[ Forms Catalogue ] [ Forms List ] [ Forms Help ]

Direct Deposit Application for Unemployment/Employment Benefits - INS5178

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".

Group

Employment Insurance

Important Information

Returning the Form

Forms

This site uses PDF form technology. To print these high-quality PDF forms, you must have a PDF reader installed. If you do not already have such a reader, there are several available on the Internet : Download Adobe Reader or download Foxit Reader. The form(s) are available in the following formats.

Important Information

For the form to work properly (including Digital signatures), you must first save it on your computer, and reopen it with Adobe Acrobat Reader to add information. Then resave once completed.

DIRECT DEPOSIT APPLICATION for Employment Insurance (EI) Benefits

PDF: Download SC-INS5178, 149 KB, printed on 1 pages (8.5 x 11)

For more information, please consult the Forms Help page.