Fair Transit Program Application Form

The purpose of this application form is to assess your household's eligibility for discounts on Innisfil Transit fares. Only Innisfil residents in households below the "Low Income Cut-Off" established by Statistics Canada or currently receiving Ontario Works or Ontario Disability Support Program payments will be eligible.

Before filling out this form, please ensure you have an electronic copy of the following documents to upload with your application:

Proof of residence: Licence, tax, or utility bill
Statement of Ontario Works benefits (if applicable)
Statement of Ontario Disability Support benefits (if applicable)
Last year's Notice of Assessment for yourself, spouse, and dependants (as applicable)
Most recent Child Tax Benefit (if applicable)
HST Notice (if applicable)

Fee Assistance in Recreation Program

If eligible for the Fair Transit program, you will also be automatically approved for the Town's Fee Assistance in Recreation program where you may receive up to 25% off of a program registration fee to a maximum of $200 per year/ per participant. This assistance will only apply to Town of Innisfil programs and shinny/ skating passes.

Would you also like to participate in the Fee Assistance in Recreation program?

Applicant Information

Who is applying?

Yourself only

Yourself and your spouse/partner/other dependants

First Name

Last Name

Gender

Female

Male

Other

Date of Birth

Phone Number on Uber Account

Email Address

Street Address

Unit Number

Town

Province

Postal Code

Notice of Assessment

Please upload a copy of last year's Notice of Assessment for yourself as it relates to the General Income Tax Form (3-page document you receive from the Canada Revenue Agency after filing your personal income tax return). Call 1-800-959-8281 if you have lost your copy and need a replacement.
One file only.
20 MB limit.
Allowed types: pdf, doc, docx.

Proof of Residence

Please upload one of the following:

Photocopy of driver's licence
Photocopy of recent utility bill
Municipal tax bill
Other official document containing your name and address

Marital Status

Married/Common Law

Single

Separated/Divorced

Employer Name

Employer Address

If applicable, upload your most recent monthly Ontario Works benefits statement

One file only.
20 MB limit.
Allowed types: txt, pdf, doc, docx, xls, xlsx.

If applicable, upload your most recent monthly Ontario Disability Support Program benefits statement

Spouse/Partner Information

First Name

Last Name

Gender

Female

Male

Other

Date of Birth

Phone Number on Uber Account

Street Address

Unit Number

Town

Province

Postal Code

Employer Name

Employer Address

Notice of Assessment

Others in Household

Must be living at the same address. Include phone number for those 13 years and older with an Uber account.

First Name

Last Name

Age

Phone Number/Uber Account

First Name

Last Name

Age

Phone Number/Uber Account

First Name

Last Name

Age

Phone Number/Uber Account

First Name

Last Name

Age

Phone Number/Uber Account

First Name

Last Name

Age

Phone Number/Uber Account

If applicable, upload a copy of your most recent Child Tax Benefit or HST Notice (pages 1 and 2) for all dependants.

Maximum 5 files.
20 MB limit.
Allowed types: txt, pdf, doc, docx, xls, xlsx.

Income/Eligibility

To be eligible, your income (after tax) must be less than the amount shown in the Statistics Canada Low-Income Cut-Off table.

Family size includes you, your spouse or partner, and dependants under 18 living in your home.

Choose your family size

Confirmation

By checking this box, the Applicant declares that all information provided is true to the best of their knowledge.

If you have any questions regarding administrative aspects of this form, please contact Customer Service at inquiry@innisfil.ca or 705-436-3710.

Upon receiving this application, the Town will make best efforts to provide a written response to the Applicant within 5 business days. In assessing the application, the Town may contact the Applicant for further information.

Personal information collected on this form is pursuant to the Municipal Freedom of Information and Protection of Privacy Act, R.S.O. 1990, Chapter M.56, as amended, and will be used to process your application. Information may also be used for administration and to ensure compliance with the Fair Transit Program or Fee Assistance in Recreation Program. Information may be disclosed to Uber for the purpose of implementing the program, if approved. Questions about this collection should be directed to: Clerk's Office, Town of Innisfil, 2101 Innisfil Beach Road, Innisfil ON, L9S 1A1, 705-436-3710 or email clerksoffice@innisfil.ca.