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Special Needs Assistance for Seniors fax number

(780) 422-5954

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

Used for: 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.

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

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.

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