Issued by CRA. This site is not the issuer. Checked against the issuer on 2026-11-03. Issuer's page · Instructions: on the form, page 2
Employees, pensioners, and individuals receiving remuneration fill out this form and give it directly to their employer or payer to determine how much income tax is deducted from their pay. You will need your Social Insurance Number, address, and estimates of your annual income and eligible personal tax credit amounts, such as caregiver, tuition, or dependant claims. Once completed, you must sign and date the certification.