Apply for a co-payment reduction without retyping your details

Long-term care residents with limited income may apply for a co-payment reduction — and the application repeats your name, health number, and financial details. This guide is an example of storing them once in hivi.

Official form and source

Start from the official source and always use the current version — form numbers and links can change:

• Service page: Paying for long-term care — ontario.ca
• Form (Central Forms Repository): Application for Reduction of Assessed Co-payment Fees — 014-3266-54

What this form is about

The application helps determine whether your co-payment for basic accommodation in a long-term care home should be reduced based on your income and assets.

Before you start: what to gather

• Your full legal name, date of birth, and Ontario health number.
• Your current Ontario address (or long-term care home details).
• Income and asset information (confirm on ontario.ca).

Confirm the current process on ontario.ca.

How hivi makes it faster

1. Save it once. Store your name, date of birth, health number, and address in your hivi profile.
2. Keep documents ready. Upload supporting documents to hivi Files so you are not searching at form time.
3. Autofill the form. Use the hivi Chrome extension on a web form, or fill a PDF from your saved profile inside hivi.
4. Review and submit yourself through the official channel.

Why do it in hivi

Related Ontario forms repeat the same personal details. Captured once in hivi — stored in Canada, with AI on its own servers — every form starts mostly complete.