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CAREER EXPLORATION PROGRAMS Dubuque Hempstead & Senior Only APPLICATION DIRECTIONS 1. Applicant should complete all sections and sign and date the Student Information form in blue or black ink. Applicant

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How to fill out trillium drug program application

1. To fill out the Trillium Drug Program application, follow these steps: 1. Obtain the application form from the Trillium Drug Program website or from your local pharmacy.
2. Fill in your personal information accurately, including your full name, date of birth, and contact details.
3. Provide your Ontario Health Insurance Plan (OHIP) number and attach a copy of your OHIP card.
4. Indicate your household information, including the number of people living with you and their relationship to you.
5. Declare your income and attach any necessary supporting documents, such as pay stubs or tax returns.
6. List all the prescription medications you are currently taking and provide any relevant information about your medical conditions.
7. Make sure to sign and date the application form before submitting it to the Trillium Drug Program office.

Who needs trillium drug program application?

1. The Trillium Drug Program application is needed by individuals who:
2. - Are residents of Ontario, Canada
3. - Have a valid Ontario Health Insurance Plan (OHIP) number
4. - Spend a significant portion of their income on prescription medications
5. - Do not have coverage for prescription drugs through private insurance or any other public program
6. - Meet the income requirements set by the Trillium Drug Program

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What is trillium drug program application?

Trillium drug program application is a form used to apply for the Trillium Drug Program in Ontario, Canada.

Who is required to file trillium drug program application?

Any Ontario resident who has a valid Ontario health card, does not have private insurance with full prescription drug coverage, and spends a large portion of their income on prescription medication is required to file a Trillium Drug Program application.

How to fill out trillium drug program application?

To fill out a Trillium Drug Program application, applicants need to provide information about their household, income, prescription medications, and any existing insurance coverage. The application can be completed online or in paper form and submitted to the Ministry of Health and Long-Term Care.

What is the purpose of trillium drug program application?

The purpose of the Trillium Drug Program application is to help eligible Ontario residents with high prescription drug costs by providing financial assistance to cover a portion of their drug expenses.

What information must be reported on trillium drug program application?

Applicants must report details about their household composition, income, prescription medications, and any existing insurance coverage on the Trillium Drug Program application.