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Number INS5178
Title Direct Deposit Application for Unemployment/Employment Benefits
Purpose Complete this form if you wish to have your Employment Insurance (EI) payment deposited directly to your bank account. You can mail or deliver this form to your local Service Canada Centre. Please be sure that you have completed sections "A," "B," and "C". Take extra care in completing the section "Financial Institution Information". Finally, be sure to sign the form in section "D".
GroupEmployment Insurance
Important Information
Returning the Form

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Employment and Social Development Canada

DIRECT DEPOSIT APPLICATION for Unemployment/Employment Benefits
PDF: ESDC-INS5178, 144 KB, printed on 1 pages (8.5 x 11)

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