|Title||Canadian Benefit for Parent of Young Victims of Crime - Consent to Release Personal Information to a Designated Individual|
|Purpose||This form will be used to authorize Service Canada to release information from your PMMC file to someone other than the beneficiary for the purpose of administering this grant.|
|Group||Federal Income Support for Parents of Murdered or Missing Children|
|Service Canada (SC)|
CANADIAN BENEFIT FOR PARENTS OF YOUNG VICTIMS OF CRIME Consent to Release Personal Information to a Designated Individual
PDF: SC-EMP5634, 128 KB, printed on 3 pages (8.5x11)
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