People with disabilities Application Form
Valid documentation includes one of the following: BC Ministry of Social Development and Poverty Reduction Confirmation of Assistance statement OR Release of Personal Information, Alberta AISH Monthly Assistance Statement, Canada Pension Plan Disability Benefit (CPPD)
This application is only for Internet for Good program eligibility approval and does not confirm that your service address is eligible for Internet service. Final eligibility for internet services at your service address will be determined by a TELUS representative when you place your order.
Collected and retained information will be used for determining eligibility for the Internet for Good offer. Retained records will be purged within a maximum of 7 years from the date of entry and in some cases immediately. Please don’t share any sensitive information in the form outside the requested information. Sensitive information includes personal and confidential information. The definition of personal information can be found at our TELUS Privacy Commitment