The Application Form

In our first meeting, Developmental Services Ontario staff will help the person with a developmental disability and their caregiver(s) to complete the Application for Developmental Services and Supports. This application form gathers information on the following:

• reason for contact/reason for current request
• information about the person’s current circumstances
• confirmation that they are eligible to receive services
• who is making the referral
• decision-making status/guardianship
• physical and sensory needs, and other medical conditions
• expressive and receptive communication abilities
• current living situation and financial status
• supports needed during overnight hours
• transportation needs
• care and caregiver concerns
• current services and supports
• services and supports being requested, including:
    • community participation supports
    • employment supports
    • vocational alternative supports
    • direct funding
    • agency residential supports
    • caregiver respite
    • person-directed planning
    • specialized and professional services
• additional information about medical and/or behavioural needs
• other issues such as police or court involvement

We will also complete a “Getting to Know You” section that is meant to identify the dreams, goals, likes and concerns of the person with a developmental disability. Their comments and thoughts are important for helping us to understand which community services and supports may be helpful, and they must participate in the process (More information is provided under the tab at left.)This first interview will take about two hours to complete.