Eligible Educator School Supply Tax Credit Attestation

Eligible Educator School Supply Tax Credit Attestation

Employee Attestation

I attest that I am qualified to claim the Eligible Educator School Supply Tax Credit in compliance with Canada Revenue Agency (CRA) terms and conditions1.

I attest that the eligible supplies:

·  Have been purchased by me in the tax year;

·  Have been purchased and used in the school for the purpose of teaching or helping students learn and/or in my role in the Extended Day Program/Child Care Program;

·  Have not been or will not be reimbursed or subject to an allowance or other form of assistance such as that provided by the employer, parents or students, or through fundraising activities;

·  Have not been deducted or used in calculating a deduction from another person’s income for any tax year;

·  Have not been reimbursed or permitted for deduction as an employment expense under form T2200, Declaration of Conditions of Employment.

I understand that all receipts supporting the amount claimed are subject to review or audit by CRA. I understand that it is my responsibility to retain all relevant documentation in compliance with CRA requirements 2. Furthermore, I acknowledge that I am solely responsible for any liability that may result from a review or audit by CRA.

Tax Year ______Claim Amount $______(maximum $1,000)

School: ______

Employee Name: ______

Employee Signature: ______

1.  Canada Revenue Agency terms and conditions of the Eligible Educator School Supply Tax Credit as set out in Section 122.9 of the Income Tax Act. Further information is available at http://www.cra-arc.gc.ca/gncy/bdgt/2016/qa03-eng.html.

2.  Canada Revenue Agency requires that supporting documents be retained for six years following the tax year.

Employer Certification

On behalf of the Ottawa-Carleton District School Board, I certify that to the best of my knowledge the above attestation is true.

Name: ______

School/Position: ______

Signature: ______