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    Instructions: Please fill out the form to the best of your ability. If you have any questions, please do not hesitate to call tax4nanny at 6470349-6262 or email info@tax4nanny.ca.

    Contact Information

    • Last Name
    • First Name
    • Middle Name
    • Home Number
    • Work Number
    • Cell Number
    • Email Address:
    • How did you hear about us?

    Employer Input

    • Last Name:
    • First Name:
    • Middle Initial:
    Employer is the person whom the payroll business number is/should be registered under. Please use LEGAL name.

    • Employer SIN:
    • Birth Date
      • Month
      • Day
      • Year
    • CRA Bus Number (i):
    • WSIB Number (i):
    (i) = If you need Tax4Nanny to obtain this for you, please indicate by putting in a question mark in this field.

    Employer Address

    • Street #:
    • Street Name:
    • Unit/Apartment:
    • City:
    • Province:
    • Postal Code:

    Note: Employer is the person in the family whom the business number is registered under.

    Employee #1 (Nanny, Elder Care Giver, Other)

    • How did you find this employee?:
    • Agency Name:
    • Type:
    • Employee Last Name
    • Employee First Name
    • Employee Middle Name
    • Birth Date
      • Month
      • Day
      • Year
    • Employee SIN:
    • SIN Expiry Date (if applicable):

    Employee Address

    • Street #:
    • Street Name:
    • Unit/Apartment:
    • City:
    • Province:
    • Postal Code:

    • Live In or Live Out:

    • Effective Start Date:
      • Month
      • Day
      • Year
    • Termination Date (ii):
      • Month
      • Day
      • Year
    (ii)=If you have terminated this employee, please provide termination date.

    Net or Gross Salary (for example: $1,000/month net or $25,000/year gross):

    • Amount
    • Frequency
    • Net/Gross

    • How Often Paid (weekly, bi-weekly, 15th and 30th of the month):

    • Number of hours working per week :

    Benefits:

    • Cell Phone:
    • Monthly Amount - Cell Phone:
    • Metropass:
    • Monthly Amount - Metropass:
    • Other:
    • Monthly Amount - Other:         

    Additional Notes:

    Name

    • Date

    • Additional Employees

    • Click to enter in more employees.

    Enter Credit Card Info

    Please note that your credit card will not be charged before Tax4Nanny contacts you
    • Name on Card:
    •          
    • Credit Card Number:
    • Expiry:
    • Month
    • Year
    • CCV:
    •    
    • Credit Card Type:

    Package

    • Please advise which package you want to be signed up for*: