Canada Dental Benefit -

Confirmation
As of July 14, 2023

 You have successfully submitted your

application for the Canada Dental
Benefit.
Your confirmation number is: 9718624258

Keep a copy of this confirmation number for your records.

If any information pertaining to your child(ren)’s dental

appointment changes, you do not need to contact the CRA.
Retain copies of the documentation for all the dental care
services received, as the CRA may contact you in the future
to verify the information provided.
 Important information
rmation
You should receive your payment within 5 business days if
you are signed up for direct deposit, and 5 to 10 business
days if you are receiving a cheque by mail.

You can look at the status of your CDB payment under the
Benefits and credits tab in My Account.

If there are any issues with your payment, please wait 10

business days before contacting the CRA.

Eligibility
Does the No
child(ren) have
access to a
private dental
insurance plan
(including
employer
provided)?
Banking information
Is the direct Yes
deposit
information
correct?

Period you are applying for

Applicable Dental
scenario appointment
occurred, or will
occur, between July
1, 2023 and June
30, 2024.
Child(ren) you are HUDSYN LEHMAN
requesting dental
benefits for
Dental appointment information

Date of HUDSYN July 18, 2023

dental
appointment

Dental care Smile care

professional

Address line 1 32465 south Fraser

way

Address line 2

City Abbotsford

Province or British Columbia

territory

Postal Code V2T 1X4

Telephone 604-744-2262  ext. 

number
Information about you

Employment Unemployed
option applicable
to you at the time
of the
appointment

Do you have a No
spouse or
common-law
partner?

Attestations and acknowledgements

You have attested and acknowledged that you meet the following
conditions:

Attestations

My child(ren) is not insured under, and does not have

access to, a private dental insurance plan (including
employer provided).
My child(ren) has received, or will receive, dental care
services between July 1, 2023 and June 30, 2024.
 All information included in this application is to the best of
my knowledge true and complete and is not false or
misleading in any way.

Acknowledgements

The cost of my child(ren)'s dental care services has not

been, and will not be, fully covered by a federal, provincial,
territorial or municipal program.
I acknowledge that the CRA may contact my employer
(and the employer of my spouse or common-law partner, if
applicable) and my child’s dental care provider for
verification purposes.
I acknowledge that I may be subject to penalties for
providing false or misleading information.
I acknowledge and understand that my personal and
taxpayer information, and, if applicable, my spouse or
common-law partner's personal and taxpayer information,
including SIN and income, will be used for the purpose of
administering and enforcing the Canada Dental Benefit,
including determining eligibility, issuing a payment, and,
on review, verifying my eligibility. If the CRA determines
that I am not eligible, I understand that I will have to repay
the benefit.

Privacy statement
Personal information (including the SIN) is collected under the
authority of the Dental Benefit Act and will be used to
administer and enforce this act including taking compliance
activities. The Canada Revenue Agency (CRA) will use the
personal and taxpayer information you provide to us, including
information accessed from your income tax and Canada Child
Benefit files, for the purposes of administering your
application, and could be used for (i) issuing a payment to you,
(ii) verifying that you meet the program's eligibility
requirements, and to (iii) collecting any overpayments or
erroneous payments that may have been issued to you. Your
personal information may also be disclosed to other federal,
provincial, territorial or aboriginal government institutions to
the extent authorized by law. Failure to provide information
will a!ect our ability to process your application.

Personal information will be described in personal information

bank (under development) and published on canada.ca/cra-
information-about-programs. Under the Privacy Act,
individuals have a right of protection of, access to and
correction or notation of their personal information and to file
a complaint with the Privacy Commissioner of Canada
regarding the Canada Revenue Agency’s handling of their
information.
To apply for another child, or to return to the My Account
Overview page, select the appropriate button below.

Start a new application Return to the Overview page

Screen ID: A-MAO.a1m

Version: 2023-06-30