Funding forms and documents
Current application forms, supporting forms and program guides for Ontario equipment funding, for clients, families, authorizers and therapists. Free to download, no sign-up.
Choose Download PDF to save the issuer's own form, checked against its official source. Choose an official link to open the program's form or online application on its own website.
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Showing all 90 documents
No documents match that search. Try a program name such as ADP, or clear the filters.
Assistive Devices Program (ADP)
About this programOntario funding for mobility devices such as walkers, wheelchairs, scooters and seating. An ADP authorizer assesses the client and a registered vendor completes the vendor section of the application.
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Download PDF: Application for Funding Mobility Devices (English)
Application for Funding Mobility Devices (English)
Version 2196-67E (2023/01). PDF, 2.0 MB. Fillable form: open it in Adobe Acrobat Reader, not a web browser.
One form covers walkers, wheelchairs, power bases, scooters and seating.
Checked 2026-11-12 against the official forms.mgcs.gov.on.ca page.
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Download PDF: Application for Funding Mobility Devices (French)
Application for Funding Mobility Devices (French)
Version 2196-67F (2023/01). PDF, 2.1 MB. Fillable form: open it in Adobe Acrobat Reader, not a web browser.
Checked 2026-11-12 against the official forms.mgcs.gov.on.ca page.
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Download PDF: Request for Change in Vendor
Request for Change in Vendor
Version ON00383E (2024/03). PDF, 1.9 MB. Fillable form: open it in Adobe Acrobat Reader, not a web browser.
Use it when ADP has already approved a device with another vendor and you want Westin to supply it. Open it in Adobe Acrobat Reader.
Also available: French (PDF, 1.9 MB, 1 page)
Checked 2026-11-12 against the official forms.mgcs.gov.on.ca page.
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Download PDF: Applicant Information Sheet: wheelchairs, seating and walking aids
Applicant Information Sheet: wheelchairs, seating and walking aids
Version 2196-67E (2026/05). PDF, 159 KB, 2 pages.
Also available: French (PDF, 162 KB, 2 pages)
Checked 2026-11-12 against the official forms.mgcs.gov.on.ca page.
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Download PDF: Mobility Devices Product Manual
Mobility Devices Product Manual
Version Effective January 1, 2026. PDF, 1.2 MB, 128 pages.
Checked 2026-11-12 against the official ontario.ca page.
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Download PDF: Mobility Devices Policy and Administration Manual
Mobility Devices Policy and Administration Manual
Version July 2023. PDF, 266 KB, 54 pages.
Checked 2026-11-12 against the official ontario.ca page.
Ontario Disability Support Program (ODSP)
About this programAsk your ODSP caseworker about help with equipment. You can apply for ODSP online, and people who already receive ODSP can use the forms below.
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Start the official online application: Apply for ODSP income support
Apply for ODSP income support
Online on apply.mybenefits.mccss.gov.on.ca.
One online application covers both Ontario Works and ODSP. You can also apply by phone at 1-888-999-1142.
Checked 2026-11-12 against the official ontario.ca page.
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Download PDF: Mandatory Special Necessities Benefit Application
Mandatory Special Necessities Benefit Application
Version ON00646E (2025/11). PDF, 1.4 MB, 4 pages, fillable.
Only for people who already receive ODSP. The fillable form opens in Adobe Acrobat Reader; the print-ready copy opens in any PDF viewer, including on a phone.
Also available: Print-ready copy (opens in any PDF viewer) (PDF, 140 KB, 4 pages), Large print (PDF, 1.4 MB, 14 pages), French (PDF, 1.4 MB, 5 pages), French print-ready (PDF, 317 KB, 5 pages)
Checked 2026-11-12 against the official forms.mgcs.gov.on.ca page.
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Read the official schedule: ODSP Schedule of Benefits: Mandatory Special Necessities
ODSP Schedule of Benefits: Mandatory Special Necessities
Version Updated June 22, 2026. Online on ontario.ca.
Lists the bathing, toileting, transfer and bed safety items the benefit may cover.
Checked 2026-11-12 against the official ontario.ca page.
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Read the official page: ODSP health and disability benefits, including mobility device batteries and repairs
ODSP health and disability benefits, including mobility device batteries and repairs
Version Updated June 2, 2026. Online on ontario.ca.
For wheelchair or scooter batteries and repairs there is no form: call your ODSP office before the work is done.
Checked 2026-11-12 against the official ontario.ca page.
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Download PDF: Peel ODSP Discretionary Benefit Request
Peel ODSP Discretionary Benefit Request
Version V-10-700 (2025/10). PDF, 456 KB, 1 page, fillable.
Checked 2026-11-12 against the official peelregion.ca page.
March of Dimes Home and Vehicle Modification Program (HVMP)
About this programMarch of Dimes' current HVMP forms, saved here from marchofdimes.ca. Read the applicant guide first; large-print and French versions are listed with each form.
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Download PDF: HVMP Program Application (English)
HVMP Program Application (English)
Version HV 00-00bt (10/26). PDF, 366 KB, 10 pages, fillable.
The 10/26 edition replaces the 2025 form. Initial and sign every attestation, or the application comes back.
Also available: Large print (PDF, 380 KB, 17 pages)
Checked 2026-11-12 against the official marchofdimes.ca page.
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Download PDF: Applicant Guide to Applying to HVMP
Applicant Guide to Applying to HVMP
Version October 2026. PDF, 299 KB, 13 pages.
Explains how the process works, what to send, and what is not funded in a rented home.
Checked 2026-11-12 against the official marchofdimes.ca page.
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Download PDF: PAHV Formulaire de demande (French application)
PAHV Formulaire de demande (French application)
Version HV 00-00bt_F (10/25). PDF, 293 KB, 7 pages, fillable.
March of Dimes still lists this 10/25 French form; it has not published a 10/26 French edition yet.
Also available: Large print (PDF, 288 KB, 10 pages)
Checked 2026-11-12 against the official marchofdimes.ca page.
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Download PDF: Verification of Disability (English)
Verification of Disability (English)
Version HV 01-03b (02/25). PDF, 162 KB, 3 pages, fillable.
Not needed when an occupational therapist assessment is sent instead.
Also available: Large print (PDF, 156 KB, 4 pages)
Checked 2026-11-12 against the official marchofdimes.ca page.
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Download PDF: PAHV Vérification d'un handicap (French verification of disability)
PAHV Vérification d'un handicap (French verification of disability)
Version HV 01-03b_F (02/25). PDF, 278 KB, 4 pages, fillable.
Also available: Large print (PDF, 176 KB, 5 pages)
Checked 2026-11-12 against the official marchofdimes.ca page.
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Download PDF: HVMP Bathroom Scope of Work Form
HVMP Bathroom Scope of Work Form
Version HV 00-00bj (07/24). PDF, 118 KB, 4 pages.
Also available: Large print (PDF, 121 KB, 6 pages), French (PDF, 117 KB, 4 pages)
Checked 2026-11-12 against the official marchofdimes.ca page.
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Download PDF: HVMP Devices and Adaptations Information Package
HVMP Devices and Adaptations Information Package
Version 2025 edition. PDF, 124 KB, 4 pages.
Patient lifts, ceiling track lifts, modular ramps, stairlifts and other devices: what is eligible and what to send.
Checked 2026-11-12 against the official marchofdimes.ca page.
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Download PDF: HVMP Home Modifications Information Package
HVMP Home Modifications Information Package
Version 2025 edition. PDF, 934 KB, 10 pages.
Construction projects such as bathrooms and entrances: quotes, permits and contractor rules.
Checked 2026-11-12 against the official marchofdimes.ca page.
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Download PDF: HVMP Vehicle Modifications Information Package
HVMP Vehicle Modifications Information Package
Version 2025 edition. PDF, 131 KB, 5 pages.
Vehicle lifts, ramps and adaptations.
Checked 2026-11-12 against the official marchofdimes.ca page.
WSIB
About this programWSIB authorizes equipment and supplies through an allowed claim, with a prescription. Health care providers bill WSIB for approved items with form 3941A.
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Download PDF: Provider Payment Request for Equipment/Supplies (3941A)
Provider Payment Request for Equipment/Supplies (3941A)
Version 3941A (04/15). PDF, 315 KB, 3 pages, fillable.
For billing equipment WSIB has already approved. It is not an application for equipment coverage.
Checked 2026-11-12 against the official wsib.ca page.
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Read the official policy: Health Care Equipment and Supplies policy
Health Care Equipment and Supplies policy
Version 17-07-06. Online on wsib.ca.
Checked 2026-11-12 against the official wsib.ca page.
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Download PDF: General worker expense form (3164A)
General worker expense form (3164A)
Version 3164A (01/09). PDF, 184 KB, 1 page, fillable.
Attach the original receipts and the prescription.
Checked 2026-11-12 against the official wsib.ca page.
Veterans Affairs Canada (VAC)
About this programEquipment and home adaptations need VAC pre-authorization and a prescription. Veterans can make requests through My VAC Account.
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Go to the official sign-in page: My VAC Account
My VAC Account
Online on veterans.gc.ca.
Checked 2026-11-12 against the official veterans.gc.ca page.
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Read the official policy: Equipment, Home Adaptations and Vehicle Modifications policy (POC 13)
Equipment, Home Adaptations and Vehicle Modifications policy (POC 13)
Online on veterans.gc.ca.
Checked 2026-11-12 against the official veterans.gc.ca page.
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Download PDF: Treatment Benefits Reimbursement Claim Form (VAC 918)
Treatment Benefits Reimbursement Claim Form (VAC 918)
Version VAC918e (2020-03). PDF, 2.3 MB. Fillable form: open it in Adobe Acrobat Reader, not a web browser.
Open it in Adobe Acrobat Reader, then mail it with your original paid receipts to the address on the form.
Checked 2026-11-12 against the official veterans.gc.ca page.
Interim Federal Health Program (IFHP)
About this programIRCC asks for an IFHP coverage application in specific cases, such as missing eligibility documents or restarting coverage. Read Guide 5568, fill out IMM 5564, then upload it in your IRCC secure account.
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Download PDF: Application for Interim Federal Health Program Coverage (IMM 5564)
Application for Interim Federal Health Program Coverage (IMM 5564)
Version IMM 5564 (06-2019) E. PDF, 965 KB, 2 pages, fillable.
Save the form to your computer and open it in Adobe Acrobat Reader to fill it out, then upload it in your IRCC secure account.
Checked 2026-11-12 against the official canada.ca page.
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Read the official guide: Guide 5568: how to apply for IFHP coverage
Guide 5568: how to apply for IFHP coverage
Online on canada.ca.
Checked 2026-11-12 against the official canada.ca page.
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Search the official provider list: Find a registered IFHP provider
Find a registered IFHP provider
Online on ifhp.medaviebc.ca.
Checked 2026-11-12 against the official ifhp.medaviebc.ca page.
Non-Insured Health Benefits (NIHB) for First Nations and Inuit
Medical supplies and equipment for registered First Nations and recognized Inuit. Most items need prior approval, which your equipment provider asks for with your prescriber.
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Read the official page: NIHB medical supplies and equipment benefits
NIHB medical supplies and equipment benefits
Version Updated October 7, 2025. Online on sac-isc.gc.ca.
Show your NIHB client identification so the provider can bill NIHB directly.
Checked 2026-11-12 against the official sac-isc.gc.ca page.
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Read the official guide: NIHB Medical Supplies and Equipment Guide and Benefit Lists
NIHB Medical Supplies and Equipment Guide and Benefit Lists
Version Effective July 29, 2026. Online on sac-isc.gc.ca.
Lists what NIHB covers for mobility, pressure relief and self-care, and what needs prior approval.
Checked 2026-11-12 against the official sac-isc.gc.ca page.
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Download PDF: NIHB Client Reimbursement Form
NIHB Client Reimbursement Form
Version October 2024. PDF, 658 KB, 5 pages, fillable.
NIHB must receive it within one year of the date of service.
Checked 2026-11-12 against the official sac-isc.gc.ca page.
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Download PDF: Prior approval form for mobility equipment
Prior approval form for mobility equipment
Version February 11, 2025. PDF, 1.5 MB, 2 pages, fillable.
Your equipment provider sends this to NIHB; you do not fill it out yourself.
Checked 2026-11-12 against the official sac-isc.gc.ca page.
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Download PDF: Prior approval form for pressure devices
Prior approval form for pressure devices
Version February 11, 2025. PDF, 1.1 MB, 2 pages, fillable.
For pressure relief cushions, mattresses and surfaces.
Checked 2026-11-12 against the official sac-isc.gc.ca page.
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Download PDF: Prior approval form for self-care equipment
Prior approval form for self-care equipment
Version February 11, 2025. PDF, 1.2 MB, 2 pages, fillable.
For bathroom and self-care equipment.
Checked 2026-11-12 against the official sac-isc.gc.ca page.
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Download PDF: Wheelchair Recommendation and Assessment
Wheelchair Recommendation and Assessment
Version June 2025. PDF, 1.9 MB, 7 pages, fillable.
Checked 2026-11-12 against the official sac-isc.gc.ca page.
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Download PDF: Home Hospital Bed and Pressure Relieving Surface Assessment
Home Hospital Bed and Pressure Relieving Surface Assessment
Version February 2025. PDF, 1.3 MB, 3 pages, fillable.
Checked 2026-11-12 against the official sac-isc.gc.ca page.
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Download PDF: Recommendation for Medical Supplies and Equipment
Recommendation for Medical Supplies and Equipment
Version November 2024. PDF, 921 KB, 1 page, fillable.
Checked 2026-11-12 against the official sac-isc.gc.ca page.
Blue Cross
About this programCoverage depends on your own plan. Ontario Blue Cross and Medavie Blue Cross members can claim with the forms below, or online.
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Download PDF: Ontario Blue Cross Extended Health Care Claim Form
Ontario Blue Cross Extended Health Care Claim Form
Version 01ONT0355A (2021-12). PDF, 70 KB, 2 pages, fillable.
Check your plan booklet first: some equipment needs approval before you buy.
Checked 2026-11-12 against the official on.bluecross.ca page.
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Claim on the official member page: Medavie Blue Cross member claims
Medavie Blue Cross member claims
Online on medaviebc.ca.
Checked 2026-11-12 against the official medaviebc.ca page.
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Download PDF: Medavie Blue Cross General Health Claim Form (FORM-106E)
Medavie Blue Cross General Health Claim Form (FORM-106E)
Version FORM-106E (03/23). PDF, 97 KB, 1 page, fillable.
For an equipment purchase, Medavie asks for two quotes from separate providers before it pre-approves.
Checked 2026-11-12 against the official medaviebc.ca page.
Workplace and private health insurance
Health plans through work or a private policy often cover part of the cost of equipment. Check your booklet for what needs a prescription or pre-approval, then claim with your insurer's form or online.
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Download PDF: Sun Life Extended Health Care Claim Form
Sun Life Extended Health Care Claim Form
Version EHC-E-03-21. PDF, 131 KB, 2 pages, fillable.
Checked 2026-11-12 against the official sunlife.ca page.
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Download PDF: Manulife Extended Health Care Claim (GL3576)
Manulife Extended Health Care Claim (GL3576)
Version GL3576E (05/2026). PDF, 4.4 MB, 3 pages, fillable.
Checked 2026-11-12 against the official manulife.com page.
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Download PDF: Canada Life Healthcare Expenses Statement (M7535)
Canada Life Healthcare Expenses Statement (M7535)
Version M7535-3/25. PDF, 1.3 MB, 3 pages, fillable.
Part 7 is for medical equipment.
Checked 2026-11-12 against the official canadalife.com page.
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Download PDF: Desjardins Claim for Health Care Benefits (19132A)
Desjardins Claim for Health Care Benefits (19132A)
Version 19132A (2024-07). PDF, 2.0 MB, 3 pages, fillable.
Desjardins asks for a treatment plan before you buy a product that costs over $500.
Checked 2026-11-12 against the official desjardins.com page.
Auto insurance accident benefits
After a car accident in Ontario, your auto insurer may pay for equipment through accident benefits. A regulated health professional proposes the equipment on the treatment plan.
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Download PDF: OCF-1: Application for Accident Benefits
OCF-1: Application for Accident Benefits
Version AF-145E (2026). PDF, 1.4 MB, 5 pages, fillable.
Send it to your own auto insurer. Open it in Adobe Acrobat Reader.
Checked 2026-11-12 against the official fsrao.ca page.
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Download PDF: OCF-18: Treatment and Assessment Plan
OCF-18: Treatment and Assessment Plan
Version AF-119E (2026). PDF, 1.1 MB, 9 pages, fillable.
Assistive devices such as wheelchairs, bath equipment and beds are proposed on this plan.
Checked 2026-11-12 against the official fsrao.ca page.
City of Toronto Hardship Fund
About this programApply by phone at 416-338-8888, option 3. If you receive Ontario Works or ODSP, ask your caseworker.
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Read the official page: Hardship Fund: how to apply
Hardship Fund: how to apply
Online on toronto.ca.
Checked 2026-11-12 against the official toronto.ca page.
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Read the official page: Medical items, devices and supplies for Ontario Works and ODSP clients in Toronto
Medical items, devices and supplies for Ontario Works and ODSP clients in Toronto
Version Updated June 30, 2026. Online on toronto.ca.
Ask your caseworker first, with an assessment or prescription and a written estimate from the vendor.
Checked 2026-11-12 against the official toronto.ca page.
Halton Low-Income Financial Assistance (LIFA)
For low-income Halton residents. Apply online through Halton 311 with an assessment and two cost estimates, and wait for approval before you buy.
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Start the official online application: Apply for health-related benefits and medical equipment
Apply for health-related benefits and medical equipment
Online on one.halton.ca.
You need a Halton 311 account. You can also call 311.
Checked 2026-11-12 against the official halton.ca page.
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Open the official upload page: Upload documents for a LIFA application (vendors and health professionals)
Upload documents for a LIFA application (vendors and health professionals)
Online on one.halton.ca.
Give us your LIFA inquiry number and we can upload the estimate for you.
Checked 2026-11-12 against the official halton.ca page.
City of Hamilton Special Supports Program
For Hamilton residents on Ontario Works or ODSP, and low-income residents. Apply before you order: Special Supports does not pay for items already bought.
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Start the official online application: Special Supports online application
Special Supports online application
Online on specialsupportsbenefits.hamilton.ca.
Checked 2026-11-12 against the official hamilton.ca page.
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Download PDF: Low Income Application for Special Supports Funding (paper)
Low Income Application for Special Supports Funding (paper)
Version 2026 edition. PDF, 346 KB, 7 pages, fillable.
Mail it with ID, your Notice of Assessment and a health professional's letter. Do not use the 2025 form.
Checked 2026-11-12 against the official hamilton.ca page.
Assistance for Children with Severe Disabilities (ACSD)
Ontario help for families raising a child under 18 with a severe disability at home. Apply online, or by mail with the paper form.
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Start the official online application: Apply for ACSD online
Apply for ACSD online
Online on tpon.gov.on.ca.
Checked 2026-11-12 against the official ontario.ca page.
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Download PDF: Assistance for Children with Severe Disabilities paper application
Assistance for Children with Severe Disabilities paper application
Version 2026 edition. PDF, 1.1 MB, 22 pages, fillable.
Open it in Adobe Acrobat Reader, then send it to your ministry regional office with the listed documents.
Also available: French (PDF, 1.1 MB, 23 pages)
Checked 2026-11-12 against the official ontario.ca page.
Easter Seals Ontario
For children and youth in Ontario. A child must be registered with Easter Seals Ontario before an equipment funding request.
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Download PDF: Easter Seals Ontario Registration Application
Easter Seals Ontario Registration Application
Version April 2025. PDF, 438 KB, 5 pages, fillable.
Checked 2026-11-12 against the official services.easterseals.org page.
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Download PDF: Equipment Funding Request (EFR) and program guidelines
Equipment Funding Request (EFR) and program guidelines
Version May 2025. PDF, 320 KB, 5 pages, fillable.
Checked 2026-11-12 against the official services.easterseals.org page.
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Download PDF: Approved Equipment List 2026
Approved Equipment List 2026
Version Rev. 04-30-2026. PDF, 189 KB, 1 page.
Checked 2026-11-12 against the official services.easterseals.org page.
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Download PDF: Resources for Funding and Support 2026
Resources for Funding and Support 2026
Version 2026. PDF, 447 KB, 20 pages.
Some amounts in it date from August 2025, so confirm them with each funder.
Checked 2026-11-12 against the official services.easterseals.org page.
MS Canada Quality of Life Program
For people living with MS. MS Canada takes applications online; the printable versions are for anyone who cannot use the online form.
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Apply on the official online form: Quality of Life Application
Quality of Life Application
Online on mssp.tfaforms.net.
Checked 2026-11-12 against the official mscanada.ca page.
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Open the official online form: Healthcare Professional Assessment Form
Healthcare Professional Assessment Form
Online on mssp.tfaforms.net.
Checked 2026-11-12 against the official mscanada.ca page.
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Download PDF: Quality of Life Program Equipment Guidelines
Quality of Life Program Equipment Guidelines
PDF, 1.3 MB, 5 pages.
Also available: French (PDF, 1.2 MB, 6 pages)
Checked 2026-11-12 against the official mscanada.ca page.
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Download PDF: Equipment Grant Application (printable)
Equipment Grant Application (printable)
PDF, 787 KB, 6 pages, fillable.
The printed form still shows the old MS Society name; the online application is faster.
Also available: French (PDF, 891 KB, 5 pages)
Checked 2026-11-12 against the official mscanada.ca page.
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Download PDF: Equipment Repair Application (printable)
Equipment Repair Application (printable)
PDF, 618 KB, 3 pages, fillable.
Also available: French (PDF, 639 KB, 3 pages)
Checked 2026-11-12 against the official mscanada.ca page.
Muscular Dystrophy Canada Equipment Program
Register as a client first, then apply online for equipment.
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Download PDF: Client Registration Form
Client Registration Form
Version Updated 2025/08/26. PDF, 249 KB, 4 pages, fillable.
Also available: French (PDF, 246 KB, 4 pages)
Checked 2026-11-12 against the official muscle.ca page.
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Apply on the official online form: Equipment Program Entry Form
Equipment Program Entry Form
Online on form.jotform.com.
Also available: French (on the issuer's site)
Checked 2026-11-12 against the official muscle.ca page.
ALS Canada Equipment Program
For Ontarians living with ALS. Register with ALS Canada first; your therapist then applies online for loan equipment or funding help.
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Download PDF: Equipment Program: Overview and Information
Equipment Program: Overview and Information
Version 2025. PDF, 198 KB, 4 pages.
Loans are open to every registered client; help with rented or leased equipment depends on income.
Checked 2026-11-12 against the official als.ca page.
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Download PDF: Registration for ALS Canada (Ontario)
Registration for ALS Canada (Ontario)
Version 2025, updated. PDF, 149 KB, 4 pages.
Email it to [email protected], or register online.
Also available: Online registration (on the issuer's site)
Checked 2026-11-12 against the official als.ca page.
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Open the official online form: Equipment Loan Application (online)
Equipment Loan Application (online)
Online on a112522.socialsolutionsconnect.ca.
Your therapist applies after you are registered.
Checked 2026-11-12 against the official als.ca page.
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Open the official online form: Equipment Funding Application (online)
Equipment Funding Application (online)
Online on a112522.socialsolutionsconnect.ca.
Covers part of the client share of some rented or leased equipment, based on household income.
Checked 2026-11-12 against the official als.ca page.
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Download PDF: Equipment Catalogue
Equipment Catalogue
Version 2025. PDF, 6.4 MB, 25 pages.
The wheelchairs, lifts, beds and bathroom items ALS Canada lends.
Checked 2026-11-12 against the official als.ca page.
Spinal Cord Injury Ontario
SCI Ontario does not take funding applications. Once you are referred, a Service Navigation Coordinator helps you find funding and equipment.
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Start the official referral: Self-referral to SCI Ontario
Self-referral to SCI Ontario
Online on sciontario.org.
Checked 2026-11-12 against the official sciontario.org page.
Holland Bloorview Family Support Fund
Applications are online. Check the official page for the current funding window before you apply.
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Download PDF: Family Support Fund: items eligible (2026-2027)
Family Support Fund: items eligible (2026-2027)
Version 2026-2027. PDF, 128 KB, 2 pages.
Equipment is capped at $1,000 a year, or up to $1,500 for one item on one invoice.
Checked 2026-11-12 against the official hollandbloorview.ca page.
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Download PDF: Family Support Fund 2026-2027 summary
Family Support Fund 2026-2027 summary
Version April 1, 2026 to March 31, 2027. PDF, 58 KB, 1 page.
The 2026-2027 amounts and the documents to send.
Checked 2026-11-12 against the official hollandbloorview.ca page.
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Download PDF: Clinician letter of support template
Clinician letter of support template
Version 2026-2027. PDF, 668 KB, 3 pages, fillable.
Every application needs a letter of support from the care team.
Checked 2026-11-12 against the official hollandbloorview.ca page.
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Apply on the official online form: Family Support Fund application
Family Support Fund application
Online on redcap.hollandbloorview.ca.
Checked 2026-11-12 against the official hollandbloorview.ca page.
ErinoakKids Family Support Fund
For current ErinoakKids clients aged 0 to 18. You apply with your child's ErinoakKids therapist, social worker or service navigator.
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Download PDF: Family Support Fund Application
Family Support Fund Application
Version Last updated August 13, 2025. PDF, 485 KB, 7 pages.
Equipment up to $3,000, once every 12 months, for households under the income limit on the form.
Checked 2026-11-12 against the official erinoakkids.ca page.
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Download PDF: Family Support Fund at a glance
Family Support Fund at a glance
PDF, 300 KB, 1 page.
Checked 2026-11-12 against the official erinoakkids.ca page.
Grandview Kids Family Support Fund
For families receiving Grandview Kids services in Durham Region. A clinician recommends the equipment first; apply online with their form and a quote.
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Start the official online application: Family Support Fund Application (online)
Family Support Fund Application (online)
Online on gvk-forms.powerappsportals.com.
Only equipment bought after the clinician recommends it can qualify.
Checked 2026-11-12 against the official grandviewkids.ca page.
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Download PDF: Family Support Fund fact sheet
Family Support Fund fact sheet
Version January 2026. PDF, 1.6 MB, 2 pages.
Checked 2026-11-12 against the official grandviewkids.ca page.
Jennifer Ashleigh Children's Charity
Applications are online. Read the qualifying criteria first.
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Read the official criteria: Who qualifies (current criteria)
Who qualifies (current criteria)
Online on jenash.org.
The charity raised its household income limit after its April 2025 criteria sheet, so read the current rules on its page.
Checked 2026-11-12 against the official jenash.org page.
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Open the official application portal: Online application portal
Online application portal
Online on goapply2.akoyago.com.
Checked 2026-11-12 against the official jenash.org page.
Dayforce Cares
Grants for basic needs, including medical and mobility equipment. Applications open March 1 to 14, June 1 to 14, September 1 to 14 and December 1 to 14, with a limited number accepted each time.
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Start the official online application: Dayforce Cares online application
Dayforce Cares online application
Online on dayforce.ttcscloud.ca.
Approved grants are paid to the vendor by credit card. Each household can receive one grant only.
Checked 2026-11-12 against the official dayforcecares.com page.
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Download PDF: Required application documents
Required application documents
PDF, 346 KB, 3 pages.
Examples of the proof of citizenship, income and need to have ready before the window opens.
Checked 2026-11-12 against the official dayforcecares.com page.
Tax credits
Credits you claim on your annual tax return. Keep your receipts and any prescriptions.
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Read the official CRA page: Home Accessibility Tax Credit (line 31285)
Home Accessibility Tax Credit (line 31285)
Online on canada.ca.
Checked 2026-11-12 against the official canada.ca page.
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Read the official page: Ontario Seniors Care at Home Tax Credit
Ontario Seniors Care at Home Tax Credit
Online on ontario.ca.
Walkers, wheelchairs, scooters, bathroom aids and hospital beds can count as eligible medical expenses.
Checked 2026-11-12 against the official ontario.ca page.
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Download PDF: Form ON479, Ontario Credits (2025 tax year)
Form ON479, Ontario Credits (2025 tax year)
Version 5006-TC E (25). PDF, 40 KB, 2 pages.
Most tax software fills this in for you. The 2026 version comes with the 2026 tax package.
Checked 2026-11-12 against the official canada.ca page.
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Download PDF: Disability Tax Credit Certificate (T2201)
Disability Tax Credit Certificate (T2201)
Version T2201 E (23). PDF, 753 KB, 16 pages, fillable.
Version 23 is the current edition. Open it in Adobe Acrobat Reader. Send Parts A and B the same way: both on paper or both online.
Checked 2026-11-12 against the official canada.ca page.
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Read the official instructions: Apply for the Disability Tax Credit online
Apply for the Disability Tax Credit online
Online on canada.ca.
Checked 2026-11-12 against the official canada.ca page.
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Download PDF: RC4065 Medical Expenses (2025)
RC4065 Medical Expenses (2025)
Version RC4065(E) Rev. 25. PDF, 206 KB, 30 pages.
Explains which devices and equipment count as medical expenses on your 2025 return.
Checked 2026-11-12 against the official canada.ca page.
Looking for an older form? What we replaced and why
- ADP Application (Printable). A flattened copy made outside the ministry from the 2023/01 ADP form (all 13 pages as images), so it cannot be filled in. The current official form covers every mobility device and includes all sections.
- ADP Application for Rollators. A flattened copy made outside the ministry from the 2023/01 ADP form (trimmed to rollator pages), so it cannot be filled in. The current official form covers every mobility device and includes all sections.
- ADP Application for Wheelchairs. A flattened copy made outside the ministry from the 2023/01 ADP form (trimmed to manual wheelchair pages), so it cannot be filled in. The current official form covers every mobility device and includes all sections.
- ADP Application for Mobility Scooters. A flattened copy made outside the ministry from the 2023/01 ADP form (trimmed to scooter pages), so it cannot be filled in. The current official form covers every mobility device and includes all sections.
- ADP Application for Power Wheelchairs. A flattened copy made outside the ministry from the 2023/01 ADP form (trimmed to power wheelchair pages), so it cannot be filled in. The current official form covers every mobility device and includes all sections.
- ADP Application for Seating. A flattened copy made outside the ministry from the 2023/01 ADP form (trimmed to seating pages), so it cannot be filled in. The current official form covers every mobility device and includes all sections.
- ADP Application Page 11. A flattened copy made outside the ministry from the 2023/01 ADP form (page 11, Section 3 applicant consent), so it cannot be filled in. The current official form covers every mobility device and includes all sections.
- ADP Application Page 12. A flattened copy made outside the ministry from the 2023/01 ADP form (page 12, Section 4 authorizer and vendor signatures), so it cannot be filled in. The current official form covers every mobility device and includes all sections.
- ADP Application Page 11 and 12. A flattened copy made outside the ministry from the 2023/01 ADP form (pages 11 and 12, Sections 3 and 4), so it cannot be filled in. The current official form covers every mobility device and includes all sections.
- March of Dimes HVMP Funding Application: Home Adaptations and Devices. A September 2024 form (HV 00-00bm 09/24). March of Dimes now links one 2025 Program Application in its place.
- March of Dimes HVMP Funding Application: Home Modification (Construction). A September 2024 form (HV 00-00bk 09/24). March of Dimes now links one 2025 Program Application in its place.
- March of Dimes Verification of Disability. A September 2024 version (HV 01-03b 09/24). The 2025 Verification of Disability is the one March of Dimes links now.
- ODSP Funding Application Guidelines. This file is form 3188, What to Expect in ODSP Employment Supports: an employment handout, not funding guidelines. It is no longer on Ontario's forms site, and ODSP offices hand out the current version.
- ODSP Application for Employment Support. An ODSP Employment Supports application about help finding work, not equipment. It is no longer on Ontario's forms site; ODSP offices and employment service providers give out the current package.
- ODSP Verification of Disability / Impairment. The 2010 Employment Supports verification form (2884). It is no longer on Ontario's forms site and is part of the package ODSP gives applicants.
- Hardship Funding Application. This is OPSEU's Regional Hardship Fund form (Form 108) for union members, not the City of Toronto Hardship Fund. The Toronto fund's application route is in its entry above.
- Easter Seal Registration Application. The August 2021 form. Easter Seals Ontario now links the April 2025 registration application.
- Easter Seals Funding Application. The August 2021 form. Easter Seals Ontario now links the May 2025 Equipment Funding Request.
- Easter Seals Funding and Criteria. A 2020 list. Easter Seals Ontario now links the Approved Equipment List 2026.
- Multiple Sclerosis Society Guidelines. A 2014 MS Society memo. MS Canada now publishes current Quality of Life guidelines and an online application.
- Multiple Sclerosis Society Funding Application. This 2015 link now returns a page not found error. MS Canada's current application is online, with a printable version.
- Muscular Dystrophy Canada Funding Application. A 2020 Equipment Program form that Muscular Dystrophy Canada no longer links. Registered clients now apply online.
Need help with a form?
Each program decides eligibility and funding itself. If you are not sure which form applies to you, call us during business hours or read the funding guide.