Get Direct Funding Application Form - Centre For Independent Living In ... - Cilt

This guide provides clear and supportive instructions for completing the Direct Funding Application Form online. The form is designed to assist users in detailing their requirements for attendant services effectively.

Follow the steps to complete your application online.

1. Press the 'Get Form' button to access the application form. Open it in your preferred editing tool.
2. Begin by filling in your personal information, including your name, postal code, address, city, and phone numbers. Ensure all details are accurate.
3. Provide your Ontario health card number, date of birth, age, and gender. Specify the nature of your disability that necessitates attendant services.
4. Indicate your living arrangements by choosing from the options provided and describe any changes in your need for assistance over the past year.
5. List your current sources of attendant services and funding, including any organizations' names, phone numbers, and contacts to verify these services.
6. Disclose any anticipated insurance settlements, private health plan payments, or similar funds, and elaborate on these if applicable.
7. Calculate and indicate the number of hours per month you currently use from each of the identified sources of assistance.
8. Detail your proposed monthly attendant services by listing activities and hours required from Monday to Sunday, rounding amounts for decimals based on your need.
9. Complete the monthly budget calculations by including all costs associated with your care, including optional arrangements and regular monthly wages.
10. Summarize your total monthly budget and contingency amounts, ensuring to remain compliant with the maximum hours allowed.
11. In the optional section, describe your strengths and experiences that illustrate your capability to manage your attendants effectively.
12. Review the declaration section to affirm your understanding of the responsibilities involved and confirm the accuracy of your information by signing and dating the form.
13. Gather and attach any necessary documentation and the Release of Information Request Form before mailing the original application to the specified address.

Start completing your Direct Funding Application Form online today.