Application for Determination of Status as an Employee or a Self-Employed Person

This form is to be used by persons who wish to obtain a decision, under section 44 of the Act respecting parental insurance or section 65 of the Act respecting the Québec Pension Plan, as to whether contributions for a given year must be made on an employee and employer basis or on a self-employed basis.

To complete the form, save it to your computer and open it in Adobe Reader.

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2012-02 version

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