Retroactive Pay
Employee's name (optional)
Employer's name (optional)
Pay period end date
Province or territory of employment
Pay period
Gross salary(or pension income) for the pay period  Input Gross Salary
Deductions to determine taxable income  Input Deductions
Total retroactive pay increase payable
RRSP, etc., deducted from retroactive pay increase
Number of pay periods applied to
Requested additional tax deduction
Total claim amount(from federal TD1)
Total claim amount(from provvincial or territorial TD1)
Calculate Exit Calculation
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