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Application for a Special Needs Allowance – Youth

Form number: 1117

This form is to be used for applications relating to the September 1, 2018–August 31, 2019 award year.

You need to provide Aide financière aux études with this form if your child has a major functional or other recognized disability and requires a particular device or specialized equipment.

This form is only intended for children and students attending a private educational institution that is not accredited for preschool, elementary or secondary education subsidies.


  • An authorized person at the school principal’s office must fill out Section 3 of the form
  • Section 5 must be filled out by an occupational therapist, speech therapist, audiologist, psychologist, neuropsychologist, psychoeducator or physiatrist;
  • Section 6 must be filled out by a general physician or a medical specialist.


Print the form, fill it out, have the authorized persons complete the process by filling out the appropriate sections, then sign it yourself and mail it to us.

Download the form