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Forms
available in PDF format to
save or print. If you do not
have Adobe Acrobat Reader
on your computer you can download
it here
Form
# 7 Program Overview Q&
A
Form
# 9 Employer Notification
Form
# 11 AA Sample Contract
Form
# 13 Instructions for Claim
Forms
Form
# 21 Monitor Process Information
Forms available in fillable
PDF format:
You
need Adobe Acrobat Reader
9 to use these forms
Form
# 8 Employer Application
Form
# 11 A Work Experience Plan
(Schedule A)
Form
# 11 Apprentice (Schedule
A for Apprentices)
Instructions for fillable
PDF forms:
• Click the “Highlight
Fields” button at the
top of the page to see the
fillable cells.
• Use the tab key to
move from cell to cell.
• In order for the employer
application to be valid, you
must check the box on page
2 confirming that all the
information on the form is
correct.
To submit the form electronically:
When the form has been completed,
click on the “Submit
Form” button and follow
the instructions that pop
up. The form will be emailed
to WorkSource.
You may save and/or print
this form.
To submit the form manually:
Employer Application: when
the form has been completed,
print and sign at the bottom
of page 2.
Schedule A: no signature necessary.
Fax the form to WorkSource:
250-479-8114.
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