Forms

Apply for Benefits

The following documents are intended to help you complete your application for benefits. Consult them to know in advance the questions asked when you apply online or over the phone.

Unofficial documents - Do not mail

Maternity or parental benefits

Paternity or parental benefits

Employment information—Relevé de renseignements sur l’emploi RQAP form (French only)

If you are a salaried worker whose income is not insurable under Employment Insurance but is insurable under the QPIP, your employer must fill out this form and you must then send it to us.

By mail

Your employer must complete this form (PDF file., 365 KB) and you must mail it to us at the following address:
Centre de service à la clientèle
19, rue Perreault Ouest, 1er étage
Rouyn-Noranda (Québec)  J9X 0A1

Application for review form

If you wish to contest a decision rendered concerning your file, you must complete an application for review form and send it to us within 90 days following receipt of the decision notice.

Your application for review will be assessed on the basis of the facts available at the time the decision was rendered. You must notify us of any change in your situation that occurs after that time.

For additional information : The Review Process (folder Fichier PDF., 227 KB).

For quicker processing, use our online services.

By mail

Complete the form (PDF file., 84 KB) and mail it to us at the following address:

Centre de service à la clientèle
19, rue Perreault Ouest, 1er étage
Rouyn-Noranda (Québec) J9X 0A1

By Internet

Access your online file, select the “Application(s) for review” tab, enter the information concerning your application for review and submit it.

Complaint form

If you are dissatisfied with our service or if you disagree with a decision we have rendered:

By telephone

Call the Centre de service à la clientèle at the following numbers:

  • Throughout North America, toll free: 1 888 610-7727
  • Overseas: 1 416 342-3059*
    * Charges apply.

By mail

Complete the form (PDF file., 41 KB) and mail it to us at the following address:

Centre de service à la clientèle
19, rue Perreault Ouest, 1er étage
Rouyn-Noranda (Québec) J9X 0A1

By Internet

Access your online file, select the “Service requests” tab, draft your complaint and submit it.

Last update: 2012-02-08