Welcome Policy Application Form

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Application Form
Welcome Policy Application Form
This form is an application for the Welcome Policy only. You will need to register for recreation programs separately.
To register go to efun.toronto.ca.
Access to Welcome Policy for eligible persons is determined by Council policy.
Completed application forms with photocopied supporting documents can be faxed to 416-338-5046 or mailed to:
City of
Toronto, Welcome Policy Application, 55 John St., MAILROOM, Toronto, ON, M5V 3C6 .
Your application will only be considered once all of your supporting documents are submitted.
toronto.ca/wp
If you require further assistance, please contact our Welcome Policy line at 416-338-2000 or visit
.
Applicant
(Main Contact)
Last Name
First Name
Date of Birth (dd-mm-yyyy)
Sex
Male
Female
Street
Street Name
Suite/Unit Number
City
Number
Province
Postal Code
Home Phone
Ontario
Work Phone
Cell Phone
Email Address
Spouse/Partner
(Only list if residing within household)
Last Name
First Name
Date of Birth (dd-mm-yyyy)
Sex
Male
Female
Children
Last Name
First Name
Date of Birth (dd-mm-yyyy)
Sex
Male
Female
Last Name
First Name
Date of Birth (dd-mm-yyyy)
Sex
Male
Female
Last Name
First Name
Date of Birth (dd-mm-yyyy)
Sex
Male
Female
Last Name
First Name
Date of Birth (dd-mm-yyyy)
Sex
Male
Female
Verification Documents -
for a full list of valid documents please visit our website at
toronto.ca/wp
Identification: Provide one
Proof of Address: Provide
Proof of Income: Provide one for every family
Total Family
Income
per family member
one per family
member that is 18 years old and over
Driver's Licence/Photo ID Card
Rental/Lease Agreement
Current Notice of Assessment (Line 150)
Passport
Ontario Disability Support Program (ODSP)
Current Utility Bill
Birth Certificate
Ontario Works (OW)
Bank Statement
Driver's Licence/Photo ID Card
Citizenship Card
Employment Insurance
Permanent Resident Card
Letter from Social Agency
Paystubs (Past 30 Calendar Days)
I
_______________________________
have completed this application form for the Welcome Policy and state that
the information I have provided is true and accurate to the best of my knowledge. I agree to accept financial
responsibility for the program(s) myself and my family are registered in, should my application be denied.
Signature
Date (dd-mm-yyyy)
Notice of Collection
The personal information on this form is collected under the authority of the City of Toronto Act, S.O. 2006, Chapter 11, Schedule A, s. 136(c), the Ministry of
Tourism and Recreation Act, R.S.O. 1990, c. M35, s. 4 and City of Toronto By-law 442-1999 and By-law 1319-2008. The information is used by Toronto
Employment and Social Services to determine eligibility for financial assistance in the form of a fee waiver pursuant to Toronto’s Welcome Policy, to advise
Toronto's Parks, Forestry and Recreation Division if your eligibility has been determined, and for aggregate statistical reporting. Questions about this
collection can be directed to the Parks, Forestry and Recreation – Manager, Customer Service, Toronto City Hall, Fl. 1, 100 Queen Street W., Toronto,
Ontario, M5H 2N2, or call 416-392-1902.
01-0159 2015-10

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