Employment Equity Regulations

Certificate issued pursuant to subparagraph 39(4)(b)(i) of the Employment Equity Act

In the matter of the commission of a violation under (specify provision) of (specify title of Act or Regulations) by (identify employer)

It is hereby certified that, after service of a request under paragraph 39(1)(a) of the Employment Equity Act on (identify employer) setting out the time and place of hearing of the particulars of this matter, and at the conclusion of the proceedings in relation to the violation, I have determined that (identify employer) has committed a violation under (specify provision) of (specify title of Act or Regulations) on (specify date).

The penalty in respect of the violation is $ (specify amount).

Dated this day of , 19 .

Signed by: