Age 18-59

Endowment 150 offers eligible people with disabilities a one-time grant of $150 to help their Registered Disability Savings Plan (RDSP) grow. If eligible, this $150 deposit will attract up to $450 in government grants, for a total of $600 into your RDSP.

PLEASE COMPLETE THE APPLICATION IN FULL. ANY MISSING SECTIONS WILL RESULT IN A DELAY IN PROCESSING YOUR GRANT.

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* 1. Beneficiary Name

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* 2. Beneficiary Information

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* 3. Beneficiary Date of Birth (DD/MM/YYYY)

Date

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* 4. Holder Name (only complete this section if the RDSP beneficiary is NOT the RDSP holder)

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* 5. Holder Information

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* 6. Relation to Beneficiary (eg. Legal Parent, Guardian, etc.)

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* 7. Financial Institution where RDSP is held

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* 8. Grants are normally issued by cheque. If you would prefer to receive your grant payment by Electronic Fund Transfer (EFT), please attach a void cheque or a Direct Deposit Form here. (Please note we require an email address to process EFT payments)

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* 9. Please attach a copy of your RDSP statement or official bank/government document clearly showing the:
- RDSP holder’s name
- The date which is within the last six months
- The term "RDSP" or "Registered Disability Savings Plan"

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* 10. Please provide one of the following as proof of low income:

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* 11. Upload proof of low income

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* 12. Beneficiary Social Insurance Number (Only required if you have not submitted alternative proof of low income. We will use this to check receipt of income assistance with MSDPR)

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* 13. Disclosure: Please read carefully, and check EACH item to indicate your consent.

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* 14. If you reside in a First Nations community, please indicate the First Nation that approved your income assistance.

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* 15. If this form has been filled out by a third party on behalf of the applicant please write your name and phone number or email below:

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* 16. How did you hear about the Endowment 150 grant?

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