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Number INS5210
Title Request for Reconsideration of an Employment Insurance (EI) decision
Purpose The Request for Reconsideration of an Employment Insurance (EI) decision form is intended for individuals who wish to request a reconsideration of an Employment Insurance decision of the Commission. PRINT THIS FORM. Make sure the form is complete, signed and dated, and forward at once to one of the addresses provided on the form. If there are more than one decision on your claim, ensure the decisions are well identified as to the one(s) you wish the Commission to reconsider. You have 30 days from receipt of the Commission’s decision(s) to submit a request for reconsideration in writing. For more information on the reconsideration process, please visit our website at http://www.ei-ae.gc.ca.
GroupEmployment Insurance
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Service Canada (SC)

REQUEST FOR RECONSIDERATION of an Employment Insurance (EI) decision
PDF: SC-INS5210, 156 KB, printed on 2 pages (8.5 x 11)

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