Users

Important message

  • Note that due to a high volume of requests, the processing time is currently more than 6 weeks.

  • If you own the Tourism and Leisure Companion Sticker (TLCS), know that it is valid until October 2020.

Telephone : 1 833 693-2253 / E mail : [email protected]

Only communications sent to these coordinates will be processed

Thank you for your interest !

How to make your request? 

Please read the eligibility criteria carefully before beginning your application.

  • Be a person with a disability, that is, any person with a disability that results in a significant and persistent disability and who is subject to obstacles in carrying out day-to-day activities
  • Be 5 years of age or older
  • Require the assistance of an accompanying person when carrying out a leisure, cultural or tourist activity for at least one of the following reasons:
    • For eating
    • For getting around
    • For communicating
    • For carrying out personal care
    • For orientation purposes
    • For ensuring the safe conduct of the activity

If you meet the eligibility criteria, there are two ways to apply, depending on your situation. Please read the following two situations carefully.

Situation 1

Are you eligible for any of the government programs, to one of the measures for people with disabilities or do you have one of the recognized accompanying cards?

  • Special Needs Allowance Program for study (Adult) – Accompaniment services provided
  • Supplement for a handicapped child (Retirement Québec)
  • Canada child benefit (Canada Revenue Agency)
  • Amount for severe and prolonged impairment in mental or physical functions (Revenu Québec)
  • Disability amount (Canada Revenue Agency)
  • The Quebec accompaniment card for intercity coach transportation (Fédération des transporteurs par autobus)
  • The STM accompanying card (Société de transport de Montréal)
  • CNIB identification Card

If you have one of these supporting documents, please select situation 1 and complete the appropriate form.

Situation 2

You meet the criteria to get the Companion Leisure Card (CAL) , but you are not eligible for one of the recognized programs, measures and accompanying cards?

If you do not have one of these supporting documents, please select situation 2 and complete the appropriate form with questionnaire.

Here is the list of health or social service professionals who can certify your application form:

  • Audiologist
  • Family physician (general practitioner)*
  • Nurse
  • Occupational therapist
  • Optometrist
  • Orientation and mobility specialist
  • Psychoeducator
  • Psychologist
  • Physical Rehabilitation therapist
  • Physiotherapist
  • Respiratory therapist
  • Specialist in rehabilitation for the visually impaired
  • Specialist physician (cardiologist, pulmonologist, neurologist, psychiatrist, ophthalmologist, rheumatologist, etc.)*
  • Specialized educator
  • Speech therapist
  • Social worker

Please select the appropriate situation and complete the application form.

Situation 1

Are you eligible for any of the government programs, to one of the measures for people with disabilities or do you have one of the recognized accompanying cards?

Make your request online and attach the requested proof along with your photo.

ONLINE APPLICATION

Would you like to fill out the form in paper format?

PRINTABLE FORM

To ensure that you do not forget anything when sending your application, we recommend that you print the checklist for mail-in applications.

Send your documents and photo to the following address

[email protected]

OR

By mail to the following address

AQLPH
858, rue Laviolette
Trois-Rivières, Québec
G9A 5J1

Situation 2

You meet the criteria to get the card, but you are not eligible for one of the recognized programs, measures and accompanying cards?

Download and complete the form. Make sure it is signed by a health and social services professional who will attest to the accuracy of the information provided and attach your photo.

Make your request now!

PRINTABLE FORM

To ensure that you do not forget anything when sending your application, we recommend that you print the checklist for mail-in applications.

Send your documents and photo to the following address

[email protected]

OR

By mail to the following address

AQLPH
858, rue Laviolette
Trois-Rivières, Québec
G9A 5J1

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