CERB/CRB Repayment Advocacy
All information is for CARFAC's advocacy purposes only, no information will be shared with any 3rd parties for sales or solicitation.  Respondents may be contacted for further information.
Sign in to Google to save your progress. Learn more
What is your artistic discipline? *
What is your name? *
What province are you in? *
Who is your MP?  If you do not know, please provide your postal code. *
Please outline your situation regarding being asked to repay your CERB or CRB payment.  
Phone number (not required)
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of CARFAC National.

Does this form look suspicious? Report

Google Forms