S-4.2, r. 13 - Regulation respecting the assessment of the needs of a person requesting emergency lodging as a victim of violence

Updated to 1 September 2012

This document has official status.

chapter S-4.2, r. 13

Regulation respecting the assessment of the needs of a person requesting emergency lodging as a victim of violence

Act respecting health services and social services

(chapter S-4.2, s. 480).

1. An assessment of financial situation shall be carried out in the case of every adult person requesting emergency lodging in a shelter for victims of violence, to determine if the person is in need of assistance.

For that purpose, on admission or as soon as possible thereafter, the person, assisted by a shelter staff member, shall fill out the form in Schedule I on which the following particulars shall be declared:

(1)  name;

(2)  date of birth;

(3)  file number, if the person is receiving last resort benefits under the Individual and Family Assistance Act (chapter A-13.1.1);

(4)  available liquid personal assets;

(5)  available monthly personal income;

(6)  monthly amount of social insurance benefits received from the federal government, other than family allowances, and the nature of the benefits;

(7)  the number of children accompanying the person.

The person shall sign the form and shall remit it to the person in charge of the shelter.

O.C. 1401-92, s. 1.

2. The “available liquid personal assets” to be declared are assets readily available to the person without jeopardizing personal safety or the safety of accompanying children, and the “available monthly personal income” to be declared is income remaining after deduction of monthly expense arising from legal and contractual obligations.

O.C. 1401-92, s. 2.

3. The person in charge of the shelter shall fill in the space reserved for administrative purposes on the form remitted by the person requesting services and shall transfer the relevant data to the register of forms in Schedule II.

O.C. 1401-92, s. 3.

4. All forms filled out by persons lodged shall be kept by the shelter in its records, but the register of forms for the period from 1 April of the preceding year to 31 March of the current year shall be forwarded by the shelter to the Minister of Health and Social Services before 1 June of the current year.

O.C. 1401-92, s. 4.

5. The assessment of the financial situation of a person requesting emergency lodging shall be based on the data forwarded to the Minister of Health and Social Services, to which the exemptions and rules provided for in the following sections shall be applied.

O.C. 1401-92, s. 5.

6. The following exemptions shall be deducted from declared available liquid personal assets:

(1)  $2,500 for a person requesting single lodging;

(2)  $5,000 for a person accompanied by a child, to which $500 is added for each additional accompanying child.

O.C. 1401-92, s. 6.

7. Only available liquid personal assets shall be taken into account in calculating the assets of a person requesting emergency lodging.

O.C. 1401-92, s. 7.

8. Only available monthly personal income shall be taken into account in calculating the income of a person requesting emergency lodging. In addition, the person’s available monthly personal income for the first 45 days of lodging shall be excluded in calculating monthly income.

O.C. 1401-92, s. 8.

9. A person who declares last resort benefits under the Individual and Family Assistance Act (chapter A-13.1.1) is deemed to be in need of assistance.

O.C. 1401-92, s. 9.

10. (Omitted).

O.C. 1401-92, s. 10.

SCHEDULE I

(s. 1)

Short test for needs and resources

Gouvernement du Québec
Ministère de la Santé et des Services sociaux
	“SHORT TEST
	FOR NEEDS AND RESOURCES”			Form No.:			 Year	Sequence No.
			
			
				
1.1 Shelter			
Name			
Address (No., street, municipality, province, postal code)			
1.2 User			
Full name		Date of
birth	
				
2.1 Are you receiving last resort financial assistance under the Individual and Family Assistance Act ? 			
	  If yes	, indicate your File No.		and answer Question 3.
	If no	, answer Questions 2.2 and following.			
2.2 Declaration: liquid assets and income			
	Available liquid personal assets 	$	(A)	Available monthly personal income $ 	
			(B)	Social insurance benefits from
			federal sources, excluding family
			allowances, included in (A) $ 	
		Nature of benefits 		
						
				
  	 Number of children accompanying you who will also be lodged			
			
	Y	M	D			
	Date	User’s signature		
				
Date of admission	Date of departure			
	Y	M	D	Y	M	D
	Adult:	Adult:			
	Child:				Child:			
   Days present - adult		Days present - child			

O.C. 1401-92, Sch. I.

SCHEDULE II

(s. 3)

REGISTER OF FORMS “SHORT TEST FOR NEEDS AND RESOURCES”

Gouvernement du Québec	REGISTER OF FORMS
Ministère de la Santé et des Services sociaux	“SHORT TEST
	FOR NEEDS AND RESOURCES”

Name of shelter					For the period ending 31 March ______________	
Administrative region				File No.		
						
						
Form No.	Number of children	DAYS PRESENT		File No. *
(P)	Income* *	Available liquid 
personal income
		Adults	Children			
					A	
					B	
					A	
					B	
					A	
					B	
					A	
					B	
					A	
					B	
					A	
					B	
					A	
					B	
					A	
					B	
					A	
					B	
					A	
					B	
					A	
					B	
					A	
					B	
					A	
					B	
					A	
					B	
					A	
					B	

  * Check here if the person is receiving last resort financial assistance under the Individual and Family Assistance Act.
** A) Available monthly personal income	B) Federal benefits includes in A		Page 	
Data collected from persons not receiving last resort financial assistance under the Individual and Family Assistance Act

O.C. 1401-92, Sch. II.

REFERENCES

O.C. 1401-92, 1992 G.O. 2, 4502

S.Q. 1997, c. 57, s. 68