4931 87e-2025

See details

4.3 out of 5

24 votes

The document is a form for requesting a re-assessment of the Trillium Drug Program Annual Deductible for the 2015 program year. It outlines eligibility criteria, required declarations from household members, and necessary supporting documentation to demonstrate a significant decrease in household income. The form must be completed and submitted to the Ministry of Health and Long-Term Care, along with all relevant documents, to qualify for a deductible adjustment.

Here's how it works

01. Edit your 18882992070 online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send 4931 87e via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out 4931 87e with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the 4931 87e in the editor.
Begin with Section 1 – Qualification. Ensure your household meets all four criteria for deductible re-assessment. If any criteria are not met, do not proceed.
Move to Section 2 – Declarations. All household members aged 18 and older must sign and date the form, certifying that the information provided is accurate.
In Section 3 – Monthly Income Worksheet, list expected monthly income for each household member over 18. If you have a Notice of Assessment from CRA, use that total instead.
Complete Section 4 by gathering and attaching all necessary supporting documents as outlined. Ensure everything is included before submission.
Finally, review all sections for accuracy and completeness before sending your signed request to the Trillium Drug Program at the specified address.

Start using our platform today to fill out your forms easily and for free!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How can I send my trillium reassessment form for eSignature?

Upload your trillium reassessment form to DocHub (after you’ve created an account for this). If you need to fill out fields in it, use appropriate tools from the top pane. For example, drop Signature Fields, assign each to a particular person, and click on Sign → Request signatures from others. Personalize your message for your recipients and click Send Request. You can also send your form by fax or as a Signing link instead of using email (you’ll find these options by navigating to the Menu → Send)

How do you edit 4931 87e online?

With DocHub, you have several convenient methods to edit your 4931 87e online. You can drag and drop the form and modify it directly at the DocHub website or use our browser extension to fill out your form right away. Additionally, you can modify your PDF on your phone, as DocHub works with all the available mobile platforms.

Try more PDF tools