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The Employment Separation Certificate Form, mandated by Canadian federal law, is a crucial document that must be issued whenever an employment relationship ends or there is an interruption of earnings. This document serves multiple purposes: it provides essential information for Employment Insurance (EI) benefit claims, creates an official record of employment termination, and ensures compliance with federal employment regulations. The form must be completed within five calendar days of the interruption of earnings or the employee's last day of work. It contains detailed information about the employer and employee, including employment history, earnings, reason for separation, and any additional payments such as severance or vacation pay. This document is fundamental to Canada's employment insurance system and is required across all industries and employment types.

1. Employer Information: Complete legal business name, business number, payroll account number, and contact details

2. Employee Information: Employee's full name, Social Insurance Number (SIN), address, and contact information

3. Employment Details: First and last day worked, final pay period dates, and occupation title

4. Payment Information: Details of final pay including regular earnings, vacation pay, statutory holiday pay, and other monies

5. Reason for Separation: Specific code and explanation for why the employment ended (e.g., shortage of work, dismissal, quit, etc.)

6. Hours and Earnings: Record of insurable hours and earnings for the last pay periods

7. Certification: Declaration of truth and completeness, with authorized signature and date