Government of Ontario: Ministry of Community and Social Services

Consent to Disclose and Verify Information
(Canada Revenue Agency)
Ontario Works Act, 1997
Ontario Disability Support Program Act, 1997

Select this link to find out more about the Ontario Disability Support Program (ODSP).

I/We






consent to the release, by the Canada Revenue Agency (CRA) to the Ministry of Community and Social Services of Ontario (“the Ministry”) and/or a delivery agent administering Ontario Works as identified by the Ministry under the Ontario Works Act, 1997, of information from my/our tax files. I/We understand that the information released by the CRA will be relevant to, and will be used solely for the purposes of:

  1. determining and verifying my/our initial, past and ongoing eligibility for social assistance, and for the administration and enforcement of the Ontario Works Act, 1997 (or its predecessor legislation) and the Ontario Disability Support Program Act, 1997 (or its predecessor legislation); and, where applicable,
  2. permitting the making of an adjustment to a social assistance payment made pursuant to the Ontario legislation referred to in paragraph (a) above, where the purpose of the adjustment is to take into account the amount of any Ontario Child Benefit payment I/we are entitled to.

I/We understand that information from my/our tax files that is provided for the purposes of paragraph (b) above, will only be provided to the Ministry by the CRA for those years in which I/we are entitled to receive an Ontario Child Benefit payment.

This information will not be disclosed by the Ministry or a delivery agent administering Ontario Works to any other party except in accordance with section 54 of the Ontario Disability Support Program Act, 1997, section 73 of the Ontario Works Act, 1997 and the provisions of the Freedom of Information and Protection of Privacy Act or the Municipal Freedom of Information and Protection of Privacy Act.

This consent is given pursuant to subsection 241(5) of the Income Tax Act (Canada), and in the case of an application or an update of my/our social assistance information, is valid for the following years:

I/We understand that this consent will apply to inquiries made relating to my/our initial eligibility for, as well as my/our past and ongoing receipt of social assistance. I/We further understand that the inquiries may take the form of electronic data exchanges.

in my local Ontario Works or Ontario Disability Support Program office, and that this request may affect my/our eligibility for social assistance, pursuant to sections 12, 14(1), 15, 16, 17(1) of O. Reg. 222/98 and sections 14, 17(1), 19 & 20 of O. Reg. 134/98.

I have read or had read to me and understand the consent set out above.




    

I have read or had read to me and understand the consent set out
above and I join in this consent regarding the release of taxpayer
information about me.







Notice with Respect to the Collection of Personal Information
(Freedom of Information and Protection of Privacy Act)
(Municipal Freedom of Information and Protection of Privacy Act)



at ( in your local Ontario Disability Support Program Office.

2999E (02/2008)    Part 3    © Queen's Printer for Ontario, 2008   7730-2999

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