Location: Forms Home > Quick Search > Quick Search Results > Form Details

Form Details


Form Format
FormatForm Link AddressFunctionalitySize
Adobe PDF Adobe PDF document  Ontario Seniors Dental Care Program ApplicationThe file you are about to download will ONLY work properly if opened with an Adobe Reader 10 or later client. Please do not open this file in a browser.Fill, Print & Save956.0 kb

Form Classification
Classification / Identification:
 Form Number:5125EEdition date: 2019/09 
 Title:Ontario Seniors Dental Care Program Application
 Ministry:Health and Long-Term Care  
 Branch/ABC:Health Promotion  
 Program:Health Promotion  
 Purpose of Form:You may use this application form to apply for the Ontario Seniors Dental Care Program if you and your spouse (if applicable) have filed your Personal Tax Return(s) with Canada Revenue Agency (CRA) for the most recent tax year and have a valid Social Insurance Number (SIN). If you have a spouse (married or common law partner) who would also like to apply for the Program, they must complete their own application form.  

You must download Adobe Acrobat Reader (version 10.0 or above) to view/print PDF forms.
Click here for further instructions.

If PDF forms do not open in the latest versions of Firefox and Chrome, click here for the solution.


Protecting Your Information: If you are using this online service on a shared computer in a public area (i.e. public library), it is important to ensure that you do not leave the computer unattended while accessing the service. Before leaving the computer, it is also important that you fully exit the application, clear your browser's cache (This link opens in a new window) and close down your browser. This will ensure that no one else can access any personal information you may have entered.