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Claimant Attestation - Highest Weeks of Insurable Earnings (Variable Best Weeks) - INS5241

Purpose

To ensure that you are paid the maximum Employment Insurance (EI) benefit rate that you are entitled to, complete this form us with the required information about your highest weeks of insurable earnings in the last 52 weeks of employment or since the start of your last claim, whichever is the shorter period of the two.

Group

Employment Insurance

Important Information

Returning the Form

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Service Canada (SC)

Claimant Attestation – Highest Weeks of Insurable Earnings (Variable Best Weeks)

PDF: Download SC-INS5241, 209 KB, printed on 3 pages (8.5 x 11)

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