6.9 Signing the Application
Policy
Client Action Plan (PDF 147 KB)
6.9.1 Printing the EIA Application and Action Plan in Winnipeg
When the intake worker has completed
- the on-line application; and
- an action plan for each adult who is required to perform one or more action steps
the application and action plan are printed for the applicant's review.
6.9.2 Reviewing and Signing the EIA Application Plan in Winnipeg
Both EIA and the applicant have legal rights and obligations that flow from the EIA application and the action plan. Accordingly, the intake worker takes the time to carefully review a printed copy of these two documents with all applicants to be certain of their accuracy before signing. If there is any doubt whether the applicant understands the contents and significance of the two documents, it is the intake worker's duty to read the recorded information back to the applicant for confirmation and to explain its importance in the process of assessing EIA eligibility and service needs.
Where there are two adults in an applicant's household, assistance can only be provided after both the applicant and the second adult sign the completed application. If applicable, both the applicant and the second adult also sign their respective action plans. (For more on the action plan, see section 6.5.2).
The intake worker witnesses the signature of the applicant (and the second adult, if applicable). The applicant and second adult legibly print their names beside their signature, as indicated on the application form. The applicant, the second adult, and the intake worker also sign and date each action plan.
Because the action plan documents any steps to be undertaken, a copy of each action plan is always provided to applicants (and the second adult, if applicable). On request, applicants will also be provided with a photocopy of their signed application form.
6.9.3 Legal Aspects of the EIA Application
Policies
Signature Requirements (PDF 88 KB)
The Vulnerable Persons Act (PDF 162 KB)
The EIA application is a legal document, under which both the applicant and EIA have rights and obligations.
Protection of applicants' privacy rights
Under The Freedom of Information and Protection of Privacy Act and The Personal Health Information Act, EIA can only collect personal information and personal health information that is necessary for a legitimate program activity, such as:
- determining the applicant's eligibility for assistance and the amount of assistance;
- meeting the applicant's financial, employment, medical and other service needs; and
- preventing and detecting fraud.
The EIA application form has been carefully reviewed to ensure that only necessary personal information or personal health information is collected. Applicants who have questions or concerns regarding the collection of personal information or personal health information should be encouraged to contact the Jobs and the Economy Access and Privacy Coordinator at 204-945-4823.
Applicants' consent to disclosure of personal information and personal health information
When they sign the EIA application form, applicants also consent to the disclosure of any personal information and personal health information necessary to verify the household's eligibility for assistance and/or the amount of assistance. This consent applies to the disclosure of personal information and personal health information by EIA, as well as by any person, agency or organization, including federal, provincial and municipal governments and Indian bands.
Any personal information or personal health information disclosed to EIA staff is strictly confidential and is to be used solely for the purpose of determining or verifying applicants' eligibility for assistance and/or the amount of assistance to be provided. Further disclosure of applicants' personal information or personal health information without their consent is a violation of The Freedom of Information and Protection of Privacy Act and The Personal Health Information Act.
Declaration
Applicants (and the second adult, if applicable) declare that the information they provide in their EIA application is true and complete to the best of their knowledge, and that they have not misrepresented, concealed or omitted any relevant information.
Applicants (and the second adult, if applicable) also acknowledge their ongoing responsibility to immediately report the details of any future change in circumstances that may affect eligibility for assistance and/or the amount of assistance. Examples of such changes include receiving previously unreported earned or unearned income, or changes of marital or family status.
Declaration of the applicant's legal representative
This declaration is only signed when someone other than the applicant has assumed legal responsibility for the applicant's financial affairs. Most applications of this nature are received from the Public Trustee on behalf of applicants subject to a supervision order or for whom a substitute decision maker has been appointed.
Revenue Canada authorization
The purpose of this authorization is to give EIA access to the income tax returns and other taxpayer information of the applicant (and the second adult, if applicable), to verify the household's eligibility for assistance and/or the amount of assistance.