Welcome to ILRCC – Services & Application Support Please complete the form below so we can learn more about your needs and connect you with the right supports.Step 1: Who is Reaching Out?Who is reaching out?(Required) I am the person I am reaching out on behalf of someone else Your Name(Required) First Last Step 2: Personal InformationParticipant's Legal Name(Required) First Last Participant's Preferred Name First Last Participant's Email(Required) Participant's Phone(Required)Preferred Method of Contact(Required) Email Phone Both Step 3: What Support Are You Looking For? Please select all that apply. You may choose from both categories.Government Applications(Required) Persons with Developmental Disabilities (PDD) Disability Tax Credit (DTC) Canada Disability Benefit (CDB) Alberta Works Assured Income for Severely Handicapped (AISH) Appeals Fair Entry Program CPP-D Other Government Applications Other(Required)Resources & Community Supports(Required) Housing Employment Support Food Support Money Management Respite Care Residential Access Modification Program (RAMP) Other Resources & Community Supports Other(Required)Step 4: Additional NotesAdditional NotesPlease share anything you’d like us to know about your situation, goals, or supports needed.
