Handi-Van Application Form
Applications are reviewed by the Handi-Van Elegibility Committee who meets monthly, every 4th Tuesday. All applicants will be advised by letter.
Please note that completed Handi-van Applications will only be accepted by fax to 905-335-7878, (if by fax please mail original) or by mail to:
Burlington Handi-van
3332 Harvester Rd.
Burlington, ON, L7N 3M8
For details on the Handi-van application process, please view the Handi-van Application Form Instructions sheet. PLEASE NOTE: There are two parts to the application process that must be completed. Both forms must be sent in order to fulfill the application process.
Handi-van Application Form - Part A (For applicants)
Handi-van Application Form - Part B (For medical professionals to complete and MUST accompany Part A)
If you have any questions on the application process, please call Handi-van at 905-639-5158.