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Authorization to disclose information — Retraite Québec

This form is for workers who file a claim for an occupational disease. It allows the CNESST to obtain their authorization to exchange information about their employment history with Retraite Québec. This information may be necessary to establish the eligibility of the claim and to attribute the cost of the benefits to the employer.

This form is for workers who file a claim for an occupational disease. It allows the CNESST to obtain their authorization to exchange information about their employment history with Retraite Québec. This information may be necessary to establish the eligibility of the claim and to attribute the cost of the benefits to the employer.

Theme(s) :
OHS, Occupational disease
Release date :
Type :
Form
Number of pages :
2
Language of publication :
English
Document number :

7013

Notes :

The form is also available in French: Autorisation de communication de renseignements — Retraite Québec.