Get Safeway Application Form Canada

This guide provides clear instructions on filling out the Safeway Application Form Canada online. By following these guidelines, users can ensure they complete the application accurately and meet all necessary requirements.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Complete the personal information section by entering your name and contact details, including your address, city, province, postal code, email, and telephone number.
3. If applicable, provide the name of your guardian or parent if you are under the age of 18.
4. In the 'Description of requested equipment' section, briefly describe the item you are requesting funding for.
5. In the next field, elaborate on how this equipment will positively impact your life, ensuring to outline the benefits clearly.
6. Indicate whether the Occupational Therapist or Physical Therapist's statement of medical necessity is attached by selecting 'Yes' or 'No'.
7. Attach two vendor quotes by selecting 'Yes' or 'No' for each quote provided.
8. Sign the application form, or if you are under 18, ensure your guardian signs it.
9. Include the date on which you are completing the form.
10. Once completed, review the form for accuracy, save any changes, and then you can download, print, or share the form as needed.

Start your online application today to secure the funding you need.