Form Profile
Employment Insurance
| Details | |||
|---|---|---|---|
| Number | INS5223 | ||
| Title | Compassionate Care Benefits Attestation | ||
| Purpose | Have this form completed by the gravely ill person that considers you “like” a family member. This form should accompany your claim for compassionate care benefits. You can also mail or deliver the form to your local Service Canada Centre. | ||
| Language | English | ||
| Paper Size | 8.5x11 | ||
| Returning the Form |
Important Information
|
||
| Forms | |||
|
You can view this form in: |
|||
| PDF5 ins5223e.pdf (28 KB) | |||
|
For more information, please consult the How to Download page. |
|||
|
Search for a form |
|---|
