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Submit AISH application documents online

Fill in the required information, then upload and submit at least 1 document related to an AISH application.

Applicant information

First name (Required)

Last name (Required)

Date of birth (Required)
You must be 17.5 years or older to apply for AISH.

Personal Health Care Number (PHN)
Enter numbers only with no dashes or spaces.

City or town where applicant lives (Required)

Contact information

I am submitting 1 or more AISH application documents for someone else.

Your first name (Required)

Your last name (Required)

Phone number
Including a phone number gives AISH a way to contact you if we have questions about the documents you are submitting. If you choose to include it, enter numbers only with no dashes or spaces.

Email (Required)

Confirm email (Required)

Upload documents

You can upload documents in these file formats: PDF, JPEG, GIF, PNG, BMP or TIFF.
Each file can be up to 5 MB.
All files submitted at the same time can total 50 MB.
Make sure files are not password protected.

AISH Application Part A – Applicant Information

I am uploading the Part A form and any extra pages added to give more space for information.

Select files
More rows will be added as needed.

AISH Application Part B – Medical Report

I am uploading the Part B form and any extra pages added to give more space for information.

Select files
More rows will be added as needed.

Supporting documents

I am uploading documents showing personal, financial or medical information to support an AISH application.

Select files
More rows will be added as needed.

Privacy: You are about to submit documents for an application for the Assured Income for the Severely Handicapped (AISH) program. The personal information about the applicant and a person submitting documents for the applicant is being collected, used and disclosed under the authority of sections 33-40 of the Freedom of information and Protection of Privacy Act and the Alberta Government Organization Act. This information will ensure the applicant's documents are linked to their AISH application.

Once the documents have been submitted, you will receive an email confirming they have been received.
If you have questions about the personal information being collected, used and disclosed, please contact the Alberta Supports Contact Centre at 1-877-644-9992 or 780-644-9992 in Edmonton.