Purpose
Complete this form to give permission to Employment and Social Development Canada (ESDC) to communicate with the workers’ compensation agency in your province or territory to ensure you receive the right amount of money from each source.
Group
Employment Insurance
Forms
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Important Information
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Service Canada (SC)
CONSENT TO RELEASE INFORMATION
PDF: Download SC-INS5246, 125 KB, printed on 2 pages (8.5x11)