For Your Free Emergency Contact Card Complete The Registration Form Below

Use this form for the following:
 
To apply for your New Durable Plastic Free Emergency Contact Card
 
or
 
Complete this form to update your current Emergency Contact Card information
If you have lost your card or need to make changes to your current card (i.e. change of contact information or contact numbers, update your mailing address, email address etc.)
In the comments section at the bottom of the of the form please indicate, "this is an update".
 
A Free Durable Plastic Emergency Contact Card Is Available To
All Ontario Residents Age 50 Plus
 
Sample Durable Plastic Free Emergency Contact Card
Sample Emergency Contact Card
COMMUNITY SERVICE DIVISION
COMMUNITY SERVICE DIVISION
PLEASE ALLOW 10 BUSINESS DAYS FOR DELIVERY OF YOUR NEW DURABLE PLASTIC EMERGENCY CONTACT CARD
Review Your Emergency Contact Information For Accuracy Before You Click The Submit Button
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