To be filled out by long-term care (LTC) home applicants as part of the process for determination of eligibility for admission to a LTC home. This completed form is for use by Ontario Health atHome, as the designated placement co-ordinators for long-term care homes, as per the Fixing Long-Term Care Act, 2021, s 47(1).
To provide information to assist the court in the establishment or variation of a child support order when claiming a child support amount different than the child support guidelines table.
Application for services of a homemaker or a nurse