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Accessibility Supports Equipment Loan Program Application

Accessibility Supports Equipment Loan Program Application Please submit applications to Easter Seals Alberta | P: | F: | 103, 811 Manning Rd. NE Calgary AB T2E 7L4 Page 1 of 10 Client Equipment Funding Request Form Thank you for your interest in applying to the Easter Seals Alberta Equipment Loan Program . Easter Seals Alberta is an organization dedicated to supporting Albertans living with physical, cognitive, and/or medical disabilities, and our mission is to provide services that foster inclusion, independence, and recreation for our clients. This Program is intended to be a funding option for individuals who have exhausted all other funding resources for Accessibility Equipment . Equipment that is eligible for funding includes: power mobility devices ( scooters, power wheelchairs), lifts ( vertical lifts, porch lifts, stair lifts, etc.)

The information provided in this application is for the purposes of determining eligibility for assistance through Easter Seals Alberta. The information collected will be held in strict confidence and used only for the purpose for which it is …

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