Application Package for the Ice Assistance Emergency Program

This form is for information purposes only. To fill out a copy of this form, please download the PDF version

 Download the application form

Program Description and Eligibility Criteria

This program is meant to provide grants to commercial fish harvesters whose fishing activities have been prevented or delayed by severe ice conditions in the spring of 2017, and for whom Employment Insurance (EI) Fishing Benefits have ended. The dates of program coverage vary according to the persistence of ice in different areas. Please consult the table below to determine your period of eligibility. End dates are subject to change.

To be eligible for this program, you must meet all four criteria:
  1. You must fish on a vessel operating predominantly in one of these areas:
Eligible Ice Affected Areas 1 Program Period
Trinity Bay (Grates Cove to Cape Bonavista)       May 7 to June 17 (6 weeks)
Bonavista Bay (Cape Bonavista to Cape Freels) May 7 to June 17 (6 weeks)
Notre Dame Bay/Fogo (Cape Freels to New Bay Head) May 7 to June 17 (6 weeks)
Green Bay (New Bay Head to Cape St. John) May 7 to June 17 (6 weeks)
White Bay - North (Cape St. John to Cape Bauld) May 7 to June 17 (6 weeks)
Northern Peninsula - North (Cape Bauld to Ferolle Point) May 7 to June 17 (6 weeks)
Quebec – Lower North Shore (Blanc-Sablon to Kegaska) May 7 to June 17 (6 weeks)
Labrador Straits (Blanc-Sablon to Cape St. Charles) May 7 to June 17 (6 weeks)
Conception Bay (Grates Point to Western Bay Head, and harvesters who fish on enterprises licensed to fish crab in the 6B Outer Area) May 7 to June 17
Labrador (North of Cape St. Charles) May 28 to July 8 (6 weeks)

1 Geographic boundaries are subject to further monitoring of ice conditions and fishing activity.

  1. You must have received Employment Insurance (EI) Fishing Benefits in 2016.
  2. Your benefits from your most recent 2017 EI Fishing Benefits claim must have ended.
  3. You must complete and sign the attached application form. Part B of the form is your personal attestation (or legal declaration) that you have been adversely affected by ice conditions. The Ice Assistance Emergency Program paper applications must contain your original signature, in ink; on the signature line in Part D of the application.
Grant paymets
  • If your application is successful, your grant payment will be up to $508 per week. You may become eligible to receive ice assistance benefits two weeks following your final 2017 EI Fishing Benefit payment, or the start date of the program, whichever is later.
  • Beginning with the week in which you start earning fishing income, your grant payment for the remaining weeks will be reduced dollar-for-dollar by the cumulative amount you earned from fishing.
  • Any payment you receive under this program is taxable; however, income tax will not be deducted at source from these grants. A T4A will be issued in February 2018, and the amount of the grant must be reported on your income tax return for 2017. For Quebec residents, RL-1 slips will also be issued.
  • Any payment you receive under this program is not insurable and cannot be used for a future Employment Insurance claim.
  • Any payment that you receive in error, or as a result of misleading statements or inaccurate information, is recoverable by the Government of Canada as a debt to the Crown.
Information about submitting your application
  • You can apply as of June 26, 2017. Applications will not be accepted after August 4, 2017.
  • Your completed application should be sent to:

Ice Assistance Emergency Program Processing Centre
PO Box 8548
St. John’s, NL A1B 3P3

  • Alternatively, you can submit your application in person to a Service Canada Centre located in Newfoundland and Labrador and affected areas in Quebec. To find the Service Canada Centre nearest you, call 1 800 O-Canada or visit canada.ca.
  • Fish harvesters may be required to submit a supplementary application if ice persists and eligibility extends beyond the date of the initial application. The supplementary application will be available from the DFO web site below, Service Canada Centres in Newfoundland and Labrador and affected areas in Quebec, and at Fisheries and Oceans Canada offices.
  • Incomplete applications will not be processed, and will be returned to the mailing address you provide on the application form.
  • If your application is rejected, you will be notified in writing at the mailing address provided on the application form.
Contact information

Please contact the Ice Assistance Emergency Program toll-free line at 1-866-266-6603 (TTY: 1-800-926-9105) if you: require assistance completing this application form; wish to inquire about the status of your application; or have any other questions related to this program.

Application Form: Ice Assistance Emergency Program

Application deadline: August 4, 2017

Before completing this form, please read the eligibility criteria on the attached information page. If you require additional information, call 1-866-266-6603 (TTY: 1-800-926-9105).

Please retain the attached information page, as it contains valuable information for future reference.

A. APPLICANT INFORMATION:
1. Family name
4. Social insurance number
2. Given name
3. Initials (if any)
5. Fisher identification number
6. Telephone no.
7. Alternate phone (if any)
8. Date of birth ( DD / MM / YYYY )
9. HOME ADDRESS:

9a. Number and street (Apt. No., P.O. Box, other):

9b. City/Town

9c. Province

9d. Postal code

10. MAILING ADDRESS (IF DIFFERENT FROM HOME ADDRESS)::

10a. Number and street (Apt. No., P.O. Box, other)

10b. City/Town

10c. Province

10d. Postal code

B. PERSONAL ATTESTATION (legal declaration)
11. I fish on a vessel operating predominantly in an eligible area. (see information page for eligible areas) Yes No
12. Did you receive Employment Insurance (EI) Fishing benefits in 2016? Yes No
13.a Did your Employment Insurance (EI) Fishing benefit end in 2017? Yes No
13.b Date of last Employment Insurance (EI) payment received  ( DD / MM / YYYY )
 
14. Due to ice conditions in early 2017, I was prevented from fishing during all or part of the period covered by this program. (see information page for eligible program period in your area) Yes No
15. I am primarily: an enterprise owner / skipper a crew member

16. Please provide the following information about the primary ice affected enterprise on which you fish:

Enterprise Owner’s Name:
Enterprise Owner’s Commercial Fishing Vessel (CFV) Number:
Name of enterprise’s home port:
Name of Eligible Ice Affected Area the enterprise operates in:

Crew members please note that Fisheries and Oceans Canada may be required to contact the enterprise owner you name here, or fish buyers, to verify your employment and/or earnings.

C. REPORT OF FISHING INCOME DURING THE PERIOD OF PROGRAM COVERAGE

Report your “net” weekly earnings from all commercial fishing activities. Fishing earnings are considered to have been earned during the week in which the catch was landed.

For enterprise owners: “net” weekly earnings is defined as gross weekly fishing revenue - less amount paid to crew (crew share) - less 25% of gross earnings.

For crew members: “net” weekly earnings is defined as gross weekly crew share amount - less any fishing expenses paid by the crew member.

  May 7 -
May 13
May 14 -
May 20
May 21 -
May 27
May 28 -
June 3
June 4 -
June 10
June 11 -
June 17
June 18 -
June 24
June 25 -
July 1
July 2 -
July 8
Fishing income being reported $ $ $ $ $ $ $ $ $

Beginning with the week in which you start earning fishing income, your grant payment for the remaining weeks will be reduced dollar-for-dollar by the cumulative amount you earned from fishing.

D. DECLARATION / CONSENT / SIGNATURE
  • I declare that to the best of my knowledge the information provided on this application is true and complete in every respect. I understand that it is a criminal offence to knowingly make false statements.
  • I consent to the use and exchange of Employment Insurance information and the information in this application between the Department of Employment and Social Development Canada and the Department of Fisheries and Oceans Canada for the purpose of administering and auditing this program.
  • I understand that any grant payments I receive under this program are taxable.
  • I agree that the Government of Canada may recover any payment I receive for which I am not eligible, as a debt due to the Crown.
  • Applies to crew members only: I agree to allow Fisheries and Oceans Canada to contact the enterprise owner I have named on this application, or fish buyers, to verify my employment and/or earnings.
Signature of Applicant
Date

Send your completed application to: Ice Assistance Emergency Program Processing Centre, PO Box 8548, St. John’s, NL, A1B 3P3

INCOMPLETE APPLICATIONS WILL BE RETURNED TO THE MAILING ADDRESS PROVIDED IN SECTION A.

DIRECT DEPOSIT

In order to have your Ice Assistance Emergency Program grant payments deposited directly into your bank account, please send a void cheque or provide your banking information below:

(Please confirm with your financial institution to ensure that all fields are completed correctly.)

Name of Financial Institution
Branch number
(5 Digits)
Institution Number
(3 Digits)

Account Number
(maximum 12 digits)

Note: If you move or change bank account information, you must inform Service Canada immediately to ensure that your grant payments are not disrupted. Direct Deposit is only available to a financial institution located in Canada and for an account that is in the name of the eligible applicant.  If you do not provide the information requested above, a cheque will be mailed to the address you indicated in Part A of this application form.

Approval of your application by Fisheries and Oceans Canada constitutes a grant agreement. Your direct deposit/cheque will be your notification that a grant agreement is in place.
As per Personal Information Bank – Ice Assistance Emergency Program (which is currently under development for this program), personal information is collected under the authority of section 4 of the Department of Fisheries and Oceans Act and section 5 of the Atlantic Fisheries Restructuring Act and section 5 of the Department of Employment and Social Development Act for the purpose of determining your eligibility for the Ice Assistance  Emergency Program. The Department of Fisheries and Oceans Canada will share your personal information, including your Social Insurance Number, with the Department of Employment and Social Development Canada (Service Canada) for the purposes of administering this program. It may be used for the administration and enforcement of the IncomeTax Act and disclosed to the Canada Revenue Agency. Failure to provide this information may result in your request not being processed. You have the right to the correction of, access to, and protection of your personal information under the Privacy Act and to file a complaint with the Privacy Commissioner of Canada over DFO’s handling of your information.
FOR OFFICE USE ONLY
Initial Screening: Yes No   DFO Assessment:
Application complete: Accept based on initial screening
Received fishing benefits in 2016: Reject based on initial screening
2017 EI Fishing benefits ended: Fishes on enterprise in ice-affected area.
Date of last EI Fishing benefit payment:

(DD / MM / YYYY)

     

Confirmed:

(DD / MM / YYYY)

Fishes in an eligible area: Further assessment required
Does SC recommend payment? : Denied for payment
Date Application Assessed:

(DD / MM / YYYY)

    Date Application Assessed:

(DD / MM / YYYY)

Payment Calculation:
  Before April 23 April 23 – April 29 April 30 – May 6 May 7 – May 13 May 14 – May 20 May 21 – May 27 May 28 –June 3 June 4 – June 10 June 11 – June 17 June 18 – June 24 June 25 – July 1 July 2 – July 8
Eligibility Period for Applicant                        
Week of last EI Fishing benefit payment                        
Fishing income reported                        

# eligible weeks before any fishing income: wks x $508 = (1)

# eligible weeks after fishing commenced: wks x $508= (2)

total deductible fishing income (3)

line (2) minus line (3) (enter zero if negative) (4)

Amount Payable: line (1) plus line (4)

Service Canada:

signature of SC assessor
Date

DFO:

signature of DFO assessor
Date