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Get Canada Quikcard Adult Dependent Declaration 2019-2024

Date this form. IMPORTANT: This form will be returned to you if it is incomplete or unsigned. COMPLETED FORM: Can be mailed, faxed or emailed to admin quikcard.com. 1. Cardholder Information Name Group # Certificate # Employer Name Address City Province Postal Code 2. Adult Dependent Information I HEREBY CONFIRM that: Name Date of Birth D/M/Y for the purposes of the medical expense tax credit, qualifies as a dependent of the cardholder because all the following conditions are.

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