[ Forms Catalogue ] [ Forms List ] [ Help ]

Form Detail

Details
Number LAB1080
Title Vehicle - Related Accident Questionnaire
Purpose To provide ESDC – Labour Program with information pertaining to the third party related to the claim under the Government Employees Compensation Act. (GECA)
GroupInjury Compensation
Important Information
Returning the Form

Forms
This site uses PDF form technology. To print these high-quality PDF forms, you must have a PDF reader installed. If you do not already have such a reader, there are several available on the Internet : Adobe Reader and Foxit Reader The form(s) are available in the following formats.
Employment and Social Development Canada

VEHICLE-RELATED ACCIDENT QUESTIONNAIRE
PDF: ESDC-LAB1080, 5164 KB, printed on 2 pages (8.5x14)

For more information, please consult the Forms Help page.