Severe financial application form: Fill out & sign online

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Click ‘Get Form’ to open the Severe Financial Hardship Application Form in the editor.
Begin by filling in your personal details, including your LESF Member Number, title, date of birth, and contact information. Ensure that your residential address is accurate as it is crucial for processing.
In the Dependants section, list all dependents along with their ages. If you have more than four dependents, attach an additional list.
Complete the Financial Information questionnaire by briefly explaining your financial hardship and how you intend to use the funds if released.
Fill out the Payment Options section, indicating how much you wish to withdraw (up to $10,000) and how you prefer to receive payment (EFT or cheque).
Attach all required supporting documents as outlined in the checklist. This includes certified proof of identity and income support letters.
Finally, sign and date the form before submitting it back to LESF Member Services for processing.

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