Government of Saskatchewan
Tuesday, March 26, 2019
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To apply for PCHB, download and complete the following documents: PCHB Application Guidelines, PCHB Application Form and PCHB Application Checklist

Product List
  Personal Care Home Benefit (PCHB) Direct Deposit
Direct Deposit Payment Request Form for Personal Care Home Benefit
  Personal Care Home Benefit - Application Form
Application form for the Personal Care Home Benefit.
  Personal Care Home Benefit - Application Guide
Please follow the instructions from this guide when completing your application.
  Personal Care Home Benefit - Checklist
Ensuring your application package is complete.
  Personal Care Home Benefit - Confirmation of Admission form
This form is not required for a person who has lived in the home for more than 60 days.
  Personal Care Home Benefit - Direct Deposit
Direct Deposit Payment Request Form
  Personal Care Home Benefit - Factsheet
Contains common questions and answers about the Personal Care Home Benefit.
  Personal Care Home Benefit - Report of Changes Form
This form is to be completed when an eligible resident or a responsible person wishes to report a change in circumstances.
  Personal Care Home Benefit - Responsible Person Consent
This form is to be completed when an applicant wishes to nominate another person to act on their behalf