Régie de l'assurance maladie du Québec

Employment contract or attestation from employer

The document must indicate:

  • the employer's name and the signature of an official;
  • the employer's address (the address in Québec if the worker leaves Québec to work for a Québec employer);
  • the beginning and end dates of the employment contract or, in the case of an attestation, of the employment period;
  • the worker's identity.