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Ed as: Personal Growth and Development These are individual developmental programs that are time limited and help the child achieve a specific goal. and/or Family Relief and Support This provides respite/relief for the caregiver and is related to support services in or out of the home of the family. Please refer to SSAH Guidelines for further information. The SSAH program is available for children with a developmental and/or physical disability who are residents of Ontario. SSA.

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How to fill out the Application For Special Services At Home Form online

Filling out the Application For Special Services At Home Form is an important step in accessing vital support for children with disabilities. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently online.

Follow the steps to successfully complete your application.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by confirming that the applicant is legally entitled to live in Canada and is a resident of Ontario. Provide the personal details of the applicant, including their last name, first name, middle initial, date of birth, and gender.
  3. Enter the applicant's full address, including unit number, street number, street name, city, province, and postal code. Ensure that all information is accurate.
  4. Complete Section 1, which pertains to the family caregiver. Provide their details, including their relationship to the applicant and contact information.
  5. In Section 2, indicate whether you have previously applied for Special Services at Home. If yes, specify if this application is a re-application and whether it falls on the third anniversary of your last full application.
  6. Proceed to Section 3, where you provide updates about your individual and family situation. If there have been significant changes since your last application, you must complete Sections 4 to 9.
  7. Fill out Sections 4 to 9 as applicable, detailing the services you are requesting and giving an overview of your family member's strengths, interests, and needs. Use the provided checkboxes and text fields for descriptions.
  8. In Section 6, describe your family situation and any relevant unique factors that affect your ability to support your family member.
  9. Complete Section 7 and Section 8 by identifying available support networks and detailing any paid services you have accessed or considered.
  10. Fill out Section 9, ensuring to provide signatures from both the applicant and a parent or guardian, where applicable, confirming that the information is true.
  11. After reviewing all entries for accuracy, save your changes. You can then download, print, or share the completed form as needed.

Complete your Application For Special Services At Home Form online today to access the support you need.

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The Special Services at Home (SSAH) program provides funding for families caring for a child with a physical and/or developmental disability. To read more about eligible services, visit .ontario.ca/page/special-services-home#section-7.

Eligible parents and guardians can receive between $25 and $618 a month to help with disability-related costs. Your eligibility and the amount of assistance you receive is based on a combination of factors.

Depending on your household income, the size of your family and your child's disability-related costs, the ACSD program may provide between $25 and $618 a month to help with costs such as: travel to doctors' appointments, hospitals and other appointments related to the child's disability.

For more information on Assistance for Children with Severe Disabilities, please contact one of the following: Ministry of Children and Youth Services (MCYS) Regional Office. Ontario Disability Support Program Office. Toll-Free 1-800-265-2705.

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