11. An application for financial assistance aimed at contributing to the support needs of a child whose conception results from a sexual aggression must, in particular, contain the following information:(1) the name, contact information and social insurance number of the person filing the application;
(2) the name of each child covered by the application;
(3) a declaration that the person filing the application provides for the needs of the child or children concerned;
(4) a description of the facts that justify the payment of the financial assistance.