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045-4809-69
Application for Reduction in Long-Term Care Home Basic Accommodation - Resident Without Notice of Assessment (NOA)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 form is to be used by applicants who do not have a Notice of Assessment.045-4808-69
Application for Reduction in Long-Term Care Home Basic Accommodation - Resident With a Notice of Assessment (NOA)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 form is to be used by applicants who have a Notice of Assessment.045-4803-69
Application for Reduction in Long-Term Care Home Basic Accommodation - Resident with a Notice of Assessment and Transitioning to new Government Benefit(s)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 form is to be used by applicants who have a Notice of Assessment from the year when they were 64 years of age.045-4804-69
Application for Reduction in Long-Term Care Home Basic Accommodation Resident Receiving ODSP FormTo be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This form is to be used by applicants who are receiving benefits from the Ontario Disability Support Program.014-4815-69
Rate Reduction Application in Long-Term Care - Document List Required for Assessment of Resident EligibilityTo be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This document guides applicants in determining which supporting documents will be required as part of their application. This document is to be used by applicants who have a Notice of Assessment.014-4816-69
Rate Reduction Application in Long-Term Care - Document List Required for Assessment of Resident without NOATo be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This document guides applicants in determining which supporting documents will be required as part of their application. This document is to be used by applicants who do not have a Notice of Assessment.045-4805-69
Application for Reduction in Long-Term Care Home Basic Accommodation - Schedule A: Spouse DependantTo 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 spouse living in the community.045-4806-69
Application for Reduction in Long-Term Care Home Basic Accommodation - Schedule B: Child DependantTo 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.014-4807-69
Application for Reduction in Long-Term Care Home Basic Accommodation - Schedule C: Continuation of Previous Dependant DeductionTo 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 their LTC home has notified them that they are eligible for a “Continuation of Previous Dependant Deduction”.sr-ld-049
Application for Ontario Photo Card - Ontario Residents OnlyApplications can be processed at any ServiceOntario centre. Visit ServiceOntario.ca/FindServices to find the centre nearest you.014-4817-69
Long-Term Care Home Support Document List - Submitting NOA that included benefit(s) that a resident is no longer receiving because they have transitioned to new benefit(s)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 document guides applicants in determining which supporting documents will be required as part of their application. This document is to be used by applicants who have a Notice of Assessment from the year when they were 64 years of age.009-0041
Accessibility Innovation Showcase – Volunteer ApplicationApplications for Volunteers to complete for volunteering at the Accessibility Innovation Showcase (September 21, 2017, September 24 - 27, 2017). Deadline to volunteer is August 18, 2017. If you need an alternate format or other accommodation to access this document, please contact Olivia Hall at olivia.hall@ontario.ca or call 437-991-4383.0327-88
Application for Northern Health Travel GrantUsed to apply for financial travel assistance by Northern Ontario residents who must travel long distances to access medical specialist services.017-2234
Disaster Recovery Assistance for Ontarians: Application Form for Homeowners and TenantsDisaster Recovery Assistance for Ontarians (DRAO) is a program that can help you recover costs after a sudden, unexpected natural event, such as a flood or tornado that causes costly and widespread damage in your area. This application form is for eligible homeowners and tenants whose primary residence has been impacted by a natural disaster and who are located within the defined geographical area where the program has been activated.014-4818-69
Long-Term Care Home Support Document List - Resident Receiving ODSPTo be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This document guides applicants in determining which supporting documents will be required as part of their application. This document is to be used by applicants who are receiving benefits from the Ontario Disability Support Program.5082-69
Application for Reduction in Long-Term Care Home Basic Accommodation – Consent to Collection, Use and Disclosure of Information for Automated Income Verification with the Canada Revenue AgencyPursuant to section 187 of the Fixing Long-Term Care Act, 2021, the Director may directly or indirectly collect the information provided in this application to determine the reduced amount payable by the resident for basic accommodation in accordance with section 303 of O. Reg. 246/22 made under the Fixing Long-Term Care Act, 2021. Pursuant to subsection 303(4) of O. Reg. 246/22, the licensee is required to submit this application and retain a copy.023-sr-ld-050
Ontario Photo Card - Address Requirement for the Homeless or Marginally Housed ApplicantsIn order to obtain an Ontario Photo Card, an Ontario resident address is required. This form authorizes the applicant who is without a permanent and principal residence to use a recognized institution address to acquire an Ontario Photo Card013-9986
Prescribed Information for Purposes of Section 5.0.1 Land Transfer Tax ActEffective April 24, 2017, persons who purchase or acquire at least one and not more than six single family residences, and persons who purchase or acquire agricultural land, are required to provide additional prescribed information, as set out in O.Reg 120/175083-69
Withdrawal of Consent for Automated Income Verification with the Canada Revenue Agency –Long-Term Care Rate Reduction ProgramPlease complete this form if you wish to withdraw your consent to the Ministry of Long-Term Care (MLTC), Ministry of Finance and the Long-Term Care Home Licensee (LTCH Licensee) collecting your income information from the Canada Revenue Agency (CRA) using an Automated Income Verification (AIV) service for the purpose of MLTC assessing and administering your Application for Reduction in Long-Term Care Home Basic Accommodation (Application).
