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. This $150 grant, plus grants and bonds available from the Federal Government, will grow and help you save for your future or that of a loved one.

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

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

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* 2. Beneficiary Name

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* 3. Beneficiary Information

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* 4. Beneficiary Date of Birth

Date

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* 5. Beneficiary Social Insurance Number (only required if we need to submit your information to MSDPR for PWD income assistance verification)

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

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* 7. Holder Information

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

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* 9. Financial Institution where RDSP is held

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* 10. If your Financial Institution allows direct deposit into your RDSP, please attach either a void cheque or direct deposit form.

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* 11. 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"

PLEASE MAKE SURE YOUR RDSP STATEMENT HAS THE ABOVE COMPONENTS. ANY MISSING INFORMATION WILL RESULT IN A DELAY IN PROCESSING YOUR APPLICATION. *Application forms are not considered proof of your RDSP account*.

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

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* 13. Upload proof of low income

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

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

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* 16. 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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