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11 to 15 of 15 most recent forms
Title and description Release Date

Assessment of farm operations (SR-118A) (PDF, 256 KB)

Form required by the local employment centre at the time of the application for last-resort financial assistance benefits or during a reassessment while receiving benefits. This form is intended to provide an assessment of the value of and income derived from a farm operation. 

Submit the completed form in person or by mail to your local employment centre.

October 2015

Parental contribution (SR-2102A) (PDF, 154 KB)

Form to be completed by parent(s). This form must be completed when a child who is considered a dependent of his or her parents files an application for financial assistance.

July 2021

Declaration of income (6468A) (PDF, 525 KB)

This form must be completed if you are participating in an employment assistance activity, but are not receiving government income support and are not an Employment Insurance participant.

An Employment Insurance participant is a person who has received employment insurance benefits at any time in the past 60 months or has paid premiums to the Employment Insurance Program during 5 of the past 10 years.

The form is used to verify whether your income in the past 12 months and that of your family, if any, is under the low-income cut-off. The information will allow the personnel at the Ministère to determine whether you are eligible for financial assistance during your participation in an employment assistance activity. Submit the duly completed, signed and dated form to your nearest Services Québec officeOpens external link in new window..

 

 

November 2019

Follow-up sheet for a referral or recuitement activity (6478-01A) (PDF, 341 KB)

Follow-up sheet for a referral or recuitement activity to be completed by the outside partner.

September 2019

Repayment by pre-authorized debit (CR-0035) (PDF, 100 KB)

This form must be completed in order to authorize the Ministère du Travail, de l’Emploi et de la Solidarité sociale to receive amounts by pre-authorized debit from your financial institution in order to recover an amount owed to the Ministère.

The form is a dynamic PDF form. It can be completed online and you can then print and sign it.

August 2015