DTAP Application

Employee Information
Employee name Employee name First Last
Email (Employee)

A confirmation will be sent to the email entered here. If you do not receive a confirmation email, please contact pensionandbenefits@ontariotechu.ca for confirmation of your received application
Employee's department/faculty
Telephone extension
Relationship with student:

Relationship with student: Daughter/step daughter Son/step son Spouse
Student information

(Proof of payment is required)
Student name Student name First Last
Email (Student)

DTAP payment confirmation will be sent to the dependent student's email.
Mailing address Mailing address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
The DTAP payment will reflect the mailing address entered.
Social Insurance Number:
Maximum of 9 characters allowed. Currently Entered: 0 characters.
Date of birth Date of birth / MM / DD YYYY
University/College institution's name

The name of the post-secondary institution must be written in full (e.g. University of Ontario Institute of Technology).

Please note that only Ontario post-secondary institutions are eligible.
Program:
Does the program have a co-operative program?

Does the program have a co-operative program? Yes No
Is this the first time you have applied to DTAP for this student?

Is this the first time you have applied to DTAP for this student? Yes- This is the first time applying for this student No- I have applied before
Tuition payment period - for year or semester?

Tuition payment period - for year or semester? Year Semester
Upload a file providing proof of payment. Please note this must show that the tuition has been paid. (Please name file "StudentLastName_StudentFirstName). Do not attach direct deposit information. Banking information must be sent to deposits@ontariotechu.ca.

Attach Files

Please scan and save Proof of Payment to your files. Then, select the saved Proof of Payment file and upload.

Proof of Payment must accompany the DTAP application.
Confirmation of Qualifications and Information Accuracy

I have read and understood the Dependent Tuition Assistance Program and certify that I am an eligible employee under the terms of the Dependent Tuition Assistance Program. I also understand that the benefit, if applicable, will be added to my dependent's taxable income in the year the reimbursement is distributed.

The information requested on this form is collected under the authority of the University of Ontario Institute of Technology Act, 2002. This information is being collected as an application for the DTAP program. Inquiries concerning the collection of this information should be directed to Ms. Beth Partlow, Director, Human Resources.
Date Date / MM / DD YYYY

DTAP Application

Employee Information

Student information

Confirmation of Qualifications and Information Accuracy