New Hire Requirements Checklist Set yourself up for success! Complete all items below

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1. Email your completed documentation to your HR Associate, you must include:- Pages 1-3 (including this page) only the 4h page if you’re signing up for payroll deduction parking.- Picture of SIN- Picture of two pieces of government issued ID- Picture of yourself for your ID Badge – shoulders up, blank background, no selfies!- Void cheque/Direct Deposit form from your bank- Completed Vulnerable Sector Check or Proof of Request (ex. picture of receipt)

*Failure to do so will delay your first day. Request a vulnerable sector check from your Regional Police Department based on your permanent address:

City Of Toronto– Required form is on the onboarding portal, it must be printed on legal paper http://www.torontopolice.on.ca/background-checks/vulnerable-sector-screening-process.php York Region – Download the form online. https://www.yrp.ca/en/services/vulnerable-sector-check.asp Durham Region – No form required. https://members.drps.ca/internet_explorer/over_the_counter/index.asp?Do_What=disp&ID=5&Ca tegory_ID=3&Page=1 Other Regions- Please visit your regional police website for more details.

Note: delays in submitting the above will create delays in payment, benefit enrollment and payroll set-up.

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It is the employee’s responsibility to ensure the Hospital is supplied with relevant medical information as per the Hospitals Act. Failure to submit this information to the Occupational Health and Safety Department prior to your start date will result in canceled shifts.

Send To: newhirehealth@msh.on.ca All new employees must submit to OCCUPATIONAL HEALTH (not HR) the following completed forms at least one week before your first day: (1) Medical Questionnaire, Staff Immunization and Surveillance Information Sheet (click)

• If you have supporting bloodwork or documentation from another organization, this can becompleted by your OHN. Copies of the immunization record are required prior to your start date.

• If you do not have a current record of immunization, this must be completed by your doctor priorto your start date

(2) Valid Mask-fit testing (card or information)(3) Ministry of Labour, Health & Safety Certificate

• Everyone, click here: https://www.labour.gov.on.ca/english/hs/elearn/worker/foursteps.php

• Supervisor/Manager/Director/Executive click here:https://www.labour.gov.on.ca/english/hs/elearn/supervisor/fivestep

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7. The Employee Handbook covers pertinent and required training information for all new hires atMarkham Stouffville Hospital. The handbook is located on our new hire orientation portal and onthe Intranet under Human Resources. Specifically, all new hires are required to review and attestthat they have been provided and reviewed the training material (Section 1) within the handbook.

8. I, , attest that I have been provided and have completed the required readings. Further, I understand that any questions regarding this training can be brought to my supervisor or HR.

Employee Signature Date

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http://www.torontopolice.on.ca/background-checks/vulnerable-sector-screening-process.phphttps://www.yrp.ca/en/services/vulnerable-sector-check.asphttps://www.labour.gov.on.ca/english/hs/elearn/supervisor/fivesteps.phphttps://members.drps.ca/internet_explorer/over_the_counter/index.asp?Do_What=disp&ID=5&Category_ID=3&Page=1#A5https://members.drps.ca/internet_explorer/over_the_counter/index.asp?Do_What=disp&amp%3BID=5&amp%3BCategory_ID=3&amp%3BPage=1https://members.drps.ca/internet_explorer/over_the_counter/index.asp?Do_What=disp&amp%3BID=5&amp%3BCategory_ID=3&amp%3BPage=1https://www.labour.gov.on.ca/english/hs/elearn/worker/foursteps.phphttps://www.labour.gov.on.ca/english/hs/training/supervisors.phphttps://members.drps.ca/internet_explorer/over_the_counter/index.asp?Do_What=disp&amp%3BID=5&amp%3BCategory_ID=3&amp%3BPage=1https://www.msh.on.ca/sites/default/files/documents/2020%20A%20New%20Hire%20Health%20Form.pdf

New Hire information

Employee Information Update

Drop-down list Year you received it

Last Name on SIN Certifications (list):First Name on SINPreferred First NameAddressCity, ProvincePostal CodePrimary PhoneSecondary PhoneBirthdate (DD/MM/YY)GenderMarital StatusSINSIN Expiration date (if temporary) 1

Emergency Contact nameEmergency Contact relationshipEmergency contact number

Did you request your police check? (Y/N)

Ability to speak in French? Ability to write in French?Other Languages? (please list all)

We are a designated french speaking hosptial! But this data is currently only used for reporting to the ministry.See next sheet for definitions of Proficiency

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Reset Form MSH PAYROLL AUTHORIZATION & DEDUCTIONS

PAYMENT AUTHORIZATION I, consent to the use of all information collected by the

LAST NAME, FIRST NAME

Hospital and understand that any information collected or requested is for the purpose of depositing my earnings into the personal bank account identified by the void cheque I provide. I understand all information provided to the Hospital will not be disclosed to any other party, without my consent. I understand that any monies owed to the Hospital will be deducted from any earnings owed to me by the Hospital. In the event of termination, I specifically authorize the Hospital to deduct all monies owed by me from my final payment. I understand the hospital will use the same banking information to deduct health benefits and pension deductions if I am on a leave. I will submit a banking change form to human resources at least 10 days prior to any changes to my banking. I understand I will receive my pay statements and T4/ T4A statements electronically through the hospital secure server/ web portal while I am actively employed with the hospital. A void cheque or direct deposit slip must be submitted to the HR Department with your documentation package. Please contact your bank, trust company or credit union directly to obtain this information if you do not have access.

PERSONAL TAX CREDITS I understand that all employees at Markham Stouffville Hospital are required to contribute the basic tax amounts for their federal and provincial taxes. If I am contributing with another employer, or my circumstance demands a different contribution, I will submit a completed copy of BOTH the TD and TD1ON forms to the HR department. I understand a completed form must be submitted to HR annually.

Federal and provincial tax forms are available on the Government of Canada website, or by following the link below: www.canada.ca/en/revenue-agency/services/forms-publications/td1-personal-tax-credits-returns/td1-forms-pay- received-on-january-1-later.html

HEALTHCARE OF ONTARIO PENSION PLAN (HOOPP) Choose to Enroll or Waive

ENROLLMENT

I hereby consent to Markham Stouffville Hospital Corporation deducting my HOOPP contribution from my bi-weekly earnings. I understand that HOOPP will contact me to provide additional information regarding beneficiaries and other personal information.

I consent to providing HOOPP and its affiliates any information required to administer the pension plan. I understand my MSH email will be provided to HOOPP for the purposes of communicating with me, and that I may change it at any time.

WAIVER

As a part time or casual employee, I hereby waive the right to participate at this time. I understand I am eligible to join HOOPP at any time.

I understand that I am entitled to resume contributions to my pension plan at any time in the future while I remain a member of HOOPP as defined by the Plan. I understand I cannot make up or buy back waived contributions.

My signature below demonstrates my consent for the payment authorization, personal tax credits and Healthcare of Ontario Pension Plan as detailed above.

Signature Date Page 3 of 8

Reset Form

http://www.canada.ca/en/revenue-agency/services/forms-publications/td1-personal-tax-credits-returns/td1-forms-pay-received-on-january-1-later.htmlhttp://www.canada.ca/en/revenue-agency/services/forms-publications/td1-personal-tax-credits-returns/td1-forms-pay-received-on-january-1-later.html

Parking at Markham & Uxbridge Staff Rates - RCC do not use. MSH site: iPass OR Payroll Deduction

Markham site option only: iPass Primarily for part-time & casual staff, or less frequently @ MSH site Regular parking cost at $3.00 per in & out: parking access to Lot 2 and 4.

Premium parking cost at $5.00 per in & out: parking access to Lot 5 and 7. To register online after your first day you will need: your car information, a credit card and your badge. On the back of the badge there is a 5 digit number beside the star needed for registration.

To Register visit: https://ipass.preciserd.com/clientlogin For Assistance please call 416-243-6990

Markham & Uxbridge Site - Authorization for Payroll Deduction of Parking Fees – Send to HR Employee’s Last Name (Please Print) Employee’s First Name (Please Print)

Department Phone Number

Vehicle Information: Employees, who have access to parking, will provide the Parking Office with the license plate and make of their vehicle(s) used to park. This is to ensure the parking office can contact you if required.

Vehicle 1 License Plate Vehicle 1 Make

Vehicle 2 License Plate Vehicle 2 Make

Payment: By signing & selecting your primary site below, the respective amount will be deducted directly from each pay deposit. Markham site: Regular Parking (Lot 2 & 4) $20.09 plus HST. Markham site Premium Parking (Lot 4, 5 & 7) ($27.75), plus HST *Markham site has strict criteria when assigning parking access. Parking assignment map is on page four. This map will be followed diligently.Uxbridge site employees: the standard charge ($15.20) plus applicable taxes. More details provided at Uxbridge Site.

Conditions: Markham Stouffville Hospital (MSH) shall provide parking to all employees upon request. Reduction in parking fees is not permitted. The hospital reserves the right to amend the parking fee. The authorization of parking will stay in effect until revoked, in writing by the employee or the Hospital, in which case the cancellation is to be made directly to the Parking Office.

It is also understood that in applying for and receiving these parking privileges, employees are liable for the replacement of lost or damaged ID/ parking cards. A fee of $10 will be charged. Charges will not be administered for damaged cards during the course of work responsibilities, however, the damage card must be returned to the Parking Office in order to obtain a new one.

Conduct: It is understood that the hospital is not responsible for damage, vandalism or theft to vehicles when using the parking lot. At any time,if it is discovered that the parking card is being misused in any way, parking will be revoked immediately with possible further disciplinary action.

Choose one & sign I am enrolling in Regular Parking ($20.09 + Tax) at the Markham Site, as per conditions above. I am enrolling in Premium Parking ($27.50 + Tax) at the Markham Site, as per conditions above. I am an Uxbridge Site employee enrolling in Uxbridge site Parking ($15.20 + Tax) at the, as per conditions above.

I hereby request to cancel parking privileges and payroll deductions for parking (not ipass) effective:

(Date: dd-mm-yy)

Signature: Date:

NOTE: this form is for ONBOARDING ONLY If you do not submit this to HR before your first day, you must contact parking directly for enrollment/cancellation.

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https://ipass.preciserd.com/clientloginmailto:msh@precisebi.com

Parking Lot Assignment Map Markham Site

Parking Office

Hours of Monday - Friday Saturday & Sunday Contact 905-472-7373 x 6992

Operation 7:30 AM - 9:30 PM 9:30 AM - 7 PM msh@precisebi.com

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mailto:msh@precisebi.com

Reference Document Please review, no action required

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French Language Proficiency

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1 - AelVanced-Mlnus level

At ttlis level, the individual has the ability to handle a variety of communication tasks. Tile indiVidual is able to describe and explain in all

timeframes in most informal and some formal situations across a variety of familiar topics. The vocabulary often lael

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2020 Cas-Pt-ftt Documentation May 2020Page 1 of 5PAYMENT AUTHORIZATIONPERSONAL TAX CREDITSHEALTHCARE OF ONTARIO PENSION PLAN (HOOPP) Choose to Enroll or WaivePage 3 of 5Page 4 of 5

New Hire Information - May 2020 CCNEW HIRE to complete & return

French ProficiencyFrench Proficiency

and have completed the required readings Further I understand that any questions regarding this: Date: LAST NAME FIRST NAME: Date_2: Button3: Group1: OffOR: Employees F: Department: Phone Number: undefined_3: undefined_4: undefined_5: undefined_6: undefined_7: Veh: Veh i c l e 1 Make: Veh_2: Veh i c l e 2 Make: I am enrolling in Regular Parking 1950 Tax at the: OffI hereby request to cancel parking: OffI am enrolling in Premium Parking 2750 Tax at the: Offundefined_8: OffDate ddmmyy: Date_3: Text1: Reset page 3: Year you received itRow1: Year you received itRow2: Year you received itRow3: Year you received itRow4: Year you received itRow5: Year you received itRow6: Year you received itRow7: Year you received itRow8: Year you received itRow9: Year you received itRow10: Year you received itRow11: Year you received itRow12: Year you received itRow13: Text11: Text12: Text13: Text14: Text15: Text16: Text17: Text18: Text19: Text110: Text111: Text112: Text113: Text114: Text115: Text116: Text117: Text118: Text119: Text120: Certificates1: [Select one]Certificates2: [Select one]Certificates3: [Select one]Certificates4: [Select one]Certificates5: [Select one]Certificates6: [Select one]Certificates7: [Select one]Certificates8: [Select one]Certificates9: [Select one]Certificates10: [Select one]Certificates11: [Select one]Certificates12: [Select one]Certificates13: [Select one]French Speaking: [Select one]Dropdown4: [Select one]Reset this Page: