|Classification / Identification:|
| ||Form Number:||022-13-1352E||Edition date: ||2017/10 |
| ||Title:||Postsecondary Student Unpaid Work Placement Workplace Insurance Claim|
| ||Ministry:||Colleges and Universities|| || |
| ||Branch/ABC:||Programs Branch|| || |
| ||Program:||Literacy and Basic Skill (LBS)|| || |
| ||Purpose of Form:||Track Post secondary students who incur a serious occurance on work placements|| || |
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