Learn all about Extended Health Benefit Supports when leaving Social Assistance Workshop on July 23, 2024 at LIFE*SPIN!
Find out what supports are available to you when you leave Social Assistance! Join us as we walk you through information of transition of applying for extended health benefits and inform you of other pension benefits. This excellent workshop is led by LIFE*SPIN advocate, Nicole and is not to be missed if this pertains to you! This is a Workshop held at LIFE*SPIN on July 23, 2024 at 11:00 a.m. Please complete the intake information below.
Full Name
*
First Name
Last Name
Date of Birth
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Month
-
Day
Year
Date
Unit Number
example: Unit # 42
Street Number
*
123
Street Name
example: Dundas Street
Buzzer Number
If you live in an apartment building, enter the buzzer number
Postal Code
*
N5W2Z7 (no space)
Phone Number
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Area Code
Phone Number
E-mail
*
Confirmation Email
Sources of household income (please check all that apply)
*
Canada Child Benefit
Ontario Disability Support Program (ODSP)
Life Stabilization (Ontario Works)
Canada Pension Plan - Disability
OAS (Old Age Security)
GIS (Guaranteed Income Supplement)
Student Loan
Employed
Worker's Compensation (WSIB)
Spousal Support
Child Support
Self-Employed (ie Uber, Rental Income, baby-sitting, etc.)
Household Information
The mission of LIFE*SPIN is to provide information and support for individuals who are surviving on low incomes
How many adults (over 18) live in your household?
How many are 55+ years-old?
Is anyone in your home pregnant?
Yes
No
If yes, date the baby is due.
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Month
-
Day
Year
Date
How many children live with you, who are under 18 years-old or younger?
Please enter the number of children who live with you, by age category
Ages 0-6
Ages 7-12
Ages 13-18
How many boys?
How many girls?
Advocacy Support
For tracking purposes, please tell us the languages spoken in your home
English
Arabic
Spanish
other
I will:
attend in person at 11:00 on May 14, 2024
need the youtube video link of the workshop, as I cannot attend in-person
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