The personal information collected on the application form is collected for
the purpose of determining eligibility for the Special Needs Assistance for
Seniors program. The information will not be disclosed to any other person or
organization except as authorized by the
Freedom of Information and
Protection of Privacy Act.
For further information on the collection, use, protection and disclosure of personal information please write or phone:
Freedom of Information and Protection
of Privacy Coordinator
Alberta Seniors and Community Supports
Seniors Services Division
Box 3100
Edmonton, Alberta T5J 4W3Telephone toll-free at 1-800-642-3853, or
in Edmonton at 427-7876.