List of Forms

Employment Insurance

28 Forms

Number Title
INS5205 After You Apply For Worksharing Benefits
INS5217 Annex 5 - Compassionate Care Benefits
INS2987 Application to Antedate Claim for Benefit
INS3280 Appointment of Representative
INS5108 Availability for Work
INS5241 Claimant Attestation - Highest Weeks of Insurable Earnings (Variable Best Weeks)
INS5223 Compassionate Care Benefits Attestation
INS5178 Direct Deposit Application for Unemployment/Employment Benefits
INS3977 Employment Questionnaire
INS5245 Family Relationship with your Employer
INS3164 Farm Questionnaire
INS5110 Fired (Dismissed)
INS5216A-B INS5216A: Authorization to Release a Medical Certificate, INS5216B: Medical Certificate for Employment Insurance Compassionate Care Benefits
INS5242A-B INS5242A: Authorization to Release a Medical Certificate (for Employment Insurance benefits for Parents of Critically Ill Children), INS5242B: Medical Certificate for Employment Insurance benefits for Parents of Critically Ill Children
INS3124 Individual's Consent to Disclosure and/or Use of Personal Information
INS5240 Job Search Form
INS5168 Maternity and/or Parental benefits Annex 3
INS5140 Medical Certificate for Employment Insurance Sickness Benefits
INS5237 Non-Availability Questionnaire
INS5109 Quit (Voluntary separation from employment)
INS5238 ROE WEB Client Employer Consent Form
INS2882 Request for Payment of Benefit on Behalf of a Deceased Person
INS5210 Request for Reconsideration of an Employment Insurance (EI) decision
INS3166 Request for Record of Employment
INS3366 Rights and Responsibilities - Employment Insurance and You - A Shared Responsibility
INS5186 Small Weeks Questionnaire
INS5234 Teachers Questionnaire
INS3141 Training Course Information