Western Economic Diversification Canada
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5. Application Form – Detailed Instructions

To ensure accessibility for all potential applicants, HTML and PDF versions (which cannot be completed electronically) of the application form are available, but will require applicants to print, complete, sign and submit in hardcopy. All hardcopy applications and supporting documentation must be postmarked on or before June 13, 2017. If you have any questions or concerns related to the accessibility of information or materials about the Drywall Support Program in a format that meets your needs, please contact WD at 1-888-338-9378 or by email: wd.ab-ab.deo@canada.ca.

It is important to note that all correspondence regarding the application will be sent to the Primary Contact’s email. WD may also contact other persons or companies noted in your application, to verify information provided.

If you attempt to submit an online application with missing information in the mandatory fields you will receive an error message indicating which questions are incomplete. These questions must be completed in order to successfully submit an application. Remember that a ‘Saved’ application is not a ‘Submitted’ application.

Enter the required information in the space provided. An asterisk (*) indicates a required field.

5.1 Instructions

Primary Contact Information

The Primary Contact is the person WD will contact for any follow-up to this application. Please ensure that the email address and phone number(s) are correct, and that the Primary Contact is available for follow-up in June – July, 2017.

Note: When a draft form is saved for the first time, an email will be sent to the Primary Contact. This email is only sent the first time the application form is saved, and contains instructions on how to retrieve the saved form.

1. Salutation: Indicate the appropriate salutation (e.g., Mr., Mrs., Ms., Dr., etc.).

2. First name: Provide the first name.

3. Last name: Provide the family name.

4. Telephone: Provide a phone number where the primary contact person can be reached. Use the following format xxx-xxx-xxxx.

5. Cell: Provide a cell number where the primary contact person can be reached. Use the following format xxx-xxx-xxxx.

6. Email address: Provide a valid e-mail address. All correspondence regarding this application will go to this email address, including the email you will receive upon saving your application form for the first time.

Severely Damaged or Destroyed Home Information

7. Street address line 1: The organization’s legal mailing address.

8. Street address line 2: Additional space to provide the legal mailing address.

9. City: The city/town portion of the address for the severely damaged or destroyed home.

10. Province/Territory: This will default to “Alberta”.

11. Postal Code: The postal code portion of the address for the severely damaged or destroyed home.

12. Country: This will default to "Canada".

Homeowner Information – 1

13. Salutation: Indicate the appropriate salutation (e.g., Mr., Mrs., Ms., Dr., etc.).

14. First name: Provide the first name.

15. Last name: Provide the family name.

16. Telephone: Provide a phone number. Use the following format xxx-xxx-xxxx.

17. Cell: Provide a cell number. Use the following format xxx-xxx-xxxx.

18. Email address: Provide a valid e-mail address.

Homeowner Information – 2 , if applicable

19. Salutation: Indicate the appropriate salutation (e.g., Mr., Mrs., Ms., Dr., etc.).

20. First name: Provide the first name.

21. Last name: Provide the family name.

22. Telephone: Provide a phone number. Use the following format xxx-xxx-xxxx.

23. Cell: Provide a cell number. Use the following format xxx-xxx-xxxx.

24. Email address: Provide a valid e-mail address.

Name and Mailing Address for Cheque Payee

25. Name(s) of Payee (as per registered homeowners on land title): Provide the name(s) of all homeowner(s) on the land title. If approved, cheques will be made out to the registered homeowner(s).

26. Mailing Address: (Including suite, unit, apt #): The mailing address a cheque will be mailed to, if approved.

27. Mailing Address line 2: Additional space to provide the mailing address.

28. City: The city/town portion of the mailing address.

29. Province/Territory: The province/territory portion of the mailing address.

30. Postal Code: The postal code portion of the mailing address.

31. Country: The country portion of the mailing address.

Homeowner Acknowledgement Section

This section must be completed by the / one of the registered homeowner(s) identified earlier in the form.

32. Acknowledgement completed by (select one): check the appropriate box to indicate who is completing the Homeowner Acknowledgement section.

33. Salutation: This field will fill automatically based on the selection in question 32.

34. First name: This field will fill automatically based on the selection in question 32.

35. Last name: This field will fill automatically based on the selection in question 32.

36. Declaration of Homeownership: Check the appropriate box (i.e., yes or no) indicating that you are a legal, registered owner of the home.

37. Declaration of Severely Damaged or Destroyed Home: Check the appropriate box (i.e., yes or no) indicating that your home was severely damaged or destroyed in the May 2016 wildfires.

38. Declaration of Intention to Rebuild in the Regional Municipality of Wood Buffalo: Check the appropriate box (i.e., yes or no). Please note, rebuilding outside the RM of Wood Buffalo, does not qualify for a payment.

IMPORTANT: After reading and understanding the acknowledgement section, please check the box to indicate you acknowledge and agree with the terms.

39. Signature: If you are using the online application form, you do not need to provide a signature, as it is applied automatically when you submit the application. If you are using another format (i.e. PDF or HTML) for accessibility reasons, you will need to print and sign the document.

40. Date: If you are using the online application, you do not need to enter a date, as it will fill automatically. If you are using another format for accessibility reasons, you will need to enter the date.

Please see “Submitting your application form” in Section 4 of this guide, for instructions on how to submit the completed application form.

6. Questions?

Please contact Western Economic Diversification Canada (WD) by phone or email, at:

Phone: 780-495-4164
Toll Free: 1-888-338-WEST (9378) or
Email: wd.ab-ab.deo@canada.ca