Forms

The following forms are available in portable document format. If you do not have Adobe Reader to open portable document files, you can download it for free. Or, call the Alberta Seniors Information Line at
1-800-642-3853 and our staff will send out an application package.

Adobe® Acrobat® PDF files can be viewed with Adobe® Acrobat® Reader software - a free download from Adobe Systems Incorporated.

Please read the information booklet or instructions before completing your application form. At this time, electronic applications cannot be accepted. Completed forms can be mailed to Alberta Seniors and Community Supports, Box 3100, Edmonton, Alberta, T5J 4W3.

Alberta Seniors Benefit Program

• Application Package
  • Information Booklet
  • Application
  • Application Instructions
• Direct Deposit
• Certificate of Incapability
• Authorization of Representative
• Appeal

Special Needs Assistance For Seniors

• Application
• Information Booklet
• Appeal

Dental Assistance for Seniors Program

• Application
• Application Instructions
• Income Declaration Form
• Information Booklet
• Brochure

Optical Assistance for Seniors Program

• Application
• Application Instructions
• Income Declaration Form
• Information Booklet
• Brochure

Education Property Tax Assistance for Seniors Program

• Application
• Brochure