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Application for Reduction in Long-Term Care …

4808-69E (2018/05) Queen's Printer for Ontario, 2018 Disponible en fran aisPage 1 of 4 Ministry of Health and Long-Term Care Application for Reduction in Long-Term CareHome Basic Accommodation Resident With a Notice of Assessment (NOA)Pursuant to section 177 of the Long-Term Care Homes Act, 2007 the Director may directly or indirectly collect the information provided in this applicationto determine the reduced amount payable by the resident for basic accommodation in accordance with section 253 of O. Reg. 79/10 made under the Long-Term Care Homes Act, 2007.

Page 3 of 4 CPP Survivor Benefit (Service Canada Rate Letter), QPP Surviving Spouse's Pension (Regie des rentes Quebec Rate Letter) $

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