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Applying For: Assistance for Children with Severe Disabilities
MAY 11, 2022
The Assistance for Children with Severe Disabilities (ACSD) program provides financial assistance to parents to help with extraordinary cost related to their child’s severe disability.
The child must qualify as having a severe disability. This is defined as an ongoing developmental or physical condition that results in functional loss. Functional loss refers to a major loss of ability, or capacity, to engage in any activity commonly considered necessary and appropriate to normal daily living. Examples include walking, communication, self-feeding, dressing and personal hygiene.
Income-based funding source.
To be eligible, you must be the parent or guardian of an individual who:
Is under the age of 18 years old
Lives in your home
Has a severe disability
The amount of ACSD funding that can be received is based on:
Family Size(Including Parents)
Full Basic Entitlement may be paid up to: (gross family income)
You may be eligible for some entitlement up to: (gross family income)
Up to 4
Up to 5
Up to 6
Up to 7
* As of September 2018 (Subject to change)
HOW TO FILL OUT AN ACSD APPLICATION FORM
Start Here: Declaration
All parents or guardians need to sign and have witness sign as well.
Section 1: Transportation to Doctors/Hospital/Clinic
List all medical professionals and estimate how many times per month you are seeing them and how you are getting there. See example below:
1 x per month
15 km x .40 = $6 x 12 visits per year = $72
$10 x 12 visits per year = $120
Section 2: Meal Costs
List all medical professionals above if you get food while attending appointments. See example below:
If you use a babysitter for your other children while attending the medical appointments listed above, please list the associated costs. See example below:
Babysitting for Two Children
8 & 6 years old
4 hours per visit
6 visits a year
Section 4: Extra Clothing
List any additional clothing purchases that are directly related to the child’s disability. For reasons such as excessive wear, lost items, sensory issues, messy eaters, accidents, etc. List all items and how many extras you purchase through the year. See example below: 5 extra pairs of pants x $20 = $100 2 extra snowsuits x $50 = $100 List total of all clothing items under yearly costs.
Section 5: Other Clothing Costs
List all clothing alterations, bedding, mattress protectors etc.
Section 6: Diapers
List all clothing alterations, bedding, mattress protectors etc. Calculate your yearly diaper expenses. If you are receiving Easter Seals, subtract what you receive from your total. If you are not receiving Easter Seals, put the full amount under your yearly costs. To Apply to Easter Seals, see Link: www.easterseals.org. Click on Services tab.
Section 7: Laundry Costs and Cleaning Supplies
If your child is frequently changing their clothes and requires more than 3 loads of laundry each week consider the formula below: 2 extra loads x $5 = $10 x 52 weeks = $520 1 extra Laundry detergent (additional laundry) per month @ $17 x 12 = $204
Section 8: Shoes, Boots and Orthotics
If you a require more then 4 pairs of shoes and 1 pair of boots for your child, please list cost below. If Orthotics are required, please include a copy of the prescription and receipt, for any amount not covered by insurance.
Section 9: Special Diet
If your child has been prescribed a special diet, requires supplements, or has severe allergies please include the additional food cost. Example: Ensure $15 x 52 weeks = 780
Section 10: Special Learning and Development Equipment
List items that you purchase to support your child’s learning and list $300 under your yearly expenses. You may consider the following examples:
Arts and craft supplies
Section 11: Special Education and Nursery School
List any special education classes that have been purchased. Please provide receipts for these services. This may also include tutoring services.
Section 12: Camp Fees
List any camps your child has attended in the past year. Please provide receipts for these costs. If camp has not been attended due to lack of finances, you may want to write “if funding was available, I would like my child to attend camp”.
Section 13: Social Program Expenditures
List any social or recreation programs your child attended and associated cost. If you have not registered but would like to in future, please consider using the following statement. “if funding was available I would like to register my child for …” Some examples of social / recreation programs include:
Parks and Recreation activities
Section 14: Parent Relief
You can claim $150 a month for respite/parent relief. Please list the name of your worker or program (afterschool or weekend respite). You can use a family member if they are not living in the same home as you.
Section 15: Drug Costs
List all cost related to your child’s health that is not covered by OHIP or other insurance you may have. Some examples you can use are:
Section 16: Equipment for Hearing Impairment
Please list all cost associated with your child’s hearing impairment if applicable. Such as: Hearing aid batteries, Special headphones
Section 17: Medical and Surgical Supplies
Please list all cost for supplies. Such as: Gloves, Tape, Tensor Wraps, Sterile gauze, Bandages
Section 18: Repairs to Special Equipment
Please list all costs you incur maintaining special equipment. Some examples may be:
Walker or braces
Tablet/iPad used for communication
Section 19: Other Expenses
List all other expensive that have not been covered in the sections above. Some examples to consider:
Damage to household items including repairing/painting walls
Patching up holes in the wall
Consent to disclose and verify personal information and consent to recover overpayments.
Please ensure two consents are completed and signed.
Please make copies of supporting documentation to be included with the application:
Birth Certificate/ Passport/ Immigration status of child
Copy of Child’s Health Card
Diagnosis Information / Reports (School IEP)
Most current notice of assessment for all household income earners
Birth Certificate / Passport / Immigration status of Caregiver
Most recent copy of the Canadian Child Benefit
We recommend making a copy of your application for your records.
Mail in the application to: 375 University Ave. 5th Floor, Toronto ON, M7A 1G1