Growing Family - Ville de Stanstead

New babies

"*" indicates required fields

Applicant identification

Father's name*

Mother's name*

New child's full name*

Child's date of birth or date of adoption*

Home address

Street Address Address Line 2 City Postal Code

Email*

Phone number*

Work phone number

How long have you lived at this address?

What was your previous address?

Are you attaching proof of eligibility?

Please send supporting documents as proof of eligibility (birth certificate & proof of residence).

File

Max. file size: 40 MB.

File

Max. file size: 40 MB.

Does the child have a Desjardins savings account ?*

Yes

An additional amount of $100.00 is offered by the Caisse Desjardins du Lac-Memphrémagog (when you open a savings account in the child’s name at the Stanstead branch).

What is your child's account number at the caisse?

Eligibility requirements

Provide the child’s birth or adoption certificate.
Be a resident of Stanstead for more than one year.
Submit the application within twelve months following the child’s birth or adoption.
In order to receive a contribution from the fund, the child must be a member of the fund or become a member.

Name of the person completing this form

Relationship to child

Name

This field is for validation purposes and should be left unchanged.