|Purpose||Complete this form if you are presently working for any employer, if you are self-employed or engaged in the operation of a business other than farming or fishing. You can mail or deliver this form to your local Service Canada Centre. Please be sure that you have answered all the questions pertaining to your situation. Finally, be sure to date and sign the form on page "2".|
Returning the Form
|Employment and Social Development Canada|
PDF: ESDC-INS3977, 195 KB, printed on 2 pages (8.5 x 11)
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