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Cost of Eyeglasses and Contact Lenses (previous version)

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Form number: 1069

This form is to be used for applications relating to the September 1, 2021 – August 31, 2022 award year.

You must fill out this form if you wish to have the cost of visual aids for you or your child recognized as allowable expenses.

This expense can be allowed once per period of two consecutive award years for yourself, your child or your spouse’s child and may include the cost of an eyesight examination. The purchase must have been made during a month where you were covered by the Loans and Bursaries Program.

The prescription and proof of purchase must be submitted with the form.

Download the form

Digital transmission

Fill out your form, scan it and upload it to Your Student Financial Assistance File.

Other way to submit your document


If you are unable to submit this form digitally you can mail it to us. Print the form, fill it out, sign and mail it to the address shown on the form itself.