Canadian Dental Care Plan application

We'll guide you through each section. Your information is encrypted and handled securely.

Step 1 of 4

About you

Complete all fields unless marked optional.

Who are you applying for?

I am applying for myselfI am applying for my child(ren)I am applying for myself and my child(ren)I am applying on behalf of someone else as a legal delegate or Power of Attorney

Personal information

Enter your name exactly as shown on your Social Insurance Number (SIN) record.

First name

Last name

Date of birth

Month

Day (DD)

Year (YYYY)

Social Insurance Number (SIN)

Enter the 9-digit SIN. We store it securely and encrypted.

Marital status

What is your current marital status?

Make sure the information matches what is on file with the Canada Revenue Agency.

SingleMarriedCommon-LawSeparatedDivorcedWidowed

ApplyCDCP.ca

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Disclaimer: ApplyCDCP.ca is a private service that provides administrative assistance with the preparation and submission of applications to the Canadian Dental Care Plan. We charge a service fee for our work. We are an independent business and are not affiliated with, endorsed by, or part of the Government of Canada or any government institution. You can apply directly and for free through the Government of Canada.