Application for Reduction in Long-Term Care Home Basic Accommodation - Schedule B: Child Dependant

To be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This schedule should be used with one of the four main forms. An applicant should use this schedule if they would like to request a deduction to support an eligible child living in the community.

Need help downloading or filling forms?

Please check our Help page for solutions to common issues.

Alert!

PDF Forms will no longer work with older versions of Adobe Reader including Adobe Reader XI. Please update your free Adobe Reader to the latest version from the Acrobat Reader download page so that you can continue to access these forms.


Download Adobe Reader Free Version

Make the most of your experience with accessing, downloading, and filling forms acquired from the Central Forms Repository by watching this brief video overview.

single frame of the linked video. Click to begin playback in a new browser window
Download English Transcript

 

Central Forms Repository (CFR) Notice of Upcoming Maintenance

The system will be temporarily down for maintenance during the following period:

2025-04-07 17:00 - 19:00 EDT

During this time, the system will be unavailable until maintenance is complete. Please ensure you have completed your work prior to that time.

The maintenance is complete if this message is no longer displayed.

Forms, Links, and Information

Additional Information

Form Number 045-4806-69
Title Application for Reduction in Long-Term Care Home Basic Accommodation - Schedule B: Child Dependant
Description To be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This schedule should be used with one of the four main forms. An applicant should use this schedule if they would like to request a deduction to support an eligible child living in the community.