ARCHIVED - Injury on Duty Leave Amendment of T4 and Relevé 1

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Current Year Sample Letter

Date

Compensation Advisor

Department

Mailing address

Subject: Amended Relevé 1 and T4

Employee on Paid Leave as a Result of an Injury on Duty

In response to your enquiry concerning an amended Relevé 1 and T4 for an employee on paid leave as a result of an injury on duty, I have confirmed the following information with the Commission de la santé et de la sécurité du travail (CSST) du Québec.

The sum of $x,xxx.xx applicable to this claim was credited to the employer during the 2006 taxation year. Based on this information, please request your pay office to produce a 2006 amended Relevé 1 and T4 as follows:

Employee Name:

PRI:

File Number:

Relevé 1:

T4 :

If you require additional information, please do not hesitate to contact me at (your phone number).

Yours sincerely,

Signature block