Use this service to apply for a rebate if you are self-employed and need to take time off work, including a 14-day self-isolation period due to COVID-19.
A doctor's note is not required. You can only apply once.
Before you start
- A telephone number and email address so we can contact you;
- a copy of your most recent Notice of Assessment from Canada Revenue Agency (CRA) to provide evidence of self-employment earnings;
- A copy of the Income and Tax Benefit Return that provides evidence of self-employment income; and
- a copy of your business licence dated before March 1, 2020, proof of your office location (such as a utility bill, or lease) or municipal business licence.
We will accept a digital photograph or different formats of documents (PDF, DOC, CSV or XLS).
Sign up for direct deposit payment
If we approve your application, we can send you payment by direct deposit. Sign up for direct deposit payment.
Other ways to apply
Email email@example.com or phone 867-456-3803 for an application. Phone toll free: 1-800-661-0408, extension 3803.
A note about privacy
Any personal information you provide on this form is collected for the purpose of administering a funding program pursuant to Section 5 of the Financial Administration Act.
Personal information on this form is collected under the authority of Section 29(c) of the Access to Information and Protection of Privacy (ATIPP) Act for the purpose of carrying out a program and/or providing financial assistance to the applicant.
The collection, use and disclosure of your personal information is managed in accordance with the ATIPP Act and all or part of this information may be made available to the public.
For more information about the collection, use and disclosure of your personal information, please contact:
Department of Economic Development
ATIPP Coordinator/Records Officer
Department of Finance
Privacy Officer/Director, Administration and Systems