After you have reviewed the eligibility criteria, you can submit your completed and signed application with supporting documents to the Home and Vehicle Modification Program. Incomplete applications packages will not be processed for funding. One attempt will be made to secure missing information.
The program will not approve reimbursement of any cost for modifications, adaptations, and devices prior to authorization from the program.
Modification Proposal
Please download, print and fill out the following Modification Proposal Form, available in regular and large print, as well as in French (PAHV – Programme d’adaptation des habitations et des véhicules).
Verification of Disability
Please download, print and fill out the following Verification of Disability Form, available in regular and large print, as well as in French (PAHV – Programme d’adaptation des habitations et des véhicules).
Mailing Address:
March of Dimes Canada
920 Commissioners Rd East
London, ON N5Z 3J1
Email Address:
Fax:
519-432-4923
We understand each person's situation is unique. If you have question about the Application forms, please call us at 1-877-369-4867 before you apply.
