Government of Saskatchewan
Monday, November 19, 2018
Publications Centre
Publications Centre
MY Account | View Cart





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 - 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 form
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