3233 87e 2008 form-2025

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The document is an application form for seniors in Ontario seeking a $2 co-payment under the Ontario Drug Benefits program. It outlines eligibility criteria, including age, residency, and income thresholds. The application process requires personal information from the applicant and their spouse or partner, if applicable, along with signatures and supporting documents to verify income. It emphasizes the importance of accuracy in the information provided and details how to submit the completed application.

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