PEI Home Renovation Programs Application

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Personal Information on this form is collected under the Provincial Health Number Act and Section 31 of the Freedom of Information and Protection of Privacy Act R.S.P.E.I. 1988, c.F-15.01, as it relates directly to the approval of your application. If you have any questions about the collection of your personal information call 1-855-374-7366.

Identification

You are not eligible for this program. Do not fill out the rest of this form.

Enter your full name including middle name(s) and your mailing address in the fields below.

For example C1B 0X1 or 12345
For example 902-555-5555
For example 902-555-5555
If you are 60 years or older on the day you apply, you will automatically be assessed for additional funding if required.
Please enter the 8-digits from your PEI health card.
Civic Address
Example: C1B 0X1 or 12345
Contact Permission

Provide details for the person the department official can contact to discuss your application.

For example 902-555-5555