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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

Application to Obtain an Attestation for a Québec Resident Going to Luxembourg

Form
Updated on

 14 December 2023

This form is used to request from RAMQ proof of your health insurance coverage. When you go to Luxembourg to reside there temporarily or permanently, this proof is necessary for your health insurance coverage under the social security agreement between Québec and Luxembourg.

Form 4034

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