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Individuals

Form required to obtain a service related to your efforts to enter the labour market or remain employed. Submit the completed form in person or by mail to your local employment centre.

By default, Acrobat prints documents in letter format. To print this form on legal size paper (8 1/2 x 14), adjust printing configuration.


To apply for last-resort financial assistance benefits, both these forms must be completed. If the application is for a couple or family, each adult has to complete an Application for Service form (3000A); only a single Application for Last-Resort Financial Assistance form (3000-01A), however, has to be completed per couple or family. Submit the completed forms in person or by mail to your local employment centre.

Important: Your eligibility for last-resort financial assistance benefits is assessed as of the date on which the local employment centre receives your forms.

By default, Acrobat prints documents in letter format. To print this form on legal size paper (8 1/2 x 14), adjust printing configuration.


Under the Canada-Quebec Labour Market Agreement, Québec is responsible for active employment measures available to employment insurance participants, and for certain functions of the National Employment Service available to employment insurance users. These measures and functions are funded by the Employment Insurance Account, for which Canada is responsible.

 

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