You’re offline. This is a read only version of the page.
Skip to main content
Toggle navigation
Home
Contact us
Language Selection
PR Application
Privacy and Consent
Requestor Information
Who are you applying for
Applicant Information Myself
Applicant Information Spouse Dependents
Personal Information and Residency
Legal Status and Reasons for Registration Multistep Form
Additional Family Member
Test File Upload Page
Add Dependant
Change or Extension of Immigration Status
Change of Address
Replacement Card Optional
Digital Invitation QR Code
Moving Out of Manitoba
Divorce Dependant
Dependant
Notification of Death
Name Change
Temporary out of Province Coverage
Submission Confirmation Details
Divorce Separation
Replacement Card
Submit Amendment
Privacy Notice and Consent
Application Status Tracker
Change of Sex Designation
Common-law
Addition of Spouse
English
English
français
Sign in
Manitoba Health, Seniors and Long-Term Care
Manitoba.ca
>
Health
Common-law union declaration
Common-law
Supporting documentation
Spouse to be primary cardholder
Registration number (six-digit alphanumeric)
*
Personal Health Identification Number (PHIN - nine digits)
*
*
Primary phone number
*
Email address
*
*
Can we contact you at this email address?
Yes
No
Legal first name
*
*
Legal middle name
*
Legal last name
*
*
Date of birth
*
*
Spouse to be recognized as common-law partner
Registration number (six-digit alphanumeric)
*
Personal Health Identification Number (PHIN)
*
*
Primary phone number
*
Email address
*
*
Legal first name
*
*
Legal middle name
*
Legal last name
*
*
Date of birth
*
*
Select the type of card
*
Plastic
Digital
Both
Generate a new image
Play the audio code
Enter the code from the image
