Contribution Forms for Employers
HOOPP Connect
Employers

Contribution Forms for Employers

Name Purpose
Monthly Contribution Report
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Employers use this form to report employee contributions and related employer contributions that are remitted to HOOPP at the end of each month. This form can be filled out on-screen and submitted via email.
Lump Sum Contributions Report
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Employers use this form to report lump sum member contributions made in respect of a leave or temporary period of reduced earnings that are received after the member data collection report has been submitted.
Contribution Status Change
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Employers use this form to change member's employment or contributory status.
Contributions Waiver
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Employers must have members complete and sign this waiver acknowledging they understand the rules of waiving contributions if they are either a part-time member who works full-time at another hospital or if they are full-time members moving to part-time. The employer is responsible for returning this waiver back to HOOPP.

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Please print bar-coded forms on the correct size of paper. Legal sized forms should be printed on legal (8½" x 14") paper, and letter sized forms on letter (8½" x 11") paper. Also, please send bar-coded forms to HOOPP by mail. Bar codes can't be scanned correctly if they are printed on the wrong size of paper or are faxed.