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

Gouvernement du Québec
Régie de l’assurance maladie

Download the Directives in case of incapacity form

Government Authentication Service

To download the form, you must have a Government Authentication Service account. This account provides simple, fast and secure access to the online services of the Gouvernement du Québec. You will also need to provide additional personal information. If you are unable to provide this information or if it is inconsistent, you will not be able to continue. You will then have to call us.

You can:

  • use your existing Government Authentication Service account
  • create an account

If you have accessed the Société de l'assurance automobile du Québec (SAAQ) online services portal, you already have an account.

You cannot use the user code and password from a clicSÉQUR account to log in using the Government Authentication Service.

Continue with the Government Authentication Service

ClicSÉQUR

ClicSÉQUR will soon be replaced with the Government Authentication Service. However, you will continue to have the option of logging in with clicSÉQUR for some time to allow you to create an account with the new service.

Continue with clicSÉQUR