Submit Application

This is the fillable PDF that can be download from this site.

One of birth certificate, Permanent Resident Card or valid passport

(If applicable) Quote must specifies hourly rate and amount of therapy /service /sessions suggested

(If applicable) Quote must specifies hourly rate and amount of therapy /service /sessions suggested

A letter from an independent third party (i.e. Social Worker, priest, cleric, medical doctor, etc) that states why this intervention would be beneficial for your child

A letter telling us about your child and your family and how the funds will be used

A copy of documentation confirming that your household’s gross income, as shown by line 150 of the Canada Revenue Agency Notice of Assessment is less than $80,000 per year

A copy of your most recent Canada Child Tax Benefit Statement