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In-Vitro Fertilization Program Upload Tool

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Upload Tool for In-Vitro Fertilization Program Notice of Assessment Documentation

For submitting Notice of Assessment documentation to the Ministry of Health's publicly funded In-Vitro Fertilization Program.

Please use this form to securely send Notice of Assessment (NOA) documents to the Ministry of Health for the Publicly Funded In-Vitro Fertilization Program income verification. Ensure that you include appropriate and accurate information.

This form is for submitting Notice of Assessment (NOA) documents only, please do not submit questions or inquiries. More information on the publicly funded IVF program is available on the Government of BC Website: Publicly Funded In-Vitro Fertilization (IVF) Program - Province of British Columbia.

* IMPORTANT NOTICE *

Please do not upload documents for more than one applicant at a time. This will cause processing delays. Please complete a separate upload for each applicant (intended parent). Enter the application number (if supplied).

Submission Information

Clinic NameMissing or incorrect value

Application NumberIf applicable

Applicant (Intended Parent) First NameMissing or incorrect value

Applicant Last NameMissing or incorrect value

Applicant PHNMissing or incorrect value

Spouse First NameIf applicable

Spouse Last NameIf applicable

Applicant IncomeMissing or incorrect valueFrom Line 150 (total income before taxes) for the first or second tax year

Applicant EmailMissing or incorrect value

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By completing this form, I declare that all information provided is true and accurate to the best of my knowledge. I understand that any false, misleading, or incomplete information may result in administrative or legal consequences.

Collection Notice

Personal information on this form is collected for the purpose of the publicly funded Invitro Fertilization (IVF) Program by the Ministry of Health under s. 26 (c) & (d) of the Freedom of Information and Protection of Privacy Act. Please be aware that any personal information you provide is stored in British Columbia at the Ministry of Health. For questions regarding the collection of personal information, please contact Ministry of Health, Beneficiary and Diagnostic Services Branch, PO Box 9640 Stn Prov Govt V8W 9P1, HLTH.Health@gov.bc.ca.

HLTH 8134 2025/07/03

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