Driver Education Subsidy Application Form
Complete this online form to receive the Driver Ed Subsidy for the New Driver course. This is for ECECAF members' dependents (under 25 years of age) who have recently completed an AMA New Driver program. Cheques will be payable in the member's name.

As part of the application, you will need to email supporting documentation that is listed at the end of this online application and can be found on the ECECAF website as a reminder: www.ececaf.ca >. Please email supporting documentation to ececaf@gmail.com within 48 hours of submitting this online application.

ECECAF Member Details
Member First Name: *
Your answer
Member Last Name: *
Your answer
Payroll Number: *
Your answer
Union or Association: *
Required
AMA membership number: *
Your answer
Address: *
Your answer
City: *
Your answer
Postal Code: *
Your answer
Member Email: *
Your answer
Preferred Phone Number: *
Your answer
Driver Ed Student (ECECAF Member's Dependent) Details
Student First Name: *
Your answer
Student Last Name: *
Your answer
Student Email: *
Your answer
Date of Birth: *
MM
/
DD
/
YYYY
AMA Student Id Number *
Your answer
Driver's/Learner's Licence Number: *
Your answer
Completed level of New Driver Program: *
Select the level completed of the new driver program. (Subsidy amount indicated on the rate sheet linked from the Driver Ed webpage):
Required
Do you agree that within 48 hours of submitting this application, you will email the following supporting documentation: 1) copy of student's driver's/learner's license 2) proof of payment of New Driver Program course 3) AMA New Driver Program certificate of completion, to ececaf@gmail.com? *
As a helpful reminder, the list of supporting documentation is posted on ECECAF's website: www.ececaf.ca
Thank you for participating in the ECECAF and AMA Driver Education partnership!
Please click "Submit" to close this application and have it automatically sent to ECECAF for processing.
Submit
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