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  3. Overview of social assistance programs for obtaining financial assistance  
  4. Applying for Last-Resort Financial Assistance  
  5. Last-Resort Financial Assistance Application Forms

Last-Resort Financial Assistance Application Forms

To apply for last-resort financial assistance under the Social Assistance Program or the Social Solidarity Program, you must fill out the forms required depending on your situation.

Application for last-resort financial assistance

You can apply online, by mail or in person at a Services Québec office.

Online

To apply online, you must fill out the Application for Last-Resort Financial Assistance form: 

Apply online

By mail or in person

To apply by mail or in person at a Services Québec office, you must fill out the following two forms:

Important information

Before filling out the forms, please read the important section at the top of the document. It contains essential and useful information.

Application for Services (PDF 818 Kb)

Application for Last-Resort Financial Assistance (PDF 0.96 Mb)

If you have dependent children, you must also fill out Appendix – Dependent Children (3003-03A) (PDF 501 Kb).  

Simplified application for financial assistance for a person with a claim slip

If your situation changes while you are not receiving financial assistance, but you have a claim slip (drug card), you may submit a simplified application for financial assistance.

To apply, you must fill out the form below and submit it in person at a Québec Services office, by mail or online using My Account.

Simplified Application Financial Assistance — Persons who Hold Claim Slips (3004A) (PDF 463 Kb)

First application for last-resort financial assistance for refugee protection claimants

If you are a refugee protection claimant, there are two ways to submit your first application for last-resort financial assistance.

You can apply online:

First Application for Last-Resort Financial Assistance

You can also apply in person at a Services Québec office or by mail using the First Application for Last-Resort Financial Assistance – Refugee Protection Claimants form (3002A) (PDF 1.17 Mb). This form is for refugee protection claimants who are applying for the first time. 

If this is not your first time applying, please refer to the Application for last-resort financial assistance section on this page.

Important information

Before filling out the forms, please read the important section at the top of the document. It contains essential and useful information.

If you have dependent children, you must also fill out Appendix – Dependent Children (3003-03A) (PDF 501 Kb).

Help with your application

If you need help, you can call the toll-free number below to

  • find out which forms and documents you need to apply for financial assistance
  • ask to have the required forms mailed to you if you are unable to pick them up at a Services Québec office

Contact the Centre de communication avec la clientèle

Application for financial assistance after ending participation in the Aim for Employment Program

You can apply for financial assistance if your participation in the Aim for Employment Program has ended or been interrupted and you still need financial assistance. Specific rules apply.

You can fill out the Application for Last-Resort Financial Assistance After Ending Participation in the Aim for Employment Program (3007) (PDF 316 Kb) and submit it to a Services Québec office in person, by mail or online via My Account. 

Last update: October 1, 2026

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