CPT20(Page 2) - fill out and auto calculate/complete form online

Protected B when completed

Part B – Details of employment (All types except type N)

List all of your employers for the year for the types of employment listed on page 3, except type N (complete Part C below).
For "type," enter the letter designation that identifies your type of employment.
For "employment earnings shown on T4 slip," enter the amount from box 26 (or if blank, box 14).
For "other employment earnings," enter the gross amount earned.
For "CPP/QPP contributions deducted," enter the amount from boxes 16 and 17 of your T4 slips.
If you need more space, attach another sheet of paper.

Name and address of employer

Type
(see page 3)

Employment
earnings shown
on T4 slip

Other
employment
earnings

CPP/QPP
contributions
deducted

Total

Part C – Details of tax-exempt self-employment earnings on a reserve of an individual registered
or entitled to be registered under the Indian Act (Type N)

Name and address of reserve

Tax-exempt
self-employment
earnings

Part D – Election and certification

I elect and undertake to pay the required Canada Pension Plan contributions on the earnings noted above.

Signature

Date

Telephone

See the privacy notice on your return.

CPT20 E (23)

Page 2 of 3

Protected B when completed

Types of employment that you can elect to pay CPP contributions on

Type

Employment description

Employment in Canada by more than one employer at the same time, with the result that the year's basic exemption
used to withhold CPP and Quebec Pension Plan (QPP) contributions was more than $3,500 for the year.

Employment that was pensionable employment where you received tips, gratuities, or other earnings from that
pensionable employment which the employer did not have to withhold CPP or QPP contributions.

Employment outside Canada by a Canadian employer (including the federal government) and the employer has not
agreed to cover the employment under the CPP.

Employment in Canada by an international organization or by the government of another country and the employer
has not agreed to cover the employment in Canada under the CPP.

Employment in Canada by an employer who is not resident in Canada, does not have an establishment in Canada,
and has not undertaken to cover the employment in Canada under the CPP.

Employment in Canada in agriculture or an agricultural enterprise, horticulture, fishing, hunting, trapping, forestry,
logging, or lumbering for less than 25 days in the year or where the cash remuneration was less than $250.

Employment in Canada of a casual nature other than for the employer's trade or business.

Employment in Canada by the federal, provincial or municipal government or a school board for less than 35 hours in
the year for any referendum or election for public office, if you were not regularly employed by that employer.

Employment in Canada for less than 7 days in the year (for example, at a circus, fair, parade, carnival, exposition, or
exhibition) as long as you were not an entertainer and you were not regularly employed by that employer.

Employment outside Canada where, under the laws of the other country, you did not have to contribute to a plan that
is similar to the CPP.

Employment in international transportation partly inside and partly outside Canada and you were not required to
contribute to a plan similar to CPP under the laws of a country other than Canada.

Employment in Canada fighting a disaster or engaging in a rescue operation if you were not regularly employed by
that employer.

Employment in Canada if you are registered or entitled to be registered under the Indian Act and you received a
tax-exempt salary or wages from an employer who has not undertaken to cover the employment under the CPP.

Self-employment in Canada if you are registered or entitled to be registered under the Indian Act and you received
tax-exempt self-employment earnings on a reserve.

Employment in Canada where you had multiple contracts of employment with the same employer with the result that
the year's basic exemption used to withhold CPP and QPP contributions was more than $3,500 for the year.

Employment in Canada where you had multiple employers during the year and one or more received your
Form CPT30, Election to Stop Contributing to the Canada Pension Plan, or Revocation of a Prior Election, while
one or more employers did not withhold CPP contributions because the employers did not receive a copy of your
completed Form CPT30 revoking your prior election to stop contributing to CPP.

CPT20 E (23)

Page 3 of 3