Form Profile
Employment Insurance
Details | |||
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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
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Forms | |||
You can view this form in: |
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PDF5 ins5223e.pdf (28 KB) | |||
For more information, please consult the How to Download page. |
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