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PAPER APPLICATION FORM
PAPER INCOME TEST
FORM

BOTH THE APPLICATION FORM & INCOME TEST FORM MUST BE SUBMITTED.

Verification of specific medical appointments is required. A letter from the medical practitioner or an appointment card signed by the medical receptionist is acceptable.

APPLICATION FORM

Electronic Application form.
 

By submitting electronically you are confirming that you are not receiving funding from any other source for these expenses.

NOTE: ALL COMMUNICATION BETWEEN THE APPLICANT AND SWCDS IS CONFIDENTIAL. THE PATIENT MUST BE AWARE THE APPLICATION IS BEING MADE.

After you have submitted your application form below, please take pictures of: 

  • Your Income tax forms showing your name(s) and lines 15000 

  • Proof of your medical appointments

  • Receipts

Forward the pictures to swcdsinc@sasktel.net. Or mail photocopies of documents to SWCDS, Box 458, Shaunavon, SK

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