1 Vos coordonnées
2 Informations sur la demande
3 Résumé
4 Fin

Send documents related to a request already in progress

If you have already applied for a reimbursement, you can attach additional documents to support your request. Further information may be required to ensure that your request is processed effectively.

Your contact information

First name

Name

Date of birth

Example: Thirty-one, then slash, then zero one, then slash, then nineteen fifty-five

Health Insurance Number

Example: Four letters “A”, followed by four nines, followed by four nines

Email address

We do not disclose any information concerning your personal file or that of your family by email.