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Number INS3124
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.
GroupEmployment Insurance
Important Information

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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)

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