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".
Group
Employment Insurance
Forms
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Important Information
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Employment and Social Development Canada
INS3977B
PDF: Download ESDC-INS3977, 195 KB, printed on 2 pages (8.5 x 11)