Pride Central


PRIDE

Gender Affirming Surgery Travel Fund


REIMBURSEMENT FORM

Use:

This form is to be used to claim travel cost associated with gender affirming surgery for members of the transgender community living in Northwestern Ontario. Each applicant is eligible to receive 20% of the money currently in the fund, up to a maximum amount of $200.00 CAD.

Eligibility:

  • Please utilize this grant only if you do noqualify for the Northern Health Travel Grant (administered by OHIP)
  • You do not have to be a student to apply for this grant. 
  • You must be residing in Northwestern Ontario. 
  • You must be receiving gender affirming surgery (any surgery, including surgeries not covered by OHIP, which you are seeking as a means of affirming gender identity/ expression, and/ or alleviating gender dysphoria). 

Instructions:

Complete all fields and be sure to attach any requested documentation and receipts.

THIS IS A REIMBURSEMENT FORM, please only use this form after you have purchased plane tickets and have a receipt (or gas receipts if you are driving). 




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