Forms

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

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