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Alberta Blue Cross

Government Business and Analytics web site
Access request form

Please provide the following information so that we can begin setting up your access to the web site.

Note: [*] indicates a required field.

Please enter your first name.
Please enter your last name.
Please enter a valid email address.
Please enter a valid phone number.

Please enter your organization.

The organization, or Government ministry, that you are currently part of.

Please enter your department.

Create a four to eight-digit number that you can use to identify yourself when you set up your login ID and password online.

Please enter a four to eight-digit number.

Please contact us if you have questions or concerns:

Government Business and Analytics Support
Alberta Blue Cross®
10009-108 Street
Edmonton, Alberta T5J 3C5

Phone: 780-401-7004