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11 to 14 of 14 most recent forms
Title and description Release Date

Authorization to Disclose Personal Information to a Journalist of Journalists form (2566A) (PDF, 51 KB)

This form allows you to authorize the Ministère de l’Emploi et de la Solidarité sociale to disclose personal information to a journalist or journalists.

Under the Act respecting Access to documents held by public bodies and the Protection of personal information, public bodies may not disclose personal information without the authorization of the person concerned.

The Ministère must therefore obtain the person’s authorization to disclose personal information before its representative can discuss the information in question with a journalist or journalists.

If you wish to authorize the Ministère to disclose information about you to a journalist or journalists, please complete and sign the form and either fax it to 418-643-9347 or mail it to the address shown below.

Important: You can fill in the form online but the completed form cannot be saved. Be sure to print one or more copies before exiting the form; if not, your information will be lost.

Responsable des relations avec les médias
Ministère de l’Emploi et de la Solidarité sociale
Direction des communications
Service Relations publiques, communication organisationnelle et productions spécialisées
425, rue Jacques-Parizeau, bureau RC.120
Québec (Québec) G1R 5A5
Telephone: 418-646-0425, extension 61087

February 2014

Direct Deposit Registration Form (A-616) (PDF, 182 KB)

Form required to have the financial assistance granted under the Social Assistance Program or the Social Solidarity Program deposited directly into a bank account. 

July 2013

Supplement to the work premium (TPZ-1029.8.PS-V) (PDF, 109 KB)

Form required when requesting advance monthly payments of the supplement to the work premium.

October 2012

Confirmation of day care expenses (EQ-6351A) (PDF, 76 KB)

This form must be completed, signed and dated by the day care service provider, and sent to your local employment centre (CLE). To find your local employment centre, use the Local Employment Centre LocatorOpens external link in new window..

April 2011