Régie de l'assurance maladie du Québec

Employment contract or attestation from employer

The document must include:

  • 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 temporary place of residence outside Québec
  • the beginning and end dates of the employment contract outside Québec
  • the worker's identity