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Important notice

Class action against tobacco companies

If you need the Health Insurance Number of a tobacco victim, you must file a request for access to information for a deceased person. Find out more

Undertaking Form

Form
Updated on

 14 December 2023

This form is to be attached when requesting the Assisted procreation: temporary reimbursement measures for in vitro fertilization services.

To find out more about the program, refer to the page Assisted procreation: temporary reimbursement measures for in vitro fertilization services.

Form 4514

Protection of your personal information
In order to offer you certain services, we need to collect, use, and sometimes disclose your personal information. To find out more about our privacy practices on our website, please refer to our Privacy policy webpage.

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