The Application - Page 3


This is a small page. You just have to put names and signatures in.

It says: I ......... on behalf of ....... am applying for eligibility determination for admission.....

You sign it, date it. Oh.. beware here as well. All signatures must be within 1 year of the application being received or it's null and void! Personally, I wouldn't push the one year limit and have the dates as close to the time the application is being submitted as possible. Say within a couple of months if possible.

If it's the applicant themself that is filling in this form they just write... I...... so and so.. on behalf of 'myself'. etc.

Next is the determination of capability section for this page. (yes, again)

Send this page by email to a friend!

onto next page of the application form

"Back to Main "Nursing Homes" Section Index"
"Back to Main Entry Page for other Sections"
Go Back to the page you just came from

Sign or View my Guestbook

postcards, recommend this site, join my updates list, vote for me, FAQS, and much more.  All in one place for you

This page has been accessed times.

vjr All Rights reserved.

 Canadian Content