Get Canada Assessment Form

Filling out the Canada Assessment Form online can be a straightforward process if you follow the right steps. This guide provides detailed instructions on how to complete each section of the form efficiently and accurately.

Follow the steps to complete your Canada Assessment Form online.

1. Click ‘Get Form’ button to initiate the process and open the form in the editor.
2. Begin with the applicant information section. Fill in your first name, initial(s), last name, date of birth, and contact details including street address, city, province, postal code, and telephone. Ensure all information is accurate.
3. For the designated contact person, provide their information following the same format as the applicant's details. This section includes their name, contact information, and relationship to the applicant.
4. In the assistive device information section, select one box according to your needs: mobility device, home & bath safety equipment, or electronic aid for daily living. Clearly state the reason for your request.
5. Move to the funding sources section. Check all the agencies you have applied to for funding and provide the requested details for each source, including the date of application and amount funded.
6. Enter your financial eligibility details by stating your net income and providing marital status information along with the number of dependent children.
7. Complete the disability information section by checking all applicable conditions and detailing the cause and date your disability started.
8. Fill out the questionnaire about the mobility device or equipment you are requesting. Answer questions regarding the impact of the device on your life and daily activities.
9. Review the privacy statement and authorization sections carefully, ensuring you understand how your information will be used and your rights.
10. Finally, submit your completed form online and ensure all required documents are included. You may choose to save changes, download, print, or share the form as necessary.

Start your online submission of the Canada Assessment Form now to ensure timely processing of your application.