The Passport Program

The Passport Program is a reimbursement program funded by the Ministry of Children, Community and Social Services (MCCSS). It assists adults (18 years of age or older) with a developmental disability in accessing services and supports within their communities.

The next eClaim training session will take place on July 14th, 2025, at 10:00am. Interested participants can register HERE.

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Program Details

Monthly Program Calendars

Intake Form

The Passport program, funded by the Ministry of Children, Community and Social Services (MCCSS), helps adults with a developmental disability be involved in their communities and live as independently as possible by providing funding for community participation services and supports, activities of daily living and person-directed planning. The program also provides funding for caregiver respite services and supports for primary caregivers of an adult with a developmental disability.

For More Information: You can learn more about the Passport Program, find answers to common questions and access helpful resources at passportfunding.ca.

Contact Information: If you are already enrolled in the Passport Program and receiving support through [insert agency name], please contact us at [insert local contact information]. To apply for Passport funding, you must have services with Developmental Services Ontario (DSO). For more information, visit dsontario.ca.

Support Provided Through The Program:

Provides program funding information to families and individuals within Simcoe County
Assists families with funding documents and planning
Provides program accountability to the Ministry of Children, Community and Social Services (MCCSS)

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*To find recent information about the Canada Post Strike and the possible impact on cheque payments, please visit the Passport Funding Website: News and Events

"Due to the Canada Post strike, there may be delays in mailing out cheques to Passport recipients who have selected cheque as their payment method. To avoid disruptions, we strongly encourage you to work with your Passport agency to switch to Electronic Funds Transfer (EFT) for direct deposit. If signing up for EFT is not feasible, please contact your Passport agency to arrange an in-person pick-up of your cheque. Thank you for your understanding and cooperation during this time."

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Passport Program support through Catulpa Community Support Services is available to Simcoe County adults (18 years of age and older) who have been successfully referred through Developmental Services Ontario (DSO), Central East Region.

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Funding is provided by the Ministry of Children, Community, and Social Services. There is no fee for this service.

Passport recipients may choose an individual, agency, or organization to act as a broker to manage their Passport funding on their behalf. Some examples of the types of services that may be provided by a broker include assistance with budgeting, submitting invoices to a Power of Attorney (PA) on the recipient’s behalf, recruiting and scheduling workers, etc. Brokers may charge a recipient a brokerage fee of up to a maximum of 10% of the individual’s funded amount.

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Referral to the Passport Program is only facilitated through Developmental Services Ontario (DSO), Central East Region. Access to funding under the program is based on available resources. DSO will confirm eligibility for adult developmental services and supports under the Services Inclusion of Persons with a Developmental Disabilities Act, 2008, and complete the DSO Application package for eligible applicants.

To refer, or for more information, contact Developmental Services Ontario, Central East Region: (905) 953-0796 or 1-855-277-2121 or email: dsocentraleast@yssn.ca

Developmental Services Ontario website: www.dsontario.ca/agencies/dso-central-east

If you are already enrolled in the Passport Program and receiving support through Catulpa Community Support Services, please contact the appropriate Passport Worker based on your last name.

Effective May 1st, 2024, please contact your Direct Funding Worker:

For recipients' last names:

A-D, S-Z Breanna Lucas, blucas@catulpa.on.ca

E-I, J-R Melina McKay, mmckay@catulpa.on.ca

Claims submitted for reimbursement may take up to15 business days to process.

For more information on the Passport program, please visit, passport.ca

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Simcoe County Community Action Program for Children (CAPC) and MotherCare (Canada Prenatal Nutrition Program – CPNP) are a part of a national program with then 25 years of experience supporting families in this region. We support pregnant participants, young parents, and Newcomers to Canada with children 0-6 years old who are currently living on a lower income.

Please confirm that you are currently living on a low household income (less than $40,000 before taxes per year) in Simcoe County and that you are currently pregnant and/or live with children 0-6 years of age.
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Please confirm below*

YesPlease call us at 705-733-3227 ext. 2236 if you need help.

Data Collection Consent and Required Information

We do not maintain participant “notes” related to your participation with us but we are required by our funders to track attendance and the resources we distribute. We use an electronic data management system to record and store minimal personal information and program attendance. This information includes: name, date of birth, income, due dates and/or dates of birth of your children. Detailed information about this consent can be found in our Welcome Letter.

Simcoe County CAPC-CPNP requires an email address and phone number for your participation in all programs. Please give us a call at 705-733-3227 ext. 2236 if you have any questions.
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Do you consent to the collection, storage and limited sharing of your data?*Yes

Your Name*

Preferred Name *Date of Birth (yyyy/mm/dd) *City of Residence*Postal Code*

Income

What is your total annual income (excluding child tax benefit)*?
*If you checked I don’t know above, please use this box to explain.

Source(s) of income*:No incomeOntario Disability Support Program (ODSP)Ontario Works (OW)WorkEmployment Insurance (EI)Other

If you have a parenting partner (living in the same household), i.e.common law or spouse, what is their annual income before taxes?
*If you checked I don’t know above, please use this box to explain.

Partner’s Source of IncomeNo incomeOntario Disability Support Program (ODSP)Ontario Works (OW)WorkEmployment Insurance (EI)Other

Participant’s Children (up to 6 years of age)

If you are pregnant, please proceed to the next question.

Child's Name

Child’s Preferred NameDate of Birth of your child (yyyy/mm/dd)

I consent to images of my child to be used for publicity purposes by Simcoe County CAPC hosted by Catulpa Community Support Services. Images could be used in displays, posters, leaflets, webpages, social media, or newspaper articles.

Yes

Child's Name

Child’s Preferred NameDate of Birth of your child (yyyy/mm/dd)

Yes

Child's Name

Child’s Preferred Name

Yes

Date of Birth of your child (yyyy/mm/dd)
Are you currently pregnant?Yes
Due Date
Are multiple babies expected?

Yes

Number of babies expected?

Consent to Contact

We would like to be able to contact you about our programs, resources and any updates or changes. You can find the full details about this on our webpage and in the welcome letter. Please let us know if your contact information changes.

Can we call you?*

Yes

Phone Number
Can we leave a voice message at that number?*

Yes

Phone Number
Can we text you?*

Yes

Phone Number
Can we email you?*

Yes

Is this information clear for you?*

Yes

Demographics

Were you born in Canada?

Yes

If you were not born in Canada, what was your country of birth?
When did you arrive in Canada? Please enter the date below (yyyy-mm-dd) (only if you were born outside of Canada) *

Do you self-identify as an Indigenous person of Canada?*

What is your primary/first language?
What languages are spoken in the home?*

English

French

Other

If other, please list languages
How well do you speak English?
How well do you write English?
How well do you understand spoken English?
How well do you understand written English?

How many people can you count on in times of need?*

0-2

3 or more

Education

Have you obtained your high school diploma (Grade 12)?*

Yes

Please select your highest level of education:*If other, please explain

Food

Please check all of the following food issues that apply to you.*I sometimes don’t have enough food for myself and my family.I use the food bank when needed.I rely on family and friends if I run out of food.I would like to know where I can get help in my community.I have no food issues.

Housing

Please check all the housing issues that apply to you.*I am experiencing homelessness, or I do not have a shelter, or I do not have anywhere to live.My home is in poor condition (e.g. disrepair, infestation).I live in an unsafe neighbourhood.My home is not big enough (e.g. not enough room, multiple families, etc.)I have missed payments (e.g. rent, utilities in the past)I have landlord trouble.I have no housing issues.

How did you hear about us?

Please check all that apply.*MotherCare / Next StepFacebook or WebsiteAd (poster, bus shelter)Child Welfare (Family Connexions)EarlyON Child and Family CentresFriend or FamilyHousing Agency or ShelterOther Community AgencyHealth Unit - Healthy Babies Healthy Children/ otherHealth ProfessionalOntario Works (OW) or Ontario Disability Support Program ( ODSP) workerOther*
*If other, please let us know how you heard about us

Transportation

How do you access transportation (personal vehicle, bus, taxi, family friend, etc.)?Is public transportation available to you.?

Gender (optional questions)

What is your gender identity?Do you Identify as 2S-LGBTQ+?Which pronoun do you use?
*If other, please let us know which pronoun you use

Do you have any comments or questions for us? Please enter them below:
I hereby verify the information is true and accurate based on my current situation. It is important for us to keep up to date with any changes in your personal contact information and financial status. I will notify CAPC Staff of any changes.

Yes

Thank you for your submission. Our team will be in touch with you within five business days.

Oops! Something went wrong while submitting the form.

Le Programme d’action communautaire pour les enfants (PACE) et MotherCare (Programme canadien de nutrition prénatale – PCNP) du comté de Simcoe font partie d'un programme national qui soutient depuis 25 ans les familles de cette région. Nous aidons les participantes enceintes, les jeunes parents et les nouveaux arrivants au Canada avec des enfants de 0 à 6 ans qui vivent actuellement avec un revenu annuel limité.
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Veuillez confirmer que vous vivez actuellement avec un faible revenu du ménage (moins de 40 000 dollars avant impôts par an) dans le comté de Simcoe et que vous êtes actuellement enceinte et/ou que vous vivez avec des enfants âgés de 0 à 6 ans.
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Veuillez confirmer ci-dessous*OuiVeuillez nous appeler au 705-733-3227 poste 2236 si vous avez besoin d’aide.

Consentement à la collecte de données et informations requises

Nous ne conservons pas de « notes » sur les participants, mais nos organismes de financement nous demandent de contrôler l'assiduité et les ressources que nous distribuons. Nous utilisons un système électronique de gestion des données pour enregistrer et stocker un minimum de renseignements personnels et les données relatives à la participation aux programmes. Ces renseignements comprennent les suivants : le nom, la date de naissance, le revenu, les dates prévues d'accouchement et/ou les dates de naissance de vos enfants. Les autres renseignements que nous demandons sont facultatifs. Vous trouverez des informations détaillées sur ce consentement dans notre lettre d'accueil.
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PACE-PCNP du comté de Simcoe requiert une adresse électronique pour vous permettre de participer à tous les programmes. Veuillez nous appeler au 705 733-3227, poste 2236, si vous avez des questions ou si vous n'avez pas d'adresse électronique.
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Consentez-vous à la collecte, au stockage et au partage limité de vos données?*Oui

Votre nom*

Nom préféré*Date de naissance*

Ville de résidence*

Code postal*

Revenus

Quel est votre revenu annuel total (excluant la prestation fiscale pour enfants)?
*Si vous avez coché la case « Je ne sais pas » ci-dessus, veuillez utiliser cette case pour expliquer.
Source(s) de revenus:*

Pas de revenuProgramme ontarien de soutien aux personnes handicapées (POSPH)L’Ontario au travail (OT)TravailAssurance-emploi (AE)Autre

Si vous avez un partenaire parental (vivant dans le même foyer), c.-à-d.conjoint de fait ou époux, quel est son revenu annuel avant l’impôt?
*Si vous avez coché la case « Je ne sais pas » ci-dessus, veuillez utiliser cette case pour expliquer.

Source de revenu dupartenairePas de revenuProgramme ontarien de soutien aux personnes handicapées (POSPH)L’Ontario au travail (OT)TravailAssurance-emploi (AE)Autre

Enfants de la participante (jusqu'à 6 ans)

Si vous êtes enceinte, veuillez passer à la question suivante.

Nom de l’enfant*

Nom préféré de l’enfantDate de naissance de votre enfant

Je consens à ce que les images de mon enfant soient utilisées à des finspublicitaires par le Programmed'action communautaire pour les enfants (PACE) du comté de Simcoe,hébergé par Services de soutien communautaire Catulpa. Les images pourraientêtre utilisées dans des présentoirs, des affiches, des dépliants, des pages Web,des médias sociaux ou des articles de journaux:

Oui

Non

Nom de l’enfant*

Nom préféré de l’enfantDate de naissance de votre enfant

Oui

Non

Nom de l’enfant*

Nom préféré de l’enfantDate de naissance de votre enfant

Oui

Non

Êtes-vous actuellement enceinte?Oui
Date prévue d’accouchement
Plusieurs bébés sont-ils attendus ?

Oui

Non

Nombre de bébés attendus:

Consentement à la prise de contact
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Nous aimerions pouvoir vous contacter au sujet des programmes, des ressources, des mises à jour et des changements, y compris nos programmes virtuels. Vous trouverez tous les détails à ce sujet sur notre page Web et dans la lettre d'accueil. Veuillez nous informer de tout changement de vos coordonnées.

Pouvons-nous vous appeler?*

Oui

Non

Téléphone
Pouvons-nous laisser un message à ce numéro?*

Oui

Non

Téléphone
Pouvons-nous vous envoyez un texto?*

Oui

Non

Téléphone
Pouvons-nous vous envoyer un courriel?*

Oui

Non

Courriel

Vous serez invitée à participer à nos réunions virtuelles. En participant à une réunion virtuelle du PACE, vous consentez à participer à ce forum et à partager des informations avec le personnel du PACE et les autres participantes, telles que votre nom à l'écran et toute information ou image que vous choisissez de partager au cours de la réunion. Veuillez indiquer que vous comprenez ceci avant de participer à une réunion virtuelle.

Ces informations sont-elles claires pour vous?*

Oui

Non

Veuillez nous appeler au 705 733-3227 poste 2236 si vous avez besoin d’aide.

Données démographiques

Êtes-vous né au Canada?

Oui

Non

Si vous n’êtes pas né au Canada, dans quel paysêtes-vous né?
Quand êtes-vous arrivé au Canada (aaaa-mm-jj)?

Vous identifiez-vous comme une personne autochtone du Canada?*

Quelle est votre langue maternelle/principale?
Quelles langues sont parlées à la maison?

Anglais

Français

Autre

Si autre, veuillez indiquer les langues
À quel point savez-vous parler anglais?
À quel point savez-vous écrire en anglais?
À quel point comprenez-vous l’anglais parlé?
À quel point comprenez-vous l’anglais écrit?

Sur combien de personnes pouvez-vous compter en cas de besoin?*

0 à 2

3 ou plus

Études

Avez-vous obtenu votre diplôme d'études secondaires (12e année)?*

Oui

Non

Veuillez sélectionner votre niveau d'études le plus élevé :Si autre, veuillez expliquer.

Alimentation

Veuillez cocher tous les problèmes alimentaires qui s'appliquent à vous parmi les suivants.*

Il m'arrive de ne pas avoir assez de nourriture pour moi et ma famille.Je fais appel à la banque alimentaire lorsque c'est nécessaire.Je compte sur ma famille et mes amis si je manque de nourriture.J'aimerais savoir où je peux obtenir de l'aide dans ma communauté.Je n'ai pas de problèmes alimentaires.

Logement

Veuillez cocher toutes les questions relatives au logement qui s'appliquent à vous.*

Je suis sans domicile fixe, ou je n'ai pas d'abri, ou je n'ai nulle part où vivre.Mon logement est en mauvais état (par exemple, délabrement, infestation).Je vis dans un quartier dangereux.Mon logement n'est pas assez grand (par exemple, manque de place, familles multiples, etc.)J’ai omis d’effectuer certains paiements (p. ex. le loyer, les services publics) dans le passé.J'ai des problèmes avec mon propriétaire.Je n'ai aucun problème de logement.

Comment avez-vous entendu parler de nous?

Veuillez cocher toutes les réponses pertinentes.*

MotherCare / Next StepFacebook ou site WebPublicité (affiche, abribus)Protection de l'enfance (Connexions familiales)Centres pour l’enfance ou la famille ON y va Ami ou familleAgence de logement ou refugeAutre organisme communautaireUnité de santé - Healthy Babies Healthy Children/autreProfessionnel de la santéTravailleur du programme Ontario au travail (OT) ou du Programme ontarien de soutien aux personnes handicapées (POSPH)Autre*

Si « autre », veuillez nous indiquer comment vous avez entendu parler de nous.*

Transport

Comment accédez-vous au transport?Les transports publics sont-ils à votre disposition?

Sexe (questions facultatives)

Quelle est votre identité de genre?Vous identifiez-vous comme 2S-LGBTQ+? Quel pronom utilisez-vous? Si « autre », merci de nous indiquer quel pronom vous utilisez.

Avez-vous des commentaires ou des questions? Veuillez les saisir ci-dessous :
Par la présente, je certifie que les renseignements sont vrais et exactsen fonction de ma situation actuelle. Il est important de nous tenir informésde tout changement dans vos coordonnées personnelles et votre situationfinancière. J’informerai le personnel du PACE de tout changement.

Oui

Non

Nous vous remercions pour votre candidature. Notre équipe prendra contact avec vous dans les cinq jours ouvrables.

Oops! Something went wrong while submitting the form.

Program Details

Support Provided Through The Program:

Provides program funding information to families and individuals within Simcoe County
Assists families with funding documents and planning
Provides program accountability to the Ministry of Children, Community and Social Services (MCCSS)

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*To find recent information about the Canada Post Strike and the possible impact on cheque payments, please visit the Passport Funding Website: News and Events

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Eligibility

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Funding

Funding is provided by the Ministry of Children, Community, and Social Services. There is no fee for this service.

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Referral Process

To refer, or for more information, contact Developmental Services Ontario, Central East Region: (905) 953-0796 or 1-855-277-2121 or email: dsocentraleast@yssn.ca

Developmental Services Ontario website: www.dsontario.ca/agencies/dso-central-east

Contact Information

If you are already enrolled in the Passport Program and receiving support through Catulpa Community Support Services, please contact the appropriate Passport Worker based on your last name.

Effective May 1st, 2024, please contact your Direct Funding Worker:

For recipients' last names:

A-D, S-Z Breanna Lucas, blucas@catulpa.on.ca

E-I, J-R Melina McKay, mmckay@catulpa.on.ca

Claims submitted for reimbursement may take up to15 business days to process.

For more information on the Passport program, please visit, passport.ca

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Interactive Calendar

Intake Form

Please confirm below*

YesPlease call us at 705-733-3227 ext. 2236 if you need help.

Data Collection Consent and Required Information

Do you consent to the collection, storage and limited sharing of your data?*Yes

Your Name*

Preferred Name *Date of Birth (yyyy/mm/dd) *City of Residence*Postal Code*

Income

What is your total annual income (excluding child tax benefit)*?
*If you checked I don’t know above, please use this box to explain.

Source(s) of income*:No incomeOntario Disability Support Program (ODSP)Ontario Works (OW)WorkEmployment Insurance (EI)Other

Partner’s Source of IncomeNo incomeOntario Disability Support Program (ODSP)Ontario Works (OW)WorkEmployment Insurance (EI)Other

Participant’s Children (up to 6 years of age)

If you are pregnant, please proceed to the next question.

Child's Name

Child’s Preferred NameDate of Birth of your child (yyyy/mm/dd)

Yes

Child's Name

Child’s Preferred NameDate of Birth of your child (yyyy/mm/dd)

Yes

Child's Name

Child’s Preferred Name

Yes

Date of Birth of your child (yyyy/mm/dd)
Are you currently pregnant?Yes
Due Date
Are multiple babies expected?

Yes

Number of babies expected?

Can we call you?*

Yes

Phone Number
Can we leave a voice message at that number?*

Yes

Phone Number
Can we text you?*

Yes

Phone Number
Can we email you?*

Yes

Is this information clear for you?*

Yes

Demographics

Were you born in Canada?

Yes

If you were not born in Canada, what was your country of birth?
When did you arrive in Canada? Please enter the date below (yyyy-mm-dd) (only if you were born outside of Canada) *

Do you self-identify as an Indigenous person of Canada?*

What is your primary/first language?
What languages are spoken in the home?*

English

French

Other

If other, please list languages
How well do you speak English?
How well do you write English?
How well do you understand spoken English?
How well do you understand written English?

How many people can you count on in times of need?*

0-2

3 or more

Education

Have you obtained your high school diploma (Grade 12)?*

Yes

Please select your highest level of education:*If other, please explain

Food

Housing

How did you hear about us?

Transportation

How do you access transportation (personal vehicle, bus, taxi, family friend, etc.)?Is public transportation available to you.?

Gender (optional questions)

What is your gender identity?Do you Identify as 2S-LGBTQ+?Which pronoun do you use?
*If other, please let us know which pronoun you use

Yes

Thank you for your submission. Our team will be in touch with you within five business days.

Oops! Something went wrong while submitting the form.