Association Fund Remittance Form

For Your Information

Once you submit the form you will be able to generate a PDF version of your submission. Please print a copy of the form for your records, and mail another copy with a cheque made payable to EPSCA ASSOCIATION FUND.
Contact Info
If your organization is not in this list, please contact EPSCA.
Submitted By
Did Not Employ EPSCA Trades?
Remittance Form Lines *

Fill in the hours worked for all EPSCA trade(s) employed, the name(s) of site(s) at which they worked, and the owner(s) they worked for

Owner Site Trade Hours
Total Hours 0.00
Total Hours Reported Rate ($) Fund Contribution ($) HST (%) Total Contribution ($)
0.00 0.30 0.00 13.00 0.00
Payment Instructions

Please complete this form and return with your cheque made payable to EPSCA ASSOCIATION FUND to:

  • EPSCA Association Fund
  • 190 Attwell Drive. Suite 580
  • Etobicoke, ON M9W 6H8

Please note: the EPSCA funds include a $0.02 employer contribution to the Denovo Fund on hours worked

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