| Details | |
|---|---|
| Number | INS5223 |
| Title | Family Member Attestation for Employment Insurance Family Caregiver Benefits or Compassionate Care Benefits |
| Purpose | Complete this form and have it signed by the gravely ill or critically ill or injured person that considers you “like” a family member. This form should accompany your claim for Compassionate Care or Family Caregiver benefits. You can also mail or deliver the form to your local Service Canada Centre. |
| Group | Employment Insurance |
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Important Information Returning the Form | |
| Forms |
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| Service Canada (SC) |
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Family Member Attestation for Employment Insurance (EI) Family Caregiver Benefits or Compassionate Care Benefits PDF: SC-INS5223, 110 KB, printed on 1 pages (8.5 x 11) |
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