Online forms are available for you to fill, print and hand in to any local Employment & Social Services office. Please check your forms are complete and correct. Print clearly any information you provide on your forms.
Using Online Forms
You will need to have
Adobe Acrobat Reader installed on your computer to open and use our online forms.
You can use the "Print Form" button to print a copy and complete it by hand. You may also click to type in a field to fill out the form and then print. Some forms have required fields that must be completed before you can print. Some forms first require approval by your caseworker to complete. You will be required to sign any printed paper copy that requests your signature.
Income Reporting Statement (I.R.S) Card
An
Income Reporting Statement Card
should be handed into your local Employment & Social Services office on the 16th of each month. As a participant, you must report income received within a month. Speak with your case manager about your specific reporting requirements.
- Enter your personal information
- Fill in all boxes and give proof of all income
- If you have no income to report, write "NIL" in each box
- Complete the remaining boxes on the online form or print the form using the "Print Form" button
- Complete the remaining empty boxes manually
- Take the completed and signed form to your local Employment & Social Services office
Change Reporting
You must report any changes to your family size, living arrangements, shelter costs, income and assets. Complete page 2 of the
Income Reporting Statement Form
attach any receipts and submit the form to your local Employment & Social Services office on the 16th of each month. Failure to contact or submit changes to your caseworker in a timely manner will affect your monthly payment.
- Enter your personal information in the first two boxes that are outlined in red
- Complete the remaining boxes to report the change on the online form
- Use the "Print Form" button to print a copy of the completed report
- Complete any remaining empty boxes manually and attach any receipts
- Take the completed & signed form to your local Employment & Social Services office
Travel & Transportation Costs to Medical Appointments
Ontario Works participants may be eligible to claim medical travel and transportation costs. Fill out the
Medical Travel and Transportation Costs Form
and talk to your caseworker for more information. Supporting documents must be attached and submitted with this form.
Approval must be given by your caseworker prior to using this form.
- Enter your personal information in the boxes that are outlined in red, and then enter your caseworker's number
- When finished, print the form using the "Print Form" button
- Take the printed form to your medical appointment, to be completed by the medical facility
- Take the completed form to your local Employment & Social Services office
- Attach additional appointment expenses and costs
Landlord Acceptance Letter
Ontario Works participants are required to submit a Landlord Acceptance Letter when moving to a new residence. This form must be signed by the Landlord/ Superintendent before submitting it to the local Employment & Social Services office.
- Complete all fields and requested information
- Review all information before printing the form and when finished, print using the "Print Form" button
- Take the printed form to your Landlord/Superintendent and have him/her sign the form
- Take the completed and signed form to your local Employment & Social Services office
Childcare Expense Receipt
Ontario Works participants who are in receipt of childcare subsidy (licensed/unlicensed) can submit a
Child Care Expense Receipt claim.
- Complete all fields and requested information
- Review all information before printing the form and when finished, print using the "Print Form" button
- Take the printed form to your Childcare Provider to complete the remaining information
- Both you and your childcare provider must sign and date the form
- Deliver the completed form to your local Employment & Social Services office
