|Classification / Identification:|
| ||Form Number:||014-4817-69E||Edition date: ||2011/05 |
| ||Title:||Long-Term Care Home Support Document List - Submitting NOA that included benefit(s) that a resident is no longer receiving because they have transitioned to new benefit(s)|
| ||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 document guides applicants in determining which supporting documents will be required as part of their application. This document is to be used by applicants who have a Notice of Assessment from the year when they were 64 years of age.|| || |
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