Saskatchewan Advantage Grant for Education Savings Waiver of Repayment Repayment of the Saskatchewan Advantage Grant for Education Savings (SAGES) is required when contributions to a Registered Education Savings Plan (RESP) are withdrawn (unless a beneficiary is eligible for an Educational Assistance Payment or the withdrawals of contributions are made to correct an RESP over contribution). Situations may occur to cause the Subscriber undue hardship if repayment of the SAGES grants is required due to the withdrawal of contributions. As per Section 8 of the Saskatchewan Advantage Grant for Education Savings Regulations, the Minister may waive the requirements for repayment of SAGES grants to avoid undue hardship. To request a waiver of repayment of SAGES grants, the RESP Subscriber should complete this Waiver of Repayment for the active RESP and submit to the Saskatchewan Ministry of Advanced Education within 12 months of the RESP contribution withdrawal date. Supporting documentation is required. Mail the completed form and supporting documentation to: Ministry of Advanced Education Student Service and Program Development Branch 1120-2010 12th Avenue REGINA SK S4P 0M3 Telephone: 1-800-597-8278 RESP Provider Information RESP Provider: RESP Contract Number: RESP Provider Contact Name: RESP Provider Contact Telephone Number: RESP Provider Email: RESP Contribution Withdrawal Date: SAGES Repayment Amount: Subscriber Information Subscriber’s Last Name: Subscriber’s First Name: Joint Subscriber’s Last Name: Joint Subscriber’s First Name: Subscriber’s Address: Subscriber Email: Subscriber Telephone: Reason why SAGES should not be repaid due to a withdrawal of RESP contributions: - Extraordinary illness or medical emergency causing financial hardship - Catastrophic event (e.g. uninsured damage to property by an unforeseen event) - Other (provide a reason): Documentation is required to assess the request for waiver. Examples of supporting documentation (original or copies of documentation accepted) would include: a notice of assignment into bankruptcy including detailed explanation of the extraordinary circumstance that led to bankruptcy or financial hardship; medical documentation including evidence that any extraordinary cost was not covered by insurance; or an insurance assessment of damages to property by an unforeseen event along with confirmation of financial impact. Declaration I declare that all of the information and documents that I have provided, and will provide in and with this request, are or will be to the best of my knowledge, complete and accurate. I am aware that to knowingly provide false information is an offence under the Criminal Code of Canada. I consent to and authorize the disclosure and release by any person, individual, corporation, organization, credit reporting agency, or by any government or government agency (including but not restricted to any foreign, federal or provincial government department or crown corporation), of any information or documents (including any personal information as defined in The Freedom of Information and Protection of Privacy Act and any personal health information as defined in The Health Information Protection Act) requested by the Province of Saskatchewan for any purpose respecting the administration of the Saskatchewan Advantage Grant for Education Savings for my benefit by the Saskatchewan Ministry of Advanced Education or its successors. I further consent to the Minister of Saskatchewan Advanced Education or his/her designate(s) to release to any person, individual, corporation, organization or to any government or government agency (including but not restricted to any foreign, federal or provincial government department or crown corporation), any information or documents (including any personal information as defined in The Freedom of Information and Protection of Privacy Act and any personal health information as defined in The Health Information Protection Act) for any purpose respecting the administration of the Saskatchewan Advantage Grant for Education Savings. Subscriber’s Name (please print): Signature of Subscriber: Date (yyyy/mm/dd): Signature of Joint Subscriber (if applicable): Date (yyyy/mm/dd): For Office Use Only (choose one): - Approved - Refused - Notification sent to Subscriber Signature of Ministry Official: Date (yyyy/mm/dd):