Get Declaration - Prince Edward Island - Gov Pe

This guide provides a professional and supportive walkthrough for completing the Declaration form for the Prince Edward Island Eye See Eye Learn Program online. It is designed to assist parents and guardians in understanding each component of the form, ensuring an accurate and efficient submission process.

Follow the steps to complete your form accurately.

1. Press the ‘Get Form’ button to access the Declaration form and open it in your chosen editor.
2. Begin by entering the date of birth for each child participating in the Eye See Eye Learn Program in the designated field.
3. Fill in the name of the parent or guardian, including the surname, first name, and initials.
4. Provide your mailing address including city and postal code in the corresponding fields.
5. Enter your telephone numbers—include both home and work numbers, using the appropriate spaces provided.
6. Input the Personal Health Number for each child in the designated field.
7. List each child participating in the program by entering their surname, first name, and initials in the provided fields.
8. Review the Statement of Information Accuracy carefully. Certify that the information provided is true and that the dependents listed are not covered by private health insurance with vision coverage.
9. Sign and date the form in the designated signature and date fields.
10. Once all fields are completed, save your changes. You have the option to download, print, or share the completed form as needed.

Ready to proceed? Complete your Declaration form online today.