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Application for special services at home form 2026
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- Click ‘Get Form’ to open the application for special services at home form in the editor.
- Begin by filling out the applicant's information, including their legal status in Canada and residency in Ontario. Ensure all details are accurate.
- Complete Section 1 regarding the family caregiver. Provide their relationship to the applicant and contact information.
- In Section 2, indicate if this is your first application or if it’s the third anniversary of a previous application. Follow instructions based on your response.
- Proceed to Section 3 to provide updates on individual and family circumstances since the last application. Be thorough as this impacts funding decisions.
- Fill out Sections 4 to 9, detailing requested services, strengths of the applicant, family situation, support networks, and any paid services currently accessed.
- Finally, ensure all signatures are completed in Section 9 before submitting your form through our platform for processing.
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Related links
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The State/County Special Assistance In-Home Program provides a cash supplement to low-income individuals who are at risk of entering a residential facility.
Resources for educators and caregivers include forms, IEP information, assessments, special education programs, and more.