Get Alberta Health Spending Account Form

The Alberta Health Spending Account form is essential for submitting expenses related to your health spending account. This guide provides clear, step-by-step instructions to help you complete the form online with ease.

Follow the steps to fill out your Alberta Health Spending Account form correctly.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling in your employee information. This includes your surname, first name, Alberta Blue Cross ID number, address, group number, city, province, postal code, and telephone number.
3. Move on to the claim submission details section. Here, you will describe each expense you are claiming. Include the description of the expense, the date of service (formatted as YY/MM/DD), the patient's first name, and their relationship to you. If more space is required, fill out an additional claim form.
4. Document the total claim amount and the amount claimed for each individual expense.
5. In the employee consent and declaration section, certify that the provided information is complete and true. Sign and date the form, ensuring to include the date of submission.
6. Attach original receipts for each claimed expense and keep copies for your records. If applicable, attach an original explanation of benefits from other health plans.
7. Review all filled sections for accuracy. Once confirmed, you can save changes, download, print, or share the form as needed.

Complete your Alberta Health Spending Account form online today for a seamless claim process.