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Ministry of Children, Community and Social Services

Ontario Autism Program - CB/IOT Reconciliation Attestation Form

Instruction

Fields marked with an asterisk () are mandatory.

You will only be able to complete this form if you received a letter/email from the Ministry asking you to attest to your related Ontario Autism Program funding (Childhood Budget (CB) and/or Interim One-Time (IOT) funding) with a unique code.

1. Attestation Form

Who can complete the attestation form?

To attest to the use of Ontario Autism Program funding, you must have received funding from the Ministry that was used as outlined in your funding agreement.

Please enter the information in this section exactly as found in your letter.

2. Attestation

By attesting to the statements below and submitting this form, I understand that the total amount of OAP funding received will be deemed fully reconciled by the Ministry.

Please review and complete all the following:

Please provide your email address so we can send you a copy of the form you have submitted:

(Example: name@example.com)

3. Notice of Collection

The information on this form is collected under the legal authority section 283 of Child, Youth and Family Services Act, 2017, S.O. 2017, Chapter 14, Sched. 1. The collection of this information is governed by the Freedom of Information and Protection of Privacy Act, R.S.O. 1990, c. F.31, as amended from time to time (FIPPA). Any personal information collected by the ministry in connection with your attestation may be subject to disclosure in accordance with the requirements of FIPPA. If you have any questions about the collection, use, and disclosure of your personal information, you can contact

Central Resource Team
Ministry of Children, Community and Social Services
PO Box 193
Toronto, Ontario
M7A 1N3
Toll-free: 1-888-444-4530
Email: OAP@ontario.ca

More information on the personal information and personal health information being collected, and how it will be used, is available here.

Summary

Note: To make changes to the information below, please click the “Back” button (at the top of this page) to access previous pages or “Edit Section” to make corrections.

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