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Compassionate Care Benefits Annex 5 INS5217 2011
This information are outlined in the government publication entitled Info Source, a copy of which is
located at all Service Canada Centre. Info Source is also available at the following web site address: infosource.gc.ca
The information you provide is collected under the authority of the Employment Insurance Act to determine your eligibility for benefits.
Completion is mandatory; failure to complete this form will result in not being entitled to Compassionate Care Benefits. The
information you...
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