Exit Interview Form (Canada)
Confidential Employee Departure Record
EXIT INTERVIEW FORM
EXIT INTERVIEW FORM
CONFIDENTIAL — [Company Name]
This exit interview is conducted on a confidential basis. Information provided will be used solely to improve workplace practices and is protected under applicable Canadian privacy legislation, including the Personal Information Protection and Electronic Documents Act (PIPEDA), S.C. 2000, c. 5, and applicable provincial privacy statutes.
SECTION 1 — EMPLOYEE INFORMATION
SECTION 1 — EMPLOYEE INFORMATION
Employee Name: [Employee Name]
Job Title: [Job Title]
Department: [Department]
Direct Manager: [Manager Name]
Province of Employment: [Province]
Employment Start Date: [Start Date]
Last Working Day: [Last Day]
Interview Date: [Interview Date]
SECTION 2 — REASON FOR LEAVING
SECTION 2 — REASON FOR LEAVING
Primary Reason for Leaving: [Primary Reason]
Additional Details:
[Details]
Would consider returning in future: [Would Return]
SECTION 3 — JOB SATISFACTION RATINGS
SECTION 3 — JOB SATISFACTION RATINGS
Scale: 1 = Very Dissatisfied | 5 = Very Satisfied
Overall Job Satisfaction: [Overall Satisfaction]
Compensation and Benefits: [Compensation Satisfaction]
Management and Leadership: [Management Satisfaction]
Career Development Opportunities: [Career Development Satisfaction]
Work-Life Balance: [Work-Life Balance Satisfaction]
SECTION 4 — FEEDBACK AND SUGGESTIONS
SECTION 4 — FEEDBACK AND SUGGESTIONS
What the organization did well:
[What Worked Well]
Suggested improvements:
[Suggested Improvements]
Additional comments:
[Additional Comments]
SECTION 5 — CONFIDENTIALITY ACKNOWLEDGMENT
SECTION 5 — CONFIDENTIALITY ACKNOWLEDGMENT
The information provided in this exit interview will be kept confidential and used solely for the purpose of improving workplace conditions at [Company Name]. This form will be retained in accordance with applicable employment records retention requirements under the Canada Labour Code (R.S.C. 1985, c. L-2) or the applicable provincial Employment Standards Act for the province of [Province].
HR Representative: [HR Representative Name], [HR Title]
Departing Employee
________________
Signature
HR Representative
________________
Signature
What Is a Exit Interview Form (Canada)?
An Exit Interview Form in Canada records a departing employee’s feedback collected during an exit interview, governed primarily by provincial privacy and employment legislation.
In Canada, the employment relationship is governed by a complex web of federal and provincial legislation. Federal employees in industries such as banking, telecommunications, and interprovincial transportation fall under the Canada Labour Code (R.S.C. 1985, c. L-2). The vast majority of Canadian employees — roughly 90% — are governed by provincial employment standards legislation, including Ontario's Employment Standards Act, 2000 (S.O. 2000, c. 41), British Columbia's Employment Standards Act (R.S.B.C. 1996, c. 113), Alberta's Employment Standards Code (R.S.A. 2000, c. E-9), and equivalent statutes in each province and territory.
While no Canadian statute mandates the use of an exit interview form, these documents serve several important legal and operational purposes. First, they create a contemporaneous record of the employee's reasons for departure, which can be critical evidence if the employee later claims constructive dismissal — the legal doctrine recognized in Canadian common law (Potter v. New Brunswick Legal Aid Services Commission, 2015 SCC 10) that allows an employee to treat themselves as having been dismissed if the employer unilaterally changes a fundamental term of employment.
Second, exit interviews help employers identify systemic workplace issues — including discrimination, harassment, or unsafe working conditions — before they escalate into formal complaints under the Canadian Human Rights Act (R.S.C. 1985, c. H-6) or provincial human rights codes such as Ontario's Human Rights Code (R.S.O. 1990, c. H.19) or the BC Human Rights Code (R.S.B.C. 1996, c. 210).
Third, exit interview data informs strategic human resources decisions: reducing voluntary turnover, improving management practices, refining compensation and benefits, and enhancing workplace culture. The cost of replacing an employee in Canada typically ranges from 50% to 200% of their annual salary when recruitment, onboarding, and productivity loss are factored in, making retention analytics a genuine business investment.
The form typically covers the employee's final role details, primary reasons for leaving (using both structured multiple-choice and open-ended questions), satisfaction ratings across key dimensions (compensation, benefits, management quality, career development opportunities, work-life balance), and suggestions for improving the workplace. Some employers also use the exit interview to discuss the transition process, outstanding work obligations, benefit continuation under provincial rules, and the return of company property.
The legal framework governing the Exit Interview Form (Canada) in Canada draws on several key statutes and regulatory bodies. Under the Canada Labour Code (R.S.C. 1985, c. L-2), the Canada Industrial Relations Board adjudicates federal workplace disputes. Provincial employment standards legislation — including Ontario's Employment Standards Act 2000 and British Columbia's Employment Standards Act (RSBC 1996) — governs minimum employment terms. The Personal Information Protection and Electronic Documents Act (PIPEDA) governs private-sector data handling. The Canada Revenue Agency (CRA) administers source deductions and Canada Pension Plan (CPP) contributions. Parties executing a Exit Interview Form (Canada) in Canada should confirm the document reflects current law, including any amendments enacted since the original drafting date. The Canada Labour Code (R.S.C. 1985, c. L-2) sets the foundational requirements. The Canada Labour Code (R.S.C. 1985, c. L-2) and Employment and Social Development Canada (ESDC) govern exit documentation for federally regulated employers. Section 8 of the Income Tax Act (R.S.C. 1985, c. 1, 5th Supp.) and Section 56 of the Employment Standards Code (Alberta) establish record-keeping obligations. The Ontario Superior Court of Justice, BC Supreme Court, and Alberta Court of King's Bench adjudicate wrongful dismissal claims where exit documentation is relevant.
When Do You Need a Exit Interview Form (Canada)?
An Exit Interview Form should be used whenever an employee voluntarily resigns, retires, or completes a fixed-term contract. The most effective exit interviews are conducted during the employee's final week of employment — after resignation notice has been given but before the last day — when the employee is candid but still engaged.
The form is particularly important when an employee has been with the organization for a significant period (two or more years), when turnover in a particular department is higher than the industry average, when there have been known workplace culture or management concerns, or when the employee is departing to a competitor (in which case the interview also confirms awareness of any non-solicitation or confidentiality obligations under their employment contract).
In federally regulated workplaces, the Canada Labour Code Part III requires employers to maintain detailed employment records. Exit interview documentation, while not specifically mandated, forms part of a thorough HR record-keeping system. In provinces like Ontario and BC, the applicable Employment Standards Act requires all employment records to be retained for at least three years, meaning exit interview notes should be stored accordingly.
Employers in all provinces should use exit interviews as part of their workplace violence and harassment prevention programs mandated under occupational health and safety legislation — for example, Ontario's Occupational Health and Safety Act (R.S.O. 1990, c. O.1, s.32.0.1) requires employers with six or more employees to have a written workplace harassment policy. Exit interviews serve as a final safety check to identify any unreported incidents before the employee leaves.
For provincially regulated employers in Quebec, the Act respecting labour standards (R.S.Q. c. N-1.1) and the Charter of Human Rights and Freedoms (R.S.Q. c. C-12) provide strong protections that make systematic exit interview processes especially prudent.
Under the Canada Labour Code (R.S.C. 1985, c. L-2), the Canada Industrial Relations Board adjudicates federal workplace disputes. Provincial employment standards legislation — including Ontario's Employment Standards Act 2000 and British Columbia's Employment Standards Act (RSBC 1996) — governs minimum employment terms. The Personal Information Protection and Electronic Documents Act (PIPEDA) governs private-sector data handling. The Canada Revenue Agency (CRA) administers source deductions and Canada Pension Plan (CPP) contributions. Section 12 of the Canada Business Corporations Act (R.S.C. 1985, c. C-44), administered by Corporations Canada, and Section 4 of the Personal Information Protection and Electronic Documents Act (PIPEDA, S.C. 2000, c. 5), enforced by the Office of the Privacy Commissioner of Canada (OPC), govern personal data collected in exit interviews. The Ontario Human Rights Tribunal, BC Human Rights Tribunal, and Canadian Human Rights Commission (CHRC) enforce obligations under the Canadian Human Rights Act (R.S.C. 1985, c. H-6). Section 230 of the Income Tax Act requires record retention. The Workplace Safety and Insurance Board (WSIB) of Ontario and WorkSafeBC may require exit documentation where occupational injury was involved. The Competition Act (R.S.C. 1985, c. C-34), enforced by the Competition Bureau, applies where departing employees held competitively sensitive roles.
What to Include in Your Exit Interview Form (Canada)
A thorough Canadian Exit Interview Form should begin with the employee's identifying information: full legal name, employee ID or SIN (Social Insurance Number is optional and should not be required on exit forms due to privacy concerns under PIPEDA — the Personal Information Protection and Electronic Documents Act, S.C. 2000, c. 5), job title, department, direct manager, province of employment, start date, and last working date. The form should also capture the notice period provided and whether the employee is eligible for rehire.
The core of the form is the departure reason section. This should include structured multiple-choice options (new opportunity, better compensation, career advancement, relocation, retirement, family reasons, workplace culture, management issues, health reasons) combined with open-ended narrative fields to capture nuance. Employers must be careful that this section does not inadvertently constitute an admission of constructive dismissal if the departing employee identifies workplace conditions as driving factors.
Satisfaction ratings are best captured on a standardized scale (1-5 or 1-10) across key dimensions: overall job satisfaction, compensation relative to market, benefits adequacy (noting that most provincial ESAs set minimum standards for vacation pay, stat holidays, parental leave, and termination notice), relationship with direct manager, team dynamics, career development opportunities, work-life balance, clarity of role expectations, and quality of onboarding when the employee first joined.
The management and culture feedback section should invite candid observations about what the organization does well and what it should change. This is often the most valuable data for HR analytics and executive decision-making.
Finally, the form should include an interviewer information block (HR representative name, date of interview), a confidentiality statement explaining how the information will be used and protected under applicable privacy legislation (PIPEDA federally, or provincial equivalents like PIPA in Alberta and BC), and space for both the departing employee and HR representative to sign and date the completed form.
Additional compliance elements for a Exit Interview Form (Canada) used in Canada include: Under the Canada Labour Code (R.S.C. 1985, c. L-2), the Canada Industrial Relations Board adjudicates federal workplace disputes. Provincial employment standards legislation — including Ontario's Employment Standards Act 2000 and British Columbia's Employment Standards Act (RSBC 1996) — governs minimum employment terms. The Personal Information Protection and Electronic Documents Act (PIPEDA) governs private-sector data handling. The Canada Revenue Agency (CRA) administers source deductions and Canada Pension Plan (CPP) contributions. The Canada Labour Code (R.S.C. 1985, c. L-2) and Employment and Social Development Canada (ESDC) govern exit documentation for federally regulated employers. Section 230 of the Income Tax Act (R.S.C. 1985, c. 1, 5th Supp.) requires record retention for CRA purposes. The Financial Consumer Agency of Canada (FCAC) and the Ontario Securities Commission (OSC) may impose additional record-keeping requirements in regulated sectors. Provincial workers compensation boards — WorkSafeBC, the Workplace Safety and Insurance Board (WSIB) of Ontario, and the Commission des normes de l'equite de la sante et de la securite du travail (CNESST) in Quebec — may require exit documentation where occupational injury or illness was involved. Forms-legal.com provides this template as a starting point for Canada-compliant documentation.
Sources & Citations
Statutory citations link to official government sources.
- R.S.C. 1985, c. L-2CA official
- R.S.C. 1985, c. H-6CA official
- R.S.C. 1985, c. C-44CA official
- R.S.C. 1985, c. C-34CA official
Cite this page
Reference this free template in an article, syllabus, or research note:
Forms Legal. (2026). Exit Interview Form (Canada) (Canada) [Legal document template]. Forms Legal. https://forms-legal.com/canada/employment/hr-forms/exit-interview-form-canada
"Exit Interview Form (Canada) (Canada)." Forms Legal, 2026, https://forms-legal.com/canada/employment/hr-forms/exit-interview-form-canada.
@misc{formslegal-exit-interview-form-canada,
author = {{Forms Legal}},
title = {Exit Interview Form (Canada) (Canada)},
year = {2026},
howpublished = {\url{https://forms-legal.com/canada/employment/hr-forms/exit-interview-form-canada}},
note = {Free legal document template. Based on Canada Labour Code (R.S.C. 1985, c. L-2)}
}Also available for these jurisdictions:
Frequently Asked Questions
No Canadian statute requires employers to conduct exit interviews. The Canada Labour Code (R.S.C. 1985, c. L-2, Section 240), Ontario's Employment Standards Act, 2000 (S.O. 2000, c. 41, Section 74), British Columbia's Employment Standards Act (R.S.B.C. 1996, c. 113, Section 83), Alberta's Employment Standards Code (R.S.A. 2000, c. E-9, Section 56), and Quebec's Act Respecting Labour Standards (RLRQ, c. N-1.1, Section 124) are silent on exit interview obligations. However, exit interviews serve important legal risk management functions. Under Potter v. New Brunswick Legal Aid Services Commission, 2015 SCC 10, an employee can treat themselves as constructively dismissed if the employer unilaterally changes a fundamental term of employment. An exit interview documenting voluntary resignation creates contemporaneous evidence against future constructive dismissal claims before provincial Superior Courts. The Canadian Human Rights Act (R.S.C. 1985, c. H-6) and provincial human rights codes require employers to prevent discriminatory treatment — exit interview records identifying discriminatory patterns must be investigated under workplace harassment policies mandated by Ontario's Occupational Health and Safety Act (R.S.O. 1990, c. O.1, Section 32.0.1) and the Canada Labour Code (Section 127.1). The Ontario Human Rights Tribunal and Canadian Human Rights Commission enforce these obligations. The Limitations Act, 2002 (S.O. 2002, c. 24, Section 4) sets a two-year limitation period for most employment claims.
Yes — exit interview documents are admissible as evidence in Canadian employment proceedings. Courts across Canada have accepted exit interview records in wrongful dismissal, constructive dismissal, and human rights proceedings. In Ontario, the Human Rights Code (R.S.O. 1990, c. H.19) and Employment Standards Act, 2000 (S.O. 2000, c. 41) protect employees from reprisal for disclosures made during exit interviews. The Limitations Act, 2002 (S.O. 2002, c. 24, Section 4) establishes a two-year limitation period for most employment claims — contemporaneous exit interview records created within this window carry greater evidentiary weight. If exit interview responses reveal allegations of harassment or discrimination, Ontario's Occupational Health and Safety Act (R.S.O. 1990, c. O.1, Section 32.0.7) and the Canada Labour Code (R.S.C. 1985, c. L-2, Section 127.1) require employers to investigate promptly. Failure to act on disclosed allegations can aggravate employer liability before the Ontario Labour Relations Board, the BC Labour Relations Board, or the Canadian Human Rights Commission. Exit interview records should be retained for at least three years under the applicable provincial limitation period, with federally regulated employers retaining records per Canada Labour Code requirements. The Personal Information Protection and Electronic Documents Act (PIPEDA, S.C. 2000, c. Forms-legal.com provides this template as a starting point for Canada-compliant documentation.
Best practice is for a neutral HR representative — not the departing employee's direct manager — to conduct the exit interview. The direct manager's presence can inhibit candid feedback, create bias in documentation, and generate conflicts of interest if the departing employee raises concerns about that manager's conduct. Under Part II of the Canada Labour Code 1985 (Section 125.1), federally regulated employers must investigate harassment complaints; the exit interview may be the first formal record of such complaints and must be escalated to a person with authority to act. Ontario's Occupational Health and Safety Act 1990 (Section 32.0.1) requires employers with six or more employees to establish a written harassment investigation procedure. British Columbia's Workers Compensation Act 2019 (Section 115) requires employers to address workplace bullying and harassment. Alberta's Occupational Health and Safety Act 2017 (Section 35) mandates harassment investigation procedures. For organizations of sufficient size, some employers retain external HR consultants or third-party exit interview providers to obtain more candid feedback, particularly where the departing employee fears retaliation. The interviewer must document the responses accurately and store records securely. Under PIPEDA 2000 (Section 4.7), personal information must be retained only as long as necessary for its purpose and protected from unauthorized access. Forms-legal.com provides this template as a starting point for Canada-compliant documentation.
Exit interview responses in Canada are generally treated as confidential employment records and should not be disclosed to third parties without the departing employee's consent, except as required by law. Under the Personal Information Protection and Electronic Documents Act (PIPEDA, S.C. 2000, c. 5), administered by the Office of the Privacy Commissioner of Canada (OPC), organizations must protect personal information collected during exit interviews and limit use to the stated purpose — improving workplace practices and managing voluntary resignation documentation. Alberta's Personal Information Protection Act (PIPA, S.A. 2003, c. P-6.5) and British Columbia's PIPA (S.B.C. 2003, c. 63) impose similar obligations in those provinces. Quebec's Law 25 (Act respecting the protection of personal information in the private sector, RLRQ, c. P-39.1) requires that personal information collected during exit interviews be retained only as long as necessary and destroyed securely. Employers should not share exit interview responses with the departing employee's former manager or colleagues without consent, as this could expose the employer to claims under the Canadian Human Rights Act (R.S.C. 1985, c. H-6) enforced by the Canadian Human Rights Commission (CHRC), or provincial human rights codes. Forms-legal.com provides this template as a starting point for Canada-compliant documentation.
A Exit Interview Form (Canada) does not legally require a lawyer in Canada, and individuals and businesses may draft and execute the document independently. The Canada Labour Code (R.S.C. 1985, c. L-2) does not mandate legal representation for the creation or signing of this type of document. However, seeking independent legal advice from a qualified Canada lawyer is recommended for transactions involving substantial financial value, complex regulatory requirements, or cross-border elements where multiple legal jurisdictions may apply. A lawyer can verify that the document complies with all applicable statutory requirements, identify potential risks specific to the transaction, and confirm that the terms adequately protect the interests of all parties involved. The Federal Court of Canada has jurisdiction over disputes arising from this type of document, and Corporations Canada may impose additional compliance obligations depending on the nature of the underlying transaction. Professional legal review is particularly advisable where the document will be submitted to government agencies or used as evidence in legal proceedings.
This template is provided for informational purposes only and does not constitute legal advice. Laws vary by jurisdiction and change over time. Consult a qualified attorney for advice specific to your situation.Full disclaimer
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