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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your name and surname in the designated fields. Ensure that you print clearly for accuracy.
  3. Fill in your birthdate, including year, month, and day. This information is crucial for identification purposes.
  4. If applicable, provide your spouse’s information, including their given name, initial, health services number, and SIN.
  5. Indicate any changes you are reporting by checking the appropriate boxes. Depending on your selection, complete the relevant sections as instructed.
  6. For family size changes, fill out Section 1 with details of any new family members or those who have left.
  7. If you've moved or changed your address, complete Sections 2 and 3 with your new mailing address and landlord details.
  8. Report any changes to utilities by checking the relevant boxes in Section 3.
  9. For asset changes, provide details in Sections 4a and 4b regarding liquid or real assets obtained since your last report.
  10. Document any income changes in Sections 5a and 5b by listing types of income received along with amounts and dates.
  11. Finally, complete Section 6 for any other changes not covered previously. Sign and date the form before submission.

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