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Follow-up sheet for a referral or recuitement activity (6478-01A) (PDF, 154 KB)
Follow-up sheet for a referral or recuitement activity to be completed by the outside partner.
Application for an Administrative Reconsideration – Public Employment Services (EQ-6505A) (PDF, 116 KB)
Form that must be used to file an application for administrative reconsideration of a decision related to a program, measure or employment service. Used in cases where the decision is not subject to an application for review.
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 office.
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
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.