
Get the free ROE Form Block 17B: The Statutory Pay Holiday
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Appendix 2:
Sample Form for Statutory Holiday Record
Name of employee:Statutory holidaying:
The date on which the holiday
is taken by the employee (Note 1)The first day of January
Lunar New Year's
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How to fill out roe form block 17b

How to fill out roe form block 17b
01
Obtain a copy of the ROE form.
02
Locate block 17b on the form.
03
Fill in the hours worked, gross earnings, and deductions for the employee in this block.
04
Double-check the information for accuracy.
05
Submit the completed form to the appropriate party.
Who needs roe form block 17b?
01
Employers who are providing a Record of Employment (ROE) form to their employees.
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What is roe form block 17b?
ROE Form Block 17b is used to report an employee's insurable earnings and hours worked.
Who is required to file roe form block 17b?
Employers are required to fill out and file ROE Form Block 17b for each employee.
How to fill out roe form block 17b?
ROE Form Block 17b should be filled out with the employee's insurable earnings and hours worked during the specified period.
What is the purpose of roe form block 17b?
The purpose of ROE Form Block 17b is to provide information to Service Canada for determining employment insurance benefits.
What information must be reported on roe form block 17b?
Insurable earnings and hours worked for the employee must be reported on ROE Form Block 17b.
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