Emergency Income Relief for the Self-Employed

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Personal information on this form is collected under Section 31(c) of the Freedom of Information and Protection of Privacy Act and is necessary to determine your suitability and/or eligibility for programs delivered by Innovation PEI. If you have any questions about this collection of personal information, you may contact Innovation PEI, Toll Free: 1-800-563-3734 or email: innovation@gov.pe.ca.

The Emergency Income Relief for the Self-Employed program is available to individuals who do not qualify for the Canada Worker Lockdown Benefit (CWLB) program.  Please determine eligibility under the CWLB program first before completing an application.

Identification
For example C1B 0X1 or 12345
For example 902-555-5555
For example 902-555-5555
For example 902-555-5555
Mailing Address
Example: C1B 0X1 or 12345