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You have received a Relevé 5 and a T5007
slip for the 2015 taxation year.
Why?
or 4 Because the CSST reimbursed
4 Because the CSST paid you
certain amounts of money
(benefits) in 2015.
your employer directly for certain
amounts of money paid to you.
or 4 Because you reimbursed the
CSST for certain amounts of
money paid to you.
What must you do?
Even though they are not taxable, you must enter the amounts appearing on the Relevé 5 slip (box C, E, M or P, as the
case may be) and on the T5007 slip (box 10) in your Québec and federal income tax returns.
SPECIM
You are no longer
required to attach
the RL-5 slip to the
Québec income
tax return.
This copy is to keep
for your files.
EN
Enter this amount on both lines.
In the Québec return
Amount in box C or E
Income replacement indemnities and
net federal supplements Deductions for certain income
Line 148
Line 295
Amount in box M
Adjustment for income
replacement indemnities Line 358
Enter this amount on both lines.
In the federal return
Amount in box 10
Workers’ compensation
benefits
Other payments deductions
csst.qc.ca
Line 144
Line 250
Amount in box P
Other deductions
Adjustment of deductions
Line 246
Line 276
Amount in box O - Redressement pour indemnités
reçues pour des années passées
You are not required to enter the amount indicated
in the boxes. Revenu Québec will make any necessary
adjustment, where applicable.
SPECIM
EN
If you have any questions concerning the amounts indicated on the Relevé 5 and T5007 forms,
please contact the CSST.
Just one number for the CSST: 1 844 838-0808
33, rue Gamble O.
Rouyn-Noranda
(Québec) J9X 2R3
Fax : 819 762-9325
2e étage
1185, rue Germain
Val-d’Or
(Québec) J9P 6B1
Fax : 819 874-2522
bas-saint-laurent
180, rue des Gouverneurs
Case postale 2180
Rimouski
(Québec) G5L 7P3
Fax : 418 725-6237
capitale-nationale
425, rue du Pont
Case postale 4900
Succ. Terminus
Québec
(Québec) G1K 7S6
Fax : 418 266-4015
chaudièreappalaches
835, rue de la Concorde
Lévis
(Québec) G6W 7P7
Fax : 418 839-2498
côte-nord
lanaudière
outaouais
yamaska
235, boul. La Salle
Baie-Comeau
(Québec) G4Z 2Z4
Fax : 418 294-7325
laurentides
saguenay–
lac-saint-jean
direction des
activités
centralisées
Bureau 236
700, boul. Laure
Sept-Îles
(Québec) G4R 1Y1
Fax : 418 964-3959
estrie
Place Jacques-Cartier
Bureau 204
1650, rue King O.
Sherbrooke
(Québec) J1J 2C3
Fax : 819 821-6116
gaspésie–îlesde-la-madeleine
163, boul. de Gaspé
Gaspé
(Québec) G4X 2V1
Fax : 418 368-7855
200, boul. Perron O.
New Richmond
(Québec) G0C 2B0
Fax : 418 392-5406
île-de-montréal
1, complexe Desjardins
Tour Sud, 31e étage
Case postale 3
Succ. Place-Desjardins
Montréal
(Québec) H5B 1H1
Fax : 514 906-3200
432, rue de Lanaudière
Case postale 550
Joliette
(Québec) J6E 7N2
Fax : 450 756-6832
15, rue Gamelin
Case postale 1454
Gatineau
(Québec) J8X 3Y3
Fax : 819 778-8699
6e étage
85, rue de Martigny O.
Saint-Jérôme
(Québec) J7Y 3R8
Fax : 450 432-1765
Place du Fjord
901, boul. Talbot
Case postale 5400
Saguenay
(Québec) G7H 6P8
Fax : 418 545-3543
laval
1700, boul. Laval
Laval
(Québec) H7S 2G6
Fax : 450 668-1174
mauricie et
centre-du-québec
Bureau 200
1055, boul. des Forges
Trois-Rivières
(Québec) G8Z 4J9
Fax : 819 372-3286
For any information regarding your income tax return,
contact your local Revenu Québec or Canada Revenue
Agency (CRA) office.
Québec
418 266-4888
1 800 461-7873
direction de
l’indemnisation
des victimes
d’actes criminels
Complexe du Parc
6e étage
1209, boul. du Sacré-Cœur
Case postale 47
Saint-Félicien
(Québec) G8K 2P8
Fax : 418 679-5931
longueuil
25, boul. La Fayette
Longueuil
(Québec) J4K 5B7
Fax : 450 442-6373
2710, rue Bachand
Saint-Hyacinthe
(Québec) J2S 8B6
Fax : 450 773-8126
Montréal
514 906-3019
1 800 561-4822
saint-jean-surrichelieu
145, boul. Saint-Joseph
Case postale 100
Saint-Jean-sur-Richelieu
(Québec) J3B 6Z1
Fax : 450 359-1307
valleyfield
9, rue Nicholson
Salaberry-de-Valleyfield
(Québec) J6T 4M4
Fax : 450 377-8228
To contact Revenu Québec
Montréal area
514 864-6299
Elsewhere in Québec
1 800 267-6299
Québec City area
418 659-6299
revenuquebec.ca
DC100-1004-21A (2015-11)
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