Get Canada TFWP-LCP

Protected B when completed Temporary Foreign Worker Program Live-in Caregiver Bedroom Description This form must be completed and signed by both employers when applicable if the live-in caregiver will work in one location only. However one form must be completed for each residence in which the resides in multiple locations such as a cottage. 1. Employer s address of residence where the live-in caregiver will reside Number / Street / PO Box City Province / Territory Postal Code Telephone number with area code 2. Will the live-in caregiver have his/her own bedroom Yes No 3. Is the live-in caregiver s bedroom located inside the premises where care will be given 4. Does the live-in caregiver s bedroom have a door with a lock whose key will be provided to him/her and is there a safety bolt from within 6. What are the dimensions of the bedroom being assigned to the live-in caregiver e*g* 9 m or 2. 7 m x 3. 40 m 7. Does the bedroom provided to the caregiver include Finished walls Finished floors Finished ceilings Heating Lighting Closet Bed with mattress Bedding sheets pillows blankets TFWP-LCP AUSSI DISPONIBLE EN FRAN AIS 8. Provide additional details about furniture and/or services e*g* telephone television cable or satellite Internet etc* if applicable for the live-in caregiver s bedroom Name of employer 1 please print Signature of employer 1 Date DD/MM/YYYY applicable please print. However one form must be completed for each residence in which the resides in multiple locations such as a cottage. 1. Employer s address of residence where the live-in caregiver will reside Number / Street / PO Box City Province / Territory Postal Code Telephone number with area code 2. 1. Employer s address of residence where the live-in caregiver will reside Number / Street / PO Box City Province / Territory Postal Code Telephone number with area code 2. Will the live-in caregiver have his/her own bedroom Yes No 3. Is the live-in caregiver s bedroom located inside the premises where care will be given 4. Will the live-in caregiver have his/her own bedroom Yes No 3. Is the live-in caregiver s bedroom located inside the premises where care will be given 4. Does the live-in caregiver s bedroom have a door with a lock whose key will be provided to him/her and is there a safety bolt from within 6. Does the live-in caregiver s bedroom have a door with a lock whose key will be provided to him/her and is there a safety bolt from within 6. What are the dimensions of the bedroom being assigned to the live-in caregiver e*g* 9 m or 2. 7 m x 3. What are the dimensions of the bedroom being assigned to the live-in caregiver e*g* 9 m or 2. 7 m x 3. 40 m 7. Does the bedroom provided to the caregiver include Finished walls Finished floors Finished ceilings Heating Lighting Closet Bed with mattress Bedding sheets pillows blankets TFWP-LCP AUSSI DISPONIBLE EN FRAN AIS 8. 40 m 7. Does the bedroom provided to the caregiver include Finished walls Finished floors Finished ceilings Heating Lighting Closet Bed with mattress Bedding sheets pillows blankets TFWP-LCP AUSSI DISPONIBLE EN FRAN AIS 8. Provide additional details about furniture and/or services e*g* telephone television cable or satellite Internet etc* if applicable for the live-in caregiver s bedroom Name of employer 1 please print Signature of employer 1 Date DD/MM/YYYY applicable please print. .