The Ontario Photo Card is a government issued photo identification card for individuals who do not hold a valid Ontario driver’s licence. In order to obtain a photo card, an Ontario residential address is required. This form must be completed by a recognized institution to assist applicants who are without a place of permanent and principal residence. The institution authorizes the applicant to use the institution’s address to acquire an Ontario Photo Card.
For ServiceOntario centres that offer photo card service visit: ServiceOntario.ca/findservices.
It is a serious offence to make a false statement. Under provincial legislation, the penalty for making a false statement may include a fine and/or imprisonment.
Last Name First Name Middle Initial Date of Birth (if known): (yyyy/mm/dd)
Our Recognized Institution listed below is assisting the applicant named in Section 1, in obtaining an Ontario Photo Card.
Name of Recognized Institution Street No. and Name or Lot, Conc. and Township Apt. No. City, Town or Village Province Postal Code
Under the Ontario Photo Card Act, 2008, the definition of a resident of Ontario means an individual who lives primarily in Ontario, whether or not the individual has a permanent residence in Ontario.
The applicant named in Section 1 above has no fixed address, therefore the institution’s address will be used for a residential and mailing address. OR The applicant named in Section 1 above, currently resides at:
Street No. and Name or Lot, Conc. and Township Apt. No. City, Town or Village Province Postal Code
However, he/she is experiencing significant distress due to poor conditions at their residential address, therefore the institution’s address will be used for a mailing address.
I certify this information to be true to the best of our knowledge and that it has been verified to the best of my ability.
Name of Institution Representative (print) Title Signature of Institution Representative Date (yyyy/mm/dd)
Information in this form is collected under the authority of Section 3 of the Photo Card Act, 2008, and will be used to administer the photo card program. This information may also be used to update driver and vehicle records. If you have any questions about the collection and use of your personal information collected on this form, please call the Supervisor, ServiceOntario at 416 235-2999 or 1 800 387-3445 or write to the Supervisor, Ministry of Transportation, Licensing Administration and Support Office, Main Floor, Building A, 1201 Wilson Ave., Downsview ON M3M 1J8. Direct general inquiries to ServiceOntario at 416 235-2999, 1 800 387-3445, or visit ServiceOntario.ca.