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P-9.2.1, r. 1 - Regulation respecting the application of the Act to assist persons who are victims of criminal offences and to facilitate their recovery
Section 40
Disposition versions
40. A health assessment in connection with an application for financial assistance compensating a loss of income must be made using the form prescribed by the Minister. It must, in particular, indicate
(1) the name and contact information of the person who is a victim;
(2) the file number assigned by the Minister, if any;
(3) the date or period in which the criminal offence was committed;
(4) the contact information of the professional who carries out the health assessment;
(5) the supplier number assigned to the health professional by the Minister, if any;
(6) the date of the meeting with the health professional;
(7) an observation that the person who is a victim is unable to hold an employment, perform work or assume the functions of an occupation from which they derive an income, if applicable;
(8) the interference that justifies the disability;
(9) the symptoms that justify the disability;
(10) the foreseeable duration of the disability;
(11) any treatment prescribed.
In force: 2021-10-13
40. A health assessment in connection with an application for financial assistance compensating a loss of income must be made using the form prescribed by the Minister. It must, in particular, indicate
(1) the name and contact information of the person who is a victim;
(2) the file number assigned by the Minister, if any;
(3) the date or period in which the criminal offence was committed;
(4) the contact information of the professional who carries out the health assessment;
(5) the supplier number assigned to the health professional by the Minister, if any;
(6) the date of the meeting with the health professional;
(7) an observation that the person who is a victim is unable to hold an employment, perform work or assume the functions of an occupation from which they derive an income, if applicable;
(8) the interference that justifies the disability;
(9) the symptoms that justify the disability;
(10) the foreseeable duration of the disability;
(11) any treatment prescribed.
