HRE2939I Alberta Child Health Benefit Application 2026

1. Click ‘Get Form’ to open the HRE2939I Alberta Child Health Benefit Application in the editor.
2. Begin by filling out your personal information. Enter your last name, first name, middle initial, gender, and Social Insurance Number (SIN). Provide your mailing address, city or town, province, home phone number, cell phone number, and postal code.
3. If applicable, complete the section for your spouse/partner's information. Include their last name, first name, middle initial, gender, date of birth, and SIN.
4. List all children under 18 years of age. For each child, provide their last name, first name, date of birth (year/month/day), Alberta Personal Health Number, and indicate if they have other health coverage.
5. Complete the declaration section by confirming that you are a resident of Alberta and that all provided information is accurate. Sign and date where indicated.
6. Finally, review your application for completeness before submitting it via mail or fax to ensure a smooth processing experience.

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