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Canadian Benefit for Parent of Young Victims of Crime - Consent to Release Personal Information to a Designated Individual - EMP5634

Purpose

This form will be used to authorize Service Canada to release information from your PYVC file to someone other than the beneficiary for the purpose of administering this grant.

Group

Employment Programs

Forms

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Service Canada (SC)

CANADIAN BENEFIT FOR PARENTS OF YOUNG VICTIMS OF CRIME

PDF: Download SC-EMP5634, 124 KB, printed on 3 pages (8.5x11)

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