| Details | |
|---|---|
| Number | INS5217 |
| Title | Annex 5 - Compassionate Care Benefits |
| Purpose | Complete this form if you are applying for Compasionate Care Benefits. This form must be submitted with the Authorization to Release a Medical Certificate (INS5216A) and the Medical Certificate for Employment Insurance Compasionate Care Benefits (INS5216B). |
| Group | Employment Insurance |
|
Important Information Returning the Form | |
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