Help on Web accessibility features Skip first menu and go to left menu


Form Profile

Employment Insurance

Details
Number INS3280
Title Appointment of Representative
Purpose Complete this form if you are unable to manage your claim for EI benefits due to health problems. A representative or a public trustee may be appointed to act on your behalf. You can mail or deliver this form to your local Service Canada Centre. Please be sure that you have signed the form or if you are incapable of doing so, that a physician has signed the form.
Language English
Paper Size 8.5x11
 
Returning the Form Important Information

Forms

You can view this form in:
PDF5  ins3280e.pdf   (29 KB)


For more information, please consult the How to Download page.





Search for a form