Special Needs Assistance for Seniors fax number

Fax destination details

Department

Alberta Supports / Assisted Living and Social Services (Government of Alberta)

Purpose

Submit receipts, estimates, and supporting documents to the Special Needs Assistance for Seniors program. Apply online via MyAlberta/Seniors portal or send documents by mail or fax to the program. Fax documents to 780-422-5954 (address: Special Needs Assistance for Seniors, PO Box 3100, Edmonton, AB T5J 4W3). The program reviews eligibility and issues decisions by mail or via the online portal.

Form

Request Form — Special Needs Assistance for Seniors Request Form

Address

Special Needs Assistance for Seniors, PO Box 3100, Edmonton, Alberta T5J 4W3

Voice phone

1-877-644-9992

Website

Visit organization website

Before you send

• Confirm that this exact department handles your document or request.
• Check the organization website or call its main line for the current fax number.
• Include a cover sheet and any case, member, claim, or form reference required.
• Keep the delivery confirmation with your submission records.

Complete Section 1 with personal information (including Personal Health Number), Section 2 listing item(s) and amounts, Section 3 (optional) authorization, and Section 4 with signatures and date. Attach receipts/estimates and any required medical notes. You may submit online or by fax/mail as directed in the Special Needs Assistance for Seniors Information Booklet.

Official form instructions are published as a downloadable file on the organization's website.