Form

Company Legal Name*

Quebec Enterprise Number (NEQ)*

Payroll Program Account Number*

This unique 15-digit BN is assigned by the CRA

Address*

City*

Postal Code*

Type of Business*

Number of Employees*

Payroll Frequency*

Last Name*

First Name*

Work Email Address*

Work Phone*

Will the employer contribute to the VRSP?*

Yes

(Download the notice to employees' template)

Expected date of sending notice to employees*

Year/Month/Day