Transitional Assistance Program
Employer and Employee Resignation/Retirement
Agreement
This form must be filled out by your employer and signed
by both you and your employer. This is required, even if
you are on lay-off.
If your employer is no longer in business, you must
still fill out and send us this form, writing on it that
the company is out of business and providing the last
known telephone number of your employer, for
verification purposes. At the top of the form, please review the pre-printed
information on your name and Social Insurance Number
(SIN) to make sure it is accurate. There are three
types of information that must be entered on this page:
- Under the heading Employer Information, your
employer must enter the company name, the name of
the employer representative filling out the form
(who must be a person with the authority to make
decisions regarding your employment), their job
title and telephone number. The company’s stamp
should be applied in the box to the right. If the
company does not have a stamp, you may attach a
company business card instead.
- Enter your resignation/retirement date
beneath the Employer Information section. This is
the date that you will officially resign from your
employment,
not the date
of any lay-off. The date you
write here must be the same as the resignation /
retirement date you enter on the other two forms.
- At the bottom of the form, your employer
must enter information regarding severance payments
and long-term disability. It is essential that this
section be filled out. Under this section, both you
and the employer representative must sign and date
the form.
You must send us the original
form with your signature and your employer’s signature
on it for us to be able to process your payment.
For more information about the Community Development Trust:
- 1-877-238-8882 from B.C. communities outside Victoria
- 250-387-5349 from Victoria
- email: cdt@gov.bc.ca
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