Contents



Ministry of Social Development

Frequently Used Forms

If you do not have access to a printer, you can contact the office to request that any of these forms be mailed to you, or you can pick them up at any ministry office.

File Folders

Application Requirements

Two-Year Independence Test Acrobat reader logo. Click to download reader.

This form is used to demonstrate you have met the eligibility criteria of the two-year independence requirement for income assistance.

General Program Forms

BC Bus Pass Program Consent to Disclosure form Acrobat reader logo. Click to download reader.
A form that gives the ministry consent to the disclosure of any personal information to a designated third party that is relevant to your eligibility for the BC Bus Pass Program.

Consent to Disclosure of Information Acrobat reader logo. Click to download reader.
A form that gives the ministry permission to discuss your personal information with a third party.

Direct Deposit Request Acrobat reader logo. Click to download reader.
This form is used to set up direct deposit of your income assistance or disability assistance payment to your bank account.

Monthly Report Acrobat reader logo. Click to download reader.
This form is for letting the ministry know that you are still in need of assistance. You must report any changes in circumstances and record monthly income for the purposes of determining eligibility for assistance. For more information, read the brochure on How to Complete Your "Monthly Report" Form Acrobat reader logo. Click to download reader..

Request for Non-Local Medical Transportation Assistance word logo

This form is used to request non-local medical transportation assistance.

Self-Employment Program Monthly Reporting Worksheet Acrobat reader logo. Click to download reader.
This worksheet is for use by clients participating in an approved ministry Self-Employment Program. It is a tool to assist clients to complete the Self-Employment Program Client Monthly Report.

Shelter Information Acrobat reader logo. Click to download reader.
This form is used to provide the Ministry of Social Development with required rental information for your file. Applicants and recipients of income assistance, disability assistance or hardship assistance may use this form when requesting money to pay rent and/or security deposits.

Child in the Home of a Relative

Child in the Home of a Relative (CIHR) Screening Consent Acrobat reader logo. Click to download reader.
This form is part of the eligibility review process for income assistance under the Child in the Home of a Relative (CIHR) program. The Child in the Home of a Relative (CIHR) program provides financial support to children who are placed in a relative’s home by their parents when the parents are unable to assume full responsibility for supporting the child.

Reconsideration, Appeals and Tribunal

Consent to Dismiss Appeal of Employment and Assistance Appeal Tribunal ("Tribunal") Acrobat reader logo. Click to download reader.
This form is to be used by an employment and income assistance client that has filed a Notice of Appeal to the Tribunal and has now decided not to continue with the appeal. When the Tribunal receives the completed form it will cancel any scheduled Tribunal hearing and send the parties a letter advising that the client’s appeal has been dismissed.