Caregivers in the Hills – ID Badge Application

Share on facebook
Share on twitter
Share on linkedin
Share on email

The benefits of applying for a Caregivers in the Hills identification badge

Caregivers in the Hills - ID Badge Application

Please fill out this application form for the Caregivers in the Hills program. To successfully complete, you will need to have a photo of yourself prepared to upload for your Caregiver Identification Badge. This application may also be filled out over the phone. If you would prefer to do so, please call Caregivers in the Hills at 519-216-6671. We are currently accepting applications from unpaid caregivers who reside in Dufferin County or Caledon, or care for someone who does.
Name(Required)
Are you an unpaid caregiver?(Required)
MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.