|Classification / Identification:|
| ||Form Number:||014-4808-69E||Edition date: ||2020/05 |
| ||Title:||Application for Reduction in Long-Term Care Home Basic Accommodation - Resident With a Notice of Assessment (NOA)|
| ||Ministry:||Health and Long-Term Care|| || |
| ||Branch/ABC:||Corporate and Direct Services Division|| || |
| ||Program:||Long Term Care Division|| || |
| ||Purpose of Form:||To be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This form is to be used by applicants who have a Notice of Assessment.|| || |
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