Alberta adult health benefit 2025

1. Click ‘Get Form’ to open the Alberta Adult Health Benefit application in the editor.
2. Begin by filling out your personal information. Clearly print your last name, first name, middle initial, gender, and social insurance number. Ensure your mailing address and contact numbers are accurate.
3. If applicable, provide your spouse or partner's information. Include their last name, first name, birth date, and social insurance number. If you are divorced or separated, skip this section.
4. List all children under 18 years of age. For each child, include their last name, first name, birth date, and Alberta Personal Health Number. Confirm if they have Indian or Inuit status and any other health coverage.
5. Complete the declaration section by signing and dating the form. Ensure that you understand the implications of providing false information.
6. Finally, review all sections for completeness before submitting your application via mail or fax as instructed.

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