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Please enter the child’s health insurance or social insurance number.
Identification Information
Application confirmation number

Unless otherwise indicated, fill out all of the fields.

Identification Information

Child's health insurance number

This number appears on the Health Insurance Card (e.g.: AAAA 9999 9999)

Please enter the child’s health insurance number.
The health insurance number must be in the following format: AAAA 9999 9999.

Child's social insurance number

E.g.: 999 999 999

Please enter the child’s social insurance number.
The social insurance number must be in the following format: 999 999 999.

Application confirmation number

This 6 or 7 digit number is found in your application confirmation email or in a letter that you have received from us. (e.g.: 123456). If you cannot find the confirmation number for your application, call us at 1 800 561-9749, ext. 264, to obtain it.

Please enter your application confirmation number. If you cannot find it, call us at 1 800 561-9749, ext. 264, to obtain it.

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