Application Form For Hardship Payments

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INSTRUCTIONS FOR COMPLETING AND SUBMITTING YOUR APPLICATION
Step One: Filling Out the Form
The Application is a fillable form. That means you can type your answers right into the form online, and
then move to Step Two. The fillable Application form is available from the Monitor’s website here
If you are unable to fill in your form electronically, please print the form out and ensure your writing is
clear and legible.
Step Two: Sending In the Form
The Monitor requires a signed and witnessed Application in order to process it. If there is no signature
and witness signature, the Monitor cannot process your Application.
There are three options for providing your signed and witnessed Application to the Monitor:
1. Fill in the Application (Step One), and print it out, sign it with your witness also signing it, scan the
signed form and email it to the Monitor at
.
2. Fill in the Application (Step One), and print it out, sign it with your witness also signing it and fax
the signed form to the Monitor at (416) 649-8101.
3. Fill in the Application (Step One), and print it out, sign it with your witness also signing it, and mail
the signed form to the Monitor at the address below.
FTI Consulting Canada
TD South Tower
79 Wellington Street West
Suite 2010, P.O. Box 104
Toronto, Ontario M4K 1G8
Attention: Sears Employee Hardship Fund

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