Pay Equity Commission 180 Dundas St W Suite 300 Toronto On M7A 2S6 416 314-1896 or 1 800 387-8813 TTY 416 212-3991 or 1 855 253-8333 Fax 416 314-8741
File No.
Note: Please answer all questions within the application form and submit by mail or in person. Please type or print clearly in ink. You may add additional pages if space is insufficient.
Submit this application to the following address: Pay Equity Commission Pay Equity Office 180 Dundas St W Suite 300 Toronto On M7A 2S6 416 314-1896 or 1 800 387-8813 TTY: 416 212-3991 or 1 855 253-8333 Fax: 416 314-8741
Last Name First Name
3. Indicate the number of employees in the bargaining unit with this employer
4. Indicate the number of Female Job Classes in the bargaining unit
5. If there is an existing pay equity plan and the Union believes that it is no longer appropriate please provide specific details as to why with reference to ss 14. 2 or 13.1 of the Pay Equity Act. For example, describe what are the changed circumstances in the establishment that render the pay equity plan inappropriate for the bargaining unit? e.g. restructuring of business.
Yes No I do not know
Certification Decertification Date (yyyy/mm/dd)
Yes, there was a pay equity plan prior to the certification or decertification of a Union.
No, there was not a pay equity plan prior to the certification or decertification of a Union.
10. If the complaint is that there has been a widening of the wage gap identify which female job classes are affected and why you believe that the wage gap has widened?
17. Has the Union raised any of these issues with the Employer, and if so, what was the Employer's response? If these issues raised in writing, provide copies of the letters sent and received.
18. If the Union and Employer are currently discussing these issues, what is the current status of the negotiations if any regarding the above issues?
19. Forward to the Commission any relevant documentation or information to support your allegation and issues. For example, copies of correspondence to and from the Employer, pay equity plan(s), Expert's reports, collective agreements, job information, salary grids, newsletters and memos to Employees. The information is collected under the authority of the Pay Equity Act, 1987 for the purposes of this enforcement. For information concerning the collection and use of this information, please contact Legal Counsel, Pay Equity Office, at the following address:
Pay Equity Commission Pay Equity Office 180 Dundas St W Suite 300 Toronto On M7A 2S6 416 314-1896 or 1 800 387-8813 TTY: 416 212-3991 or 1 855 253-8333 Fax: 416 314-8741
I certify that the information provided is true and correct to the best of my knowledge. Last Name of person completing this form First Name of person completing this form