Canada Revenue Agency
Symbol of the Government of Canada

T4 Statement of Remuneration Paid


Image of a T4 form Employer's name Year Employment income (box 14) Income tax deducted (box 22) Payroll Account Number (box 54) Province of employment (box 10) Employee's CPP/QPP contributions (box 16 and/or box 17) EI insurable earnings (box 24) Social insurance number (box 12) Exempt (box 28) Employment code (box 29) CPP-QPP pensionable earnings (box 26) Employee's name and address Employee's EI premiums (box 18) Union dues (box 44) RPP contributions (box 20) Charitable donations (box 46) Pension adjustment (box 52) RPP or DRSP registration number (box 50) Employee's PPIP premiums (box 55) PPIP insurable earnings (box 56) Other information