Equipment Application

Equipment Loan Program

Thank you for your interest in applying to Easter Seals Alberta’s Equipment Loan Program. Easter Seals Alberta is a charity organization dedicated to supporting Albertans living with disabilities and medical conditions. It is our mission to provide services and programs that foster inclusion, independence and recreation for our clients.

Easter Seals Alberta’s Equipment Loan Program provides equipment to children, youth, adults, seniors and families with any disability.

This program is intended to be a funding option for individuals who have exhausted all other funding resources for accessibility equipment. Clients must not be eligible for government-based funding (AADL), and we cannot cover the client cost-share portion of AADL funding. Eligibility for funding includes power mobility devices (scooters, power wheelchairs), lifts (vertical lifts, porch lifts, stair lifts), hospital beds, elevating seats, ceiling tracks, strollers, portable ramps, walking aids, and lift assist chairs. Please note that this is not an exhaustive list; other equipment requests may be considered. Please email your inquiry to We have friendly and knowledgeable staff ready to help you with your application.

Easter Seals Alberta will provide a maximum of $5,000 in funding toward the requested equipment. If an applicant’s equipment funding request exceeds this amount, the applicant must secure funding for the remaining cost. Funding requests that are $5,000 or less are not guaranteed to be approved.

When submitting your application, please include the following forms and supporting documents. All information provided is confidential and used only for its intended purpose.

  • Client Equipment Loan Program Application Form
  • Occupational or Physiotherapist Assessment (for non-power mobility, an Occupational Therapist assessment will be accepted)
  • Medical Report Form
  • Notice of Assessment (from the previous 2 years for the household)
  • Vendor quote for your requested equipment

Applications that are missing one or more of the above documents are considered INCOMPLETE and will not be reviewed until all documents have been received.

Please note wait times can vary as this program experiences a high level of demand.

We thank you for your patience and understanding. You can CLICK HERE to look at our Frequently Asked Question (FAQ) page for more information.

Equipment Returns / Donations

If you would like to return a piece of equipment that has been loaned to you by Easter Seals Alberta, please fill out the Pick-Up Equipment Request Form.

If you want to donate equipment, please fill out the Donate Used Equipment Form.

Please Note: Due to storage capacity, Easter Seals Alberta is only accepting donation requests for scooters and power wheelchairs that are less than 5 years old. Any other requests cannot be accommodated at this time.

Please fill out the necessary forms below and submit them using the “Submit Completed Form” button, e-mail them to us at, or mail them to us at 103 811 Manning Road NE Calgary AB T2E 7L4. 

Application Forms

Pick Up Equipment Request Form

Donate Used Equipment Form

Medical Report Form

Occupational Therapist Assessment Form

Equipment Application