Contact
Kimmunity Angels

Financial Application

    If yes, please call Veterans Affairs Canada at 1-866-522-2122
    If yes, please call the First Nations Health Authority (Non-Insured Health Benefits in BC) at 1-800-317-7878
    If yes, please call the MSDPR at 1-866-866-0800.
    If yes, please contact your plan to assist with coverage.
  • DECLARATION OF APPLICANT

    1. By signing this application I agree and acknowledge that any financial assistance provided by Kimmunity Angels Society will be utilized only for the expenses outlined in this application.
    2. I agree to provide verification of applicant’s household income for the purpose of determining eligibility for financial support from Kimmunity Angels Society.
    3. I agree to provide medical verification from the applicant’s attending physician for the purpose of determining eligibility for financial support from Kimmunity Angels Society.
    4. I authorize Kimmunity Angels to collect, use, and disclose my personal information for the following purposes:
    • determine whether I am eligible for financial assistance with Kimmunity Angels for medical purposes
    • to determine what other resources may be available to me
    • to assist in meeting my request as outlined on page one of this application

    Kimmunity Angels Society is a trusted steward of community funds. As such the application process ensures community funds are dispersed responsibly and efficiently. Information is gathered solely to determine eligibility and to assist the applicant/family in pursuing additional financial resources. All information will be kept confidential and will only be used to determine eligibility.
  • DECLARATION OF KIMMUNITY ANGELS

    Kimmunity Angels Society honors the Personal Information Protection Act. All information collected is used only for the purpose of determining eligibility, assisting to meet the request as per page one of this application and to assist the applicant/family in pursuing additional financial resources.

Contact

250-641-2344
give@kimmunityangelssociety.ca

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