Get Customer Unavailable Declaration Of Residency - Manitoba Public ...

Filling out the Customer Unavailable Declaration Of Residency form is an essential step for users who are temporarily absent from Manitoba. This guide provides clear instructions on how to complete the form accurately and efficiently in an online format.

Follow the steps to complete your declaration form online.

1. Press the ‘Get Form’ button to access the Customer Unavailable Declaration Of Residency form. This will open the document in the editing interface.
2. In the first section, provide your full name in the designated area marked ‘Print Name’ and your complete street address in the ‘Print Street Address or Section Number’ field.
3. Next, enter the city or town where you reside in the specified field.
4. Indicate your Manitoba Public Insurance Customer Number and/or your driver's licence number in the areas provided, ensuring all details are clear and legible.
5. In section B, select the reason for your temporary absence from Manitoba by checking the appropriate box. If none of the options fit your situation, specify your reason in the provided space.
6. For your intended date of return, fill in the expected day you plan to be back in Manitoba after completing the outlined reason.
7. If applicable, state your reason for being unable to attend in person in the designated area.
8. Authorize a person to act on your behalf by providing their name in the specified field. Ensure this form is accompanied by any necessary authorization details.
9. Finally, date the document and add your signature in the space provided at the bottom of the form.

Start your application online today to ensure timely processing of your declaration.