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Number INS5234
Title Teachers Questionnaire
Purpose Complete this form if you taught in the last 2 years. You can mail or deliver this form to your local Service Canada Centre. Please be sure that you have answered all the questions. Finally, be sure to date and sign the form.
GroupEmployment Insurance
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Service Canada (SC)

Teachers Questionnaire
PDF: SC-INS5234, 261 KB, printed on 2 pages (8.5 x 14)

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