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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

Important information

The contents of this webpage are in French only.

Avis de dommages corporels

Formulaire
Updated on

 23 February 2021

Ce formulaire s’adresse aux assureurs et sert à aviser la RAMQ d’un événement impliquant des blessures corporelles entraînant ou pouvant entraîner le paiement de services assurés.

Formulaire 3155