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Important notice

Class action against tobacco companies

If you need the Health Insurance Number of a tobacco victim or the list of the medical services you have received and that have been paid for by RAMQ, you must file a request. Find out more

Sworn Statement – Presence in Québec and identification of a child

Form
Updated on

 14 December 2023

This form confirms the intention of the parent or legal guardian of a child to reside in Québec for a period of more than 6 months following the date of registration of the child for health insurance. It must be signed before a commissioner for oaths and remains valid for 45 days.

Form 4489

Protection of your personal information
In order to offer you certain services, we need to collect, use, and sometimes disclose your personal information. To find out more about our privacy practices on our website, please refer to our Privacy policy webpage.