HS58 – Work/Education Placement Forms

Copies of students’ work/education placement agreement forms.

This records class includes Personal Information Banks.

Responsible Unit | Information Steward | Information Confidentiality Classification | Retention | Disposition | Authority | Retention Rationale | Version Information

Content & Scope

Work/Education Placement Agreement forms are required by the Ministry of Training, Colleges and Universities for the administration of workplace insurance for students on unpaid work placements.

Responsible Unit

Safety Office.

Information Steward

Vice-President, Administration & Finance.

Information Confidentiality Classification



2 years.


Secure Destruction.


Responsible Units should document the disposal/destruction of official records using the University records destruction form or equivalent documentation, to verify that we are following our records retention rules.


  • Workplace Safety and Insurance Act, 1997.
  • Ministry of Training, Colleges and Universities. Guidelines for Students on Unpaid Work Placements.

Retention Rationale

The retention period is based on MTCU's Guidelines for Students on Unpaid Work Placements, s. IV, which requires that the form "be retained for one year after the learner completes the program" and the basic limitation period under the Limitations Act.

Approval Date

19 December 2011