Autism Direct Funding Application

Mail Me the Application

IMPORTANT: Please fill out your mailing address and we’ll send you a hard copy of the application for to fill out and return.

You can mail your completed Application to our office or drop it off at the address below.

Autism Direct Funding
Attn: Dianne Curtin
205-1120 Victoria Street North
Kitchener, Ontario
N2B 3T2

INCOMPLETE FORMS WILL NOT BE CONSIDERED.

Request a Paper Application

FOR PERIOD APRIL 1, 2023 – MARCH 31, 2024

Fill out all the fields below and we will send you a paper application. If you require assistance, call us at (519) 741-1121. Our offices are open, Monday-Friday, 9a.m. – 4:30p.m.)