Forms and documents

The forms and brochures available on this page are available in a printable format. If you have any questions, talk to your caseworker or call 1-877-424-1177 or contact your local office.

Record and register form

This form is used to support your application for Employment Support and Income Assistance (ESIA). Completing it before you contact Income Assistance can help staff prepare and provide better support.

If you're able to, you can complete the form and bring a printed copy to your local office. Interpretive services are available at each office.

Record and Register Form (PDF)

The record and register form is also available in the following languages:

• Record and Register Form (Arabic) (PDF)
• Record and Register Form (French) (PDF)
• Record and Register Form (Gaelic) (PDF)
• Record and Register Form (Mi'kmaw) (PDF)
• Record and Register Form (Somali) (PDF)
• Record and Register Form (Spanish) (PDF)
• Record and Register Form (Ukrainian) (PDF)

For more information on the application process and eligibility, you can check the How to Apply for Income Assistance and Who can receive Income Assistance pages.

Confirmation of mailing address

This form is used to set up a mailing address to receive Employment Support and Income Assistance letters when you do not have a place to live.  Please fill it out when a caseworker requests it.

Confirmation of Mailing Address (PDF, 282 KB)

Decision Reviews and Appeals

This brochure guides you through the appeal process, including decision reviews and appeal hearings. It also includes:

• a form to request a decision review
• a form to give permission to a third-party representative (for example, a lawyer or advocate) to act on your behalf in an appeal process

When You Disagree: A Guide to Addressing Decisions under the Employment Support and Income Assistance and Disability Support Program (PDF)

Vous n'etes pas d'accord : Guide sur la révision des décisions relatives à Programme d'aide à l'emploi et d'aide au revenue et auProgramme de soutien aux personnes handicapées (PDF)

Employment Support and Income Assistance Brochures

These documents provide general information about Employment Support and Income Assistance:

• Employment Support and Income Assistance Program Information (PDF)
• Employment Support and Income Assistance Program Frequently Asked Questions (PDF)
  

Working while on Income Assistance

Resources to explain the amount of assistance you keep if you work:

• Working while on Income Assistance
• Working while on Income Assistance (PDF)