Client Concern - Income Assistance/Senior Home Heating Subsidy

If we have not met the Service Standards for either Senior Home Heating Subsidy or Income Assistance, you may either complete the form below or download the form to your computer, fill it out, and email it to

Please note, contact information is only required if you would like a representative to follow up on your concern.

This information is being collected under the authority of the Access to Information and Protection of Privacy (ATIPP) Act, section 40(c)(i) and the Social Assistance Act and Income Assistance Regulations. The information is being collected for the purpose of investigating concerns and/or providing follow up. The privacy provisions of the ATIPP Act protect information, and all applicants have the right to examine and request correction of his or her records and to request a review by the Information and Privacy Commissioner. If you have any questions about the collection of information, contact the Department of Education, Culture and Employment, Box 1320, Yellowknife, NT X1A 2L9 or call 1-866-973-7252 or 867-767-9355.

Please indicate which Regional Service Centre you worked with.