Request for Correction of a Remittance Form for Source Deductions and Employer Contributions

This form must be completed by any employer or payer who wishes to correct a file number, a period or an amount, because of an error in a previously filed form for remitting source deductions and employer contributions.

To complete the form, save it to your computer and open it in Adobe Reader.

Our downloadable documents may not comply with Web accessibility standards. If you are having problems using them, please contact us.

2016-04 version

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