Applications accepted after June 1 only
Submit your request between June 1 and november 15 of the current year
To access the form to be printed, please click on the following link:
Please send the completed form to the following address, between June 1 and November 15:
N.B.: Please include with your request:
Proof that you were 65 or over on January 1, 2022 (health insurance card, driver’s licence, birth certificate).
A copy of your 2021 T4A (OAS), Statement of Old Age Security, including confirmation of receipt of the Guaranteed Income Supplement, issued by Employment and Social Development Canada.
A copy of your Municipal tax account.