How to apply for homemaker or nurse services — and autofill Form 1 with my-id.ca
Request homemaker or nursing services without retyping client details
Application for Services Form 1 is used to request homemaker or nurse services — and it repeats the applicant's name, address, health number, and contact information. This guide is an example of storing them once in my-id.ca.
Official form and source
Start from the official source and always use the current version — form numbers and links can change:
- Service page: Home and community care — ontario.ca
- Form (Central Forms Repository): Application for Services Form 1 — 014-2859-69
What this form is about
Form 014-2859-69 (Application for Services Form 1) is used to apply for services of a homemaker or a nurse under Ontario's home and community care programs.
Before you start: what to gather
- Applicant's full legal name and home address.
- Ontario health number if applicable.
- Contact phone and emergency contact.
- Care needs and physician or coordinator referral if required.
Confirm the current process on ontario.ca.
How my-id.ca makes it faster
- Save it once. Store your name, address, health number, and contact details in your my-id.ca profile.
- Keep documents ready. Upload supporting documents to my-id.ca Files so you are not searching at form time.
- Autofill the form. Use the my-id.ca Chrome extension on a web form, or fill a PDF from your saved profile inside my-id.ca.
- Review and submit yourself through the official channel.
Why do it in my-id.ca
Related Ontario forms repeat the same personal details. Captured once in my-id.ca — stored in Canada, with AI on its own servers — every form starts mostly complete.
Frequently asked questions
- How do I access home care?
- Contact Ontario Health atHome to assess eligibility — see ontario.ca home and community care.
- How does my-id.ca help?
- It autofills the applicant's name, address, health number, and contact details.
- Can family members apply?
- Confirm who may apply on behalf of a client through Ontario Health atHome.
Fill it once. Reuse it everywhere.
Save your information in my-id.ca once, then autofill this form and the next one — web forms with the Chrome extension, PDFs right in the app. Your data is stored in Canada and AI runs on my-id.ca's own servers, never sent to third-party AI providers.