|Title||Individual's Consent to Disclosure and/or Use of Personal Information|
|Purpose||This form will be used by any individual wanting to provide their consent to Disclosure and/or Use of Personal Information held by a Canadian Government institution to a designated third party.|
Returning the Form
|Employment and Social Development Canada|
|Service Canada (SC)|
Individual's Consent to Disclosure and/or Use of Personal Information
PDF: SC-INS3124, 88 KB, printed on 1 pages (8.5 x 11)
For more information, please consult the Forms Help page.