Get Formulaire 3656 - Demande D'exon Ration Ou De R Valuation - Programme De Contribution Des Adultes H

Filling out the Formulaire 3656 is essential for individuals seeking an exemption or reevaluation under the adult contribution program. This guide provides clear, step-by-step instructions to assist users in completing the form accurately and efficiently online.

Follow the steps to successfully complete your form online.

1. Click ‘Get Form’ button to obtain the Formulaire 3656 and open it in your editing tool.
2. Enter the personal information of the adult being housed. This includes their health insurance number and birth surname, as well as their usual first name.
3. Indicate the civil state of the adult; choose from married, single, legally separated, divorced, or widowed. Provide the necessary dates as specified in the form.
4. Complete the section for the responsible person at the public establishment, providing their contact details and regional identification number.
5. If applicable, provide information regarding the adult's spouse, including health insurance number, living conditions, and shared accommodations.
6. Indicate whether you or your spouse have dependent children and provide their health insurance numbers, if so. Remember to attach proof of schooling for children over 18.
7. Fill out the declaration of assets and income. Answer all questions with 'Yes' or 'No' and attach required documentation for affirmative responses.
8. For liquidity, list all bank accounts and investments. Include account numbers and balances, and provide copies of statements for the last six months.
9. State the market value of all properties, including any mortgages. Attach municipal evaluation documents and proofs of debt status.
10. Detail all monthly income sources, providing accurate amounts and required supporting documents for verification.
11. Sign the declaration section and ensure the adult being housed or their representative completes the signature field. If applicable, also sign by the spouse.
12. Finally, save the form. Depending on needs, you may download, print, or share the completed document.

Complete and submit your Formulaire 3656 online now to ensure a smooth process for your exemption or reevaluation request.