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1 to 1 of 1 forms for the search : avis de placement
Title and description Release Date

Avis de placement ou de fin de placement d’un prestataire dans un établissement reconnu par le ministère de la Santé et des Services sociaux (French only) (SR- 0060) (PDF, 1.9 MB)

Form to be completed by a person or organization in the health network that is recognized by the Ministère de la Santé et des Services sociaux (MSSS). Necessary to request the placement of a last-resort financial assistance recipient in an establishment recognized by the MSSS.

Submit the completed form in person or by mail to the local employment centre responsible for the recipient’s file.

By default, Acrobat prints documents in letter format. To print this form on legal size paper (8 1/2 X 14), adjust printing configuration.

October 2018