Pubsaskdev blob core windows pubsask-prodRETURN TO: FORM B Drug Plan and Extended Benefits Branch 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the Applicant Information section. Enter your last name, first name, date of birth, health services number (HSN), and social insurance number (SIN). Ensure all details are accurate.
3. Next, complete the Spouse Information section if applicable. Provide their last name, first name, date of birth, HSN, and SIN.
4. In the Declaration and Consent section, indicate whether a Power of Attorney (POA) is signing on behalf of the applicant. If yes, ensure to attach copies of the POA documents.
5. Review all provided information for completeness. Incomplete applications may delay processing. Once confirmed, sign and date the form as required.
6. Finally, attach any additional documentation needed for income verification or changes in medication as specified in the Additional Information section.

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