Applications

Make a more accessible future a possibility today.

If you or if someone you know is in need of new accessibility equipment, or service or maintenance for existing equipment, please complete the form below. Once we’ve received your application, we will be in touch to assess what is required to make the residence or public-use space accessible. While our goal is to provide all services and equipment free-of-charge, please understand that we may be limited in some cases. We are happy to discuss other options for those in immediate need where waiting for funding may not be appropriate.

Apply now.

Please complete the application form and we will be in touch as soon as we can. We are a small team—thank you for your patience.

Name

First Name

Last Name

Phone Number

Address where the work is needed

WCB claim status

Annual household income

Other details we should know about

ie. If the individual is currently in rehabilitation, what is the date they expect to be able to go home? Which area of the building will need modification? Is there a wheelchair user in the space? etc