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Retroactive Pay for Former Employees Form

  1. Click on the Download button (the red Download button at the bottom of this page or the arrow with the line beneath it in the upper right corner of the preview window).
  2. Go to your Downloads folder and open the file you just downloaded in the previous step (Retroactive Pay for Former Employees Form_fillable.pdf).
  3. Complete the form, sign it, and SAVE the file. You may sign the form by drawing your signature or using a digital signature.
  4. The next step is to scan or take a digital photo of a void cheque or download a direct deposit form showing your account details downloaded from your bank’s website.
  5. Send an email to confidential mailbox hrhelp@yorku.ca with both the signed form AND scanned void cheque or direct deposit form attached to the email. Include your former affiliation in the email subject line, for example “YUFA retro pay form.”
  6. Shortly after sending your email to hrhelp@yorku.ca, you will receive a notification that your email has been received.
  7. Your form will be reviewed, and you will be contacted should any further information be required.