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Important notice

Temporary measure to renew the Health Insurance Card

To renew your Health Insurance Card, you must mail your completed and signed renewal form to us, without going through the Société de l’assurance automobile du Québec service outlets. In most cases, you do not need to provide a photo: we will use the one on file.To find out more, read the news release.

Application for Exemption or for Re-Evaluation – Financial Contribution Program for Accommodated Adults

Form
Updated on

 11 August 2022

This form is used to request a reduction in the financial contribution amount required for an adult being accommodated in a public health facility. For instructions for completing the form, use the Guide to the Application for exemption.

Form 4473

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