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IBAS75 Broker Mental Health Fund Application

Please carefully complete the application form below. For ease of collecting the appropriate information, all requisite questions appear on a single page. All questions are mandatory. The IBAS75 Broker Mental Health Fund is proudly supported by Red River Mutual.
1.What is the name of your brokerage?(Required.)
2.Enter your information as the main application contact:(Required.)
3.How many total employees does your brokerage have in Saskatchewan?(Required.)
4.Is your brokerage's funding request for up to the full eligible amount of $2,000?(Required.)
5.Do you anticipate requiring an advance on your reimbursement funding to assist with cash flow?(Required.)
6.If your application is successful, the employee(s) who is/are subject to the received funding will most likely be located where? Check the below location(s) that is/are most probable.(Required.)
7.If approved, how does your brokerage intend to use — or prioritize use of — the funding, and why do you feel it is important?(Required.)