reporting obligations.

Dos and Don'ts

When filling out the Emp5398 form for the Canada Summer Jobs program, attention to detail is crucial. Here is a list of recommendations on what you should and should not do:

  • Do double-check your CSJ file number to ensure accuracy.
  • Do indicate whether you had participants with disabilities. Transparency helps in proper reporting.
  • Do complete all required fields to avoid processing delays. Incomplete forms may lead to complications.
  • Do provide a detailed description of participants' duties. Specifics enable better understanding and evaluation.
  • Don’t forget to include the tracking number from the employer questionnaire. This is mandatory for your submission.
  • Don't leave any sections unanswered unless they are optional. Each piece of data matters in this context.
  • Don’t submit the form without your signature. Your certification of the information is essential for its validity.

Misconceptions

Misconceptions about the EMP5398 form can lead to confusion and errors in the application process. Here are four common misconceptions:

  • The EMP5398 form is only for large organizations. Many believe that only big companies can apply for Canada Summer Jobs funding. However, the program is open to non-profits and small businesses as well, making it accessible for various types of employers.
  • All fields on the form are mandatory. Some think that every single field must be filled out, but this is not the case. Only certain sections are required, depending on the specifics of your organization and the workforce you are reporting on.
  • You won't be funded unless you hire a certain number of participants. There is a misconception that a minimum number of participants must be hired to receive funding. In reality, even if you hire just one participant, you can still qualify for support, so long as you meet other criteria.
  • You can submit the EMP5398 form at any time. Many believe there are no deadlines for submission. However, there are specific timelines for filing claims, especially when it comes to the final claims after the employment period has ended. Missing these deadlines can lead to disqualification for funding.

Understanding these points can help applicants navigate the process with greater confidence and clarity.

Key takeaways

Here are some key takeaways for filling out and using the Emp5398 form, which is related to the Canada Summer Jobs (CSJ) program:

  • Verify Dates: Make sure to fill in the correct dates for the reporting period when participants worked. The format is YYYY-MM-DD.
  • Employer Information: Clearly provide your organization’s name, mailing address, and contact details. This information ensures proper communication.
  • Final Claim Status: Indicate if this is your final claim. If it is, you will need to complete the Activity Report section as well.
  • Participant Details: If you hired a participant with a disability, note the job title and employee name. This detail is pivotal for compliance with program requirements.
  • Cost Breakdown: Provide a detailed breakdown of wage costs, including the number of weeks worked and the hourly rates for participants. Include any additional costs associated with employment.
  • Health and Safety: Confirm that all CSJ employees received information regarding health and safety standards relevant to their work environment.
  • Retention of Employees: If applicable, report how many CSJ-funded employees you retained after the agreement. This could reflect positively on your organization’s commitment.
  • Certification Section: Sign and date the certification section to affirm that all information is accurate. This promotes accountability and integrity in the claim process.

Completing the Emp5398 form thoroughly is crucial for successful participation in the CSJ program.