19-6276 CIDRNS SRICS CCS 21 - York-2026

1. Click ‘Get Form’ to open the 19-6276 CIDRNS SRICS CCS 21 - York in the editor.
2. Begin by entering your first and last name, followed by your street number and street name. Ensure accuracy for proper identification.
3. Fill in your unit number, city/town, province, and postal code to provide your complete address.
4. List the first and last names of any child(ren) living with you at home. This section is crucial for determining eligibility.
5. Indicate whether you live with the parent/guardian of your child(ren) by selecting 'Yes' or 'No' for each applicable question.
6. If applicable, provide the names of any other adults living in your home, including a common-law partner or spouse.
7. Confirm if your child(ren) lives with you full-time by selecting 'Yes' or 'No'. If 'No', follow up with the required Declaration and Undertaking (CCS 20).
8. Complete the declaration statement regarding changes in eligibility and sign at the bottom of the form. Make sure to date it correctly.

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