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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

Declaration of Domicile

Form
Updated on

 14 December 2023

This form is used to confirm your residential address, when requested by RAMQ.

Form 4303

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.