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  • Application For Special Services At Home Form

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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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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232