Canadian Thalidomide Survivors Support Program

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Unconfirmed Claimants:

 

1. Step 1 – Preliminary Screening Application (CTSSP Application Period ended June 3, 2024)
   
   
2. Thalidomide Consent to Communicate Form (PDF)
   
   
3. Request for Reconsideration Form (available upon request from the Administrator)

 

Confirmed Survivors:

 

1. EMAF Application Form (PDF)
   
   
2. EMAF Schedule of Expenses/Services (PDF)
   
   
3. EMAF Appeal Form (PDF)
   
   
4. Ongoing Support Payment Form (PDF)
   
   
5. Reassessment Application Form (PDF)
   
   
6. Reassessment – Consent to Release Medical Information Form (PDF)
   
   
7. Thalidomide Consent to Communicate Form (PDF)