Alberta Regulation 187/2004

Child, Youth and Family Enhancement Act

ADOPTION REGULATION

Filed: September 7, 2004

Made by the Minister of Children's Services (M.O. 32/04) on August 30, 2004

pursuant to

section 131(2) of the Child, Youth and Family Enhancement Act.

Table of Contents

Definitions

Part 1

Licensed Adoption Agencies

Definitions

3 Application for licence to operate agency

4 Fees

5 Inspection

6 Licence to be displayed

7 Application for adoption placement

8 Acceptance or refusal of application for adoption placement

9 Home assessment report

10 Decision of agency

11 Appeal from decision of agency

12 Consents and counselling

13 Placement of a child for adoption

14 Post-placement assessment

15 Prohibition

16 Termination of adoption placement

Direct Placement Adoption

17 Direct placement

General

18 Post-placement counselling services

19 Additional information

20 Transfer of documents

21 Duties of agency

22 Program director

23 Fees and expenses

24 Trust account

25 Advertising

Part 2

International Adoption

Definitions

27 Application for international adoption

28 Dealing with application

29 Notification of changes

30 Approval of adoption placement

31 Adoption where no approval required

32 Designation of competent authority

Part 3

General Provisions

33 Sealed documents

Part 4

Repeals, Expiry and Coming into Force

34 Repeal

35 Expiry

36 Coming into force

Forms

Definitions

1 In this Regulation,

(a) "Act" means the Child, Youth and Family Enhancement Act;

(b) "agency" means a licensed adoption agency;

(c) "Appeal Panel" means an Appeal Panel established under

section 118 of the Act;

(d) "director" means a person designated by the Minister as a

director for the purposes of the Act;

(e) "qualified person" means a qualified person as defined in the

Child, Youth and Family Enhancement Regulation.

Part 1

Licensed Adoption Agencies

Definitions

2 In this Part,

(a) "adoption placement" means the placement of a child with an

approved applicant for the purpose of adoption of the child

by the approved applicant;

(b) "applicant", except in sections 3 and 5, means a person who

applies to an agency for an adoption placement;

(c) "direct placement" means the placement of a child directly

by the child's parent in the custody of a person who intends

to adopt the child.

Application for licence to operate agency

3(1) In this

section and

section 5, "applicant" means a person who

applies to the Minister for a licence to operate an agency.

(2) An application for a licence to operate an agency must be in Form

1 and must be accompanied by the following documentation:

(

a) evidence satisfactory to the Minister

(

i) that the applicant is a corporate body described in

section 87(1) of the Act, and

(ii) that the applicant has obtained general liability

insurance, satisfactory to the Minister, covering the

proposed agency and its employees;

(

b) a list of contract and staff positions, including a job

description for each position and the qualifications and

experience required for each position;

(

c) a written description of the applicant's proposed program and

procedures, including an explanation of the applicant's policy

regarding

(

i) recruitment and assessment of persons who apply for an

adoption placement,

(ii) recruitment of persons who wish to place a child for

adoption through the agency,

(iii) provision of counselling services for persons who apply

for an adoption placement and for adoptive parents,

(iv) provision of counselling services for persons who wish

to place a child or who have placed a child for adoption

through the agency,

(

v) advertising of adoption services, and

(vi) processing or assistance with the processing of direct

placement adoptions;

(

d) a fee

schedule for the services provided by the agency;

(

e) any other information that the Minister considers necessary

to enable the Minister to determine the capacity of the

applicant to provide the services and carry out the

responsibilities of an agency.

(3) An application for the renewal of a licence to operate an agency

must be in Form 1 and must be accompanied by

(

a) if there has been a change in any of the information referred

to in subsection (2)(a)(ii), (b), (

c) or (

d) since that

information was last provided by the applicant, a statement of

the changes, and

(

b) any other information that the Minister considers necessary

to enable the Minister to determine the capacity of the

applicant to continue to provide the services and carry out the

responsibilities of an agency.

Fees

4(1) The fee payable with an application under

section 3 is

(a) $100 for an initial licence, or

(b) $50 for a renewal of a licence.

(2) A fee referred to in subsection (1) is non-refundable.

Inspection

5 On receiving an application for a licence to operate an agency, the

Minister may inspect or cause to be inspected the premises from which

the applicant proposes to operate the agency for the purpose of

determining whether the applicant will be in compliance with the Act

and this Regulation.

Licence to be displayed

6 A licence or conditional licence to operate an agency must be kept

on the premises of the agency and must be available for inspection by

any person.

Application for adoption placement

7(1) Any adult who maintains his or her usual residence in Alberta

may apply to an agency for an adoption placement.

(2) On receiving an application under subsection (1), an agency must

(

a) ensure that the applicant has been provided with a written

description of the adoption services provided by the agency

and the fee

schedule for those services,

(

b) advise the applicant that the results of an intervention record

check are required and provide the applicant with a copy of

Form 3,

(

c) advise the applicant that the results of a criminal record

check are required, and

(

d) provide the Minister with a copy of the application within 14

days of receipt of the application.

Acceptance or refusal of application for adoption placement

8(1) After the receipt by an agency of

(

a) the results of the intervention record check referred to in

section 7(2)(b),

(

b) the results of the criminal record check referred to in

section

7(2)(c), and

(

c) any other documentation requested by the agency from the

applicant for the purpose of processing the applicant's

application,

the agency must accept or refuse to accept an application received

under

section 7.

(2) An agency must forthwith notify an applicant in writing of

(

a) its decision under subsection (1), and

(

b) if its decision is to accept the applicant's application, the date

of the acceptance.

Home assessment report

9(1) An agency must

(

a) within 90 days of accepting an application for an adoption

placement, complete a home assessment report in respect of

the applicant in Form 9, and

(

b) require the applicant to provide an update report in Form 4

every 12 months until the applicant receives an adoption

placement.

(2) Notwithstanding subsection (1), if for any reason acceptable to the

Minister an agency is unable to complete a home assessment report

within the 90-day period, the Minister may, in writing, extend the time

for completion of the home assessment report.

(3) An agency may require an addendum to a home assessment report,

in Form 10, where the agency has reason to believe that there has been

a significant change in circumstances such that the suitability of the

applicant to have the care and custody of a child might be affected.

(4) Any update report prepared in accordance with subsection (1)(b),

and any addendum to a home assessment report prepared in

accordance with subsection (3), must be attached to and forms part of

the home assessment report.

Decision of agency

10(1) On completion of a home assessment report in respect of an

applicant, an agency must

(

a) if in its opinion the applicant is a fit and proper person to

have the care and custody of a child, approve the applicant

for an adoption placement, or

(

b) if in its opinion the applicant is not a fit and proper person to

have the care and custody of a child, refuse to approve the

applicant for an adoption placement.

(2) No approval shall be given under subsection (1)(

a) until the

applicant has received pre-placement counselling services from a

qualified person regarding the adoption process and the parenting of an

adopted child.

(3) If, as a result of an intervention record check referred to in

section

7(2)(b), the Minister has identified a concern regarding the suitability

of an applicant to have the care and custody of a child, the agency shall

not approve the applicant under subsection (1)(

a) without the prior

written consent of the Minister.

(4) An agency may, at any time before a child is placed for adoption

with an applicant who has been approved under subsection (1)(a),

rescind the approval if, in its opinion, circumstances have arisen or

evidence has become available indicating that the applicant is not a fit

and proper person to have the care and custody of a child.

(5) If an agency

(

a) refuses to approve an applicant for an adoption placement, or

(

b) rescinds the approval of an applicant for an adoption

placement,

the agency must, not later than 10 days after that decision, provide a

written notice to the applicant and the Minister setting out the decision,

the reasons for the decision and the applicant's right to appeal the

decision under

section 11.

Appeal from decision of agency

11(1) An applicant who receives a notice from an agency under

section 10(5) may appeal the decision of the agency to an Appeal

Panel by serving a notice of appeal as prescribed in the Child, Youth

and Family Enhancement Regulation on

(

a) the agency, and

(

b) the Minister

not later than 30 days after the date on which the applicant receives

notice of the decision.

(2) An Appeal Panel may, subject to the Act and this Regulation,

confirm, reverse or vary the decision of an agency.

Consents and counselling

12 If the guardian of a child wishes to place the child for adoption

through an agency, the agency must

(

a) ensure that the guardian has been provided with a written

description of the adoption services provided by the agency,

(

b) make counselling services concerning the proposed adoption

available to the guardian and to the child, if the child is 12

years of age or older, and ensure that the counselling services

are provided by a qualified person,

(

c) advise the guardian and the child, if the child is 12 years of

age or over, that counselling services concerning the

proposed adoption are also available through a director, and

(

d) refer the guardian and the child, if the child is 12 years of age

or over,

(

i) to a director or lawyer for the completion of a consent to

adoption, and

(ii) to a director for counselling services concerning the

proposed adoption, if the guardian or the child, or both,

request those counselling services from the director.

Placement of a child for adoption

13(1) No agency shall place a child for the purpose of adoption with

an applicant

(

a) who has not been approved by the agency in accordance with

section 10, or

(

b) if the applicant has received an adoption placement in the

previous 12-month period.

(2) Subsection (1)(

b) does not apply if

(

a) the child who is proposed to be placed with the applicant is a

sibling of the child previously placed with the applicant for

the purpose of adoption, or

(

b) the applicant's previous adoption placement is no longer

subsisting.

(3) Before placing a child with an approved applicant, an agency must

(

a) ensure that it has obtained

(

i) a report in Form 5 prepared by a qualified person setting

out

(

A) the social history of the child and the biological

parents of the child, and

(

B) the medical history of the biological parents of the

child,

and

(ii) a medical report on Form 6 in respect of the child

prepared by a physician,

(

b) be satisfied that the child is a Canadian citizen or has been

lawfully admitted to Canada for permanent residence, and

(

c) make every reasonable effort to obtain

(

i) a consent to adoption signed by the guardian of the

child and witnessed by a director or lawyer, and

(ii) if the child is 12 years of age or over, a consent to

adoption signed by the child and witnessed by a director

or lawyer.

(4) If a consent referred to in subsection (3)(c)(

i) cannot reasonably be

obtained before placement of a child, the agency must notify the

Minister of the reason why a consent cannot reasonably be obtained

before placement and may place the child with an approved applicant

only if the Minister, on being satisfied that the consent will be given by

the guardian within a reasonable time period, agrees to the placement.

(5) An agency must ensure that copies of the reports referred to in

subsection (3)(a)(

i) and (ii) are provided

(

a) to the approved applicant prior to the placement of the child

with the approved applicant, and

(

b) to the Minister within 21 days after the adoption placement.

(6) The agency must, prior to placing the child with the approved

applicant, notify or make reasonable efforts to notify the biological

father of the child of the proposed adoption placement.

(7) The agency must document the notification or the efforts to notify

the biological father required under subsection (6) and must provide

the documentation to the Minister within 21 days after the adoption

placement.

(8) The agency must, within 21 days after the adoption placement,

notify the Minister in writing of the adoption placement.

Post-placement assessment

14(1) The agency must ensure that the home of the approved

applicant is visited by a qualified person, as soon as practicable but not

later than 21 days after the child is placed in the home, for the purpose

of commencing a post-placement assessment of the approved

applicant.

(2) A post-placement assessment of the approved applicant must be in

Form 7 and must be

(

a) completed as soon as appropriate, in the opinion of the

agency, after the adoption placement, and

(

b) attached to the approved applicant's home assessment report.

Prohibition

15(1) No agency shall

(

a) place a child for the purpose of adoption outside Alberta,

(

b) place or attempt to place a child for the purpose of adoption

unless the child is a Canadian citizen or has been lawfully

admitted to Canada for permanent residence,

(

c) place or attempt to place a child for the purpose of adoption,

if the child is in the custody of a director within the meaning

section 1(5) of the Act, unless the agency has the written

authorization of a director, or

(

d) place or attempt to place a child for the purpose of adoption

if the child is in the custody or under the guardianship of a

child welfare authority in another province, unless the agency

has written authorization from that child welfare authority.

(2) Subsection (1)(

a) does not apply to an agency that is permitted by

the laws of another province or territory of Canada to place children

for adoption in that province or territory.

Termination of adoption placement

16(1) An approved applicant may terminate an adoption placement

prior to the granting of an adoption order by advising the agency in

writing of the termination.

(2) On receiving a notice of termination in accordance with subsection

(1), the agency must forthwith

(

a) notify the Minister of the termination,

(

b) notify the guardian and a parent, if the guardian is not a

parent, of the termination, and

(

c) advise the guardian of the guardian's right to resume custody

of the child.

(3) Before placing the child with an alternative approved applicant,

the agency must, in accordance with

section 12, refer the guardian and

the child, if the child is 12 years of age or older, to a director or lawyer

for the completion of a consent to adoption.

Direct Placement Adoption

Direct placement

17(1) A person with whom a child has been placed for adoption

through a direct placement may apply to an agency to process, or for

assistance with the processing of, the adoption.

(2) On receiving an application under subsection (1), an agency must

(

a) ensure that the adopting person has been provided with a

written description of the adoption services provided by the

agency and the fee

schedule for those services, and

(

b) advise the adopting person of the requirements of

section

63(3) of the Act.

General

Post-placement counselling services

18(1) An agency must provide post-placement counselling services to

the following persons, if requested by that person:

(

a) an approved applicant;

(

b) a person who has applied under

section 17(1);

(

c) an adoptive parent with whom the agency has placed a child

for adoption.

(2) An agency must provide post-placement counselling services to a

guardian who has placed a child for adoption through the agency at

any time after the adoption placement, for a period of up to 6 months

following the granting of the adoption order, if the guardian requests

those services.

(3) An agency must ensure that post-placement counselling services

are provided by a qualified person.

Additional information

19 Any information obtained by an agency following the granting of

an adoption order and relating to the social or medical history of

(

a) the child who is the subject of the adoption order, or

(

b) the biological parents of the child who is the subject of the

adoption order

must be forwarded to the Minister for retention for the purposes of

disclosure under

Part 2, Division 2 of the Act.

Transfer of documents

20 On the granting of an adoption order, an agency must transfer to

the Minister all copies of the documentation in the possession of the

agency that was filed with the Court in support of the petition for an

adoption order.

Duties of agency

21(1) An agency must, on or before the last day of the 3rd month

immediately following the end of the agency's fiscal year, submit to

the Minister

(

a) an annual financial statement prepared by a registrant within

the meaning of the Regulated Accounting Profession Act, and

(

b) an annual report on the operation of the agency during the

year to which the annual report relates, including the number

(

i) applications for adoption placements received,

(ii) home assessment reports completed,

(iii) applicants approved under

section 10,

(iv) adoption placements,

(

v) cases where an adoption placement was terminated

under

section 16 and the circumstances surrounding the

termination,

(vi) cases where a child who was placed with an approved

applicant for the purpose of adoption was removed from

the approved applicant and the circumstances

surrounding the removal,

(vii) applications under

section 17(1),

(viii) adoption orders granted, and

(ix) contested court hearings relating to a petition for an

adoption order and the circumstances relating to each

contested hearing.

(2) At the request of the Minister, the agency must provide to the

Minister

(

a) any statistical information and reports relating to the

operation of the agency, or

(

b) copies of any documentation or other records relating to an

adoption or an adoption placement.

Program director

22(1) An agency must designate a qualified person as the program

director of the agency, who is responsible for the day to day operation

of the adoption program of the agency.

(2) A program director designated under subsection (1) is considered

to be the officer of the agency for the purposes of the Act and this

Regulation.

(3) An agency must notify the Minister in writing not later than 10

days after

(

a) the designation of a program director, and

(

b) any change in the designation of a program director.

(4) The responsibilities of the program director include

(

a) the supervision of qualified persons delivering the services of

the agency, and

(

b) the supervision and review of home assessment reports and

addendums to home assessment reports, but do not include

the preparation or completion of those reports or addendums.

Fees and expenses

23(1) An agency may charge to a person, other than a guardian who

wishes to place or who has placed a child for adoption through the

agency, the fees and expenses incurred in providing the following

services:

(

a) processing an application for an adoption placement;

(

b) processing or assisting with the processing of a direct

placement adoption;

(

c) preparation of social histories of

(

i) a child who is adopted or intended to be adopted, and

(ii) the biological parents of the child;

(

d) preparation of a medical history of the biological parents of a

child who is adopted or intended to be adopted;

(

e) preparation by a physician of a medical report in respect of a

child who is intended to be adopted;

(

f) preparation of a home assessment report;

(

g) preparation of an addendum to a home assessment report;

(

h) pre-placement counselling services for an applicant;

(

i) transportation relating to the placement of a child for

adoption;

(

j) preparation of a post-placement assessment;

(

k) preparation, filing and service of documents and notices

relating to an adoption and a petition for an adoption order;

(

l) post-placement counselling services provided under

section

18(1);

(

m) transfer between agencies of an application for an adoption

placement;

(

n) legal services provided in connection with an adoption;

(

o) any other services relating to an adoption that, in the opinion

of the Minister, are necessary.

(2) An agency may charge to each approved applicant a flat rate fee to

cover

(

a) counselling services concerning a proposed adoption

placement that are requested by a guardian who wishes to

place a child for adoption through the agency, and

(

b) post-placement counselling services requested by a guardian

who has placed a child for adoption through the agency.

(3) An agency may charge to a person whose child has been adopted

the fees and expenses incurred in providing that person with

counselling services relating to the adoption, where

(

a) the counselling services have been requested by that person,

and

(b) 6 months has passed since the granting of the adoption order,

if the adoption was processed through the agency.

(4) Not later than 30 days after the making of an adoption order, an

agency must provide to the Minister an itemized statement showing the

fees charged in respect of the adoption.

Trust account

24(1) An agency that requires payment in advance for any of its

services must establish and maintain a trust account in a bank, treasury

branch or trust company in which the funds received by the agency

from a person who will be receiving services referred to in this

Regulation must be deposited.

(2) Money paid into a trust account under subsection (1) may be

withdrawn from the account only with the consent of the person who

paid the money and only for fees and expenses specified in

section 23

incurred by the agency for services provided to that person.

(3) Money remaining in a trust account after fees and expenses are

paid must be returned to the person who paid the money to the agency.

(4) An agency must keep a separate book of accounts showing the

deposits and withdrawals from the trust account, the name of the

person for whom each deposit or withdrawal is made and the date of

each deposit or withdrawal.

Advertising

25(1) An agency may advertise only in accordance with this section.

(2) Advertising by an agency must be in good taste and

(

a) must be truthful, accurate and not misleading to the public,

(

b) shall not claim or imply that the services of the agency are

superior to those of another agency,

(

c) shall not guarantee an adoption placement or the adoption of

a child, and

(

d) shall not publicize any service or activity that could identify

(

i) an applicant,

(ii) a person who has applied under

section 17(1),

(iii) an adoptive parent or a prospective adoptive parent,

(iv) a child placed or intended to be placed for adoption, or

(

v) the guardian or biological parent of a child placed or

intended to be placed for adoption.

(3) If the Minister is of the opinion that advertising by an agency

contravenes subsection (2), the Minister may in writing order the

agency to take the measures specified in the order within the time

limits specified in the order.

Part 2

International Adoption

Definitions

26 In this Part,

(a) "international adoption" means

(

i) an adoption to which

Part 2, Division 6 of the Act

applies by a person who is habitually resident in

Alberta, or

(ii) an adoption by a person who is habitually resident in

Alberta of a child who is not a Canadian citizen and has

not been lawfully admitted to Canada for permanent

residence, other than an adoption referred to in

subclause (i);

(b) "relative" means

(

i) a grandparent,

(ii) an aunt or uncle, or

(iii) a great-aunt or great-uncle.

Application for international adoption

27(1) An application to proceed with an international adoption must

be submitted to a director in Form 8.

(2) A director shall not accept an application to proceed with an

international adoption involving a country that has been declared by

the Minister as being unacceptable for the purposes of international

adoption unless

(

a) the applicant is a relative of the child to be adopted, and

(

b) the director is satisfied that an application under the

Immigration and Refugee Protection Act (Canada) for the

child's entry into Canada will be considered.

(3) Where the director accepts an application, the director must

(

a) advise the applicant of the requirements of international

adoption, and

(

b) provide the applicant with an authorization to obtain a home

assessment report from an agency.

Dealing with application

28(1) An applicant must submit a completed home assessment report

in Form 9 to a director for approval.

(2) Upon receiving a completed home assessment report, the director

may

(

a) approve the home assessment report, if the director is

satisfied that

(

i) the home assessment report was completed no more

than 6 months preceding its submission to the director,

(ii) the applicant meets the eligibility requirements for

adoption in the child's country of origin,

(iii) the applicant is eligible and suited to adopt, and

(iv) the applicant has received training satisfactory to the

director on preparation for international adoption,

(

b) request additional information

(

i) from the applicant, or

(ii) from any source concerning the eligibility requirements

for adoption in the child's country of origin,

(

c) refuse to approve the home assessment report.

(3) An applicant shall submit an update report in Form 4 to a director

every 12 months after approval of the report under subsection (1) until

the applicant receives an adoption placement.

(4) Subsection (2)(

b) applies to an update report submitted under

subsection (3).

(5) An update report submitted under subsection (3) must be attached

to and forms part of the home assessment report.

(6) A decision of the director to refuse to approve a home assessment

report or an addendum to a home assessment report prepared in

accordance with

section 29(2) may be appealed to an Appeal Panel by

serving a notice of appeal as prescribed in the Child, Youth and Family

Enhancement Regulation.

(7) An applicant shall not proceed with an international adoption until

a director has, in accordance with this section, approved the applicant's

home assessment report and any addendum to the home assessment

report required under

section 29(2).

Notification of changes

29(1) An applicant must forthwith inform a director of any significant

changes during the international adoption process that might affect

eligibility or suitability to adopt including, without limitation,

pregnancy, birth of a child, adoption of a child, absence from Alberta,

poor health, changes in financial circumstances and changes in marital

or adult interdependent relationships.

(2) A director may require an addendum to a home assessment report,

in Form 10, where the director has reason to believe that there has been

a significant change in circumstances such that the applicant's

eligibility or suitability to adopt might be affected.

(3) Upon receiving a completed addendum to a home assessment

report, the director may

(

a) approve the addendum to the home assessment report,

(

b) request additional information

(

i) from the applicant, or

(ii) from any source concerning the eligibility requirements

for adoption in the child's country of origin, or

(

c) refuse to approve the addendum to the home assessment

report.

(4) Any addendum to a home assessment report prepared in

accordance with subsection (2) must be attached to and forms part of

the home assessment report.

Approval of adoption placement

30(1) Where an international adoption, other than an international

adoption to which

Part 2, Division 6 of the Act applies, involves a

child whose country of origin requires the director's approval of an

adoption placement, the director may, subject to subsection (2),

approve the adoption placement of the child with the applicant if

(

a) the applicant has agreed to the adoption placement,

(

b) a home assessment report in Form 9 has been approved by

the director and has been updated, where applicable, in

accordance with

section 28(3),

(

c) any addendum to a home assessment report prepared in

accordance with

section 29(2) has been approved by the

director, and

(

d) the director and the responsible authority in the child's

country of origin have agreed that the adoption may proceed.

(2) The director may not approve an adoption placement of more than

one child with an applicant in a 12-month period unless

(

a) the children to be placed with the applicant are siblings, or

(

b) the director is satisfied that there are exceptional

circumstances supporting the placement of more than one

child with the applicant.

(3) Financial considerations related to the cost or timing of the

application do not qualify as exceptional circumstances for the

purposes of subsection (2)(b).

(4) A decision of the director to refuse to approve an adoption

placement under this

section may be appealed to an Appeal Panel by

serving a notice of appeal as prescribed in the Child, Youth and Family

Enhancement Regulation.

Adoption where no approval required

31 Where an international adoption, other than an international

adoption to which

Part 2, Division 6 of the Act applies, involves a

child whose country of origin does not require the director's approval

of an adoption placement, the applicant shall

(

a) obtain an adoption order in the child's country of origin, and

(

b) provide a copy of the original adoption order, and a

translated copy of the adoption order, to the director.

Designation of competent authority

32 A director is designated as a competent authority for Alberta with

respect to

Part 2, Division 6 of the Act.

Part 3

General Provisions

Sealed documents

33 Documents that have been sealed by the Minister under

section 74

of the Act prior to the coming into force of

section 74.1(2) of the Act

are documents that are required to be sealed under

section 74.1(2).

Part 4

Repeals, Expiry and

Coming into Force

Repeal

34 The following regulations are repealed:

(

a) the Adoption Regulation (AR 37/2002);

(

b) the Intercountry Adoption Regulation (AR 204/97).

Expiry

35 For the purpose of ensuring that this Regulation is reviewed for

ongoing relevancy and necessity, with the option that it may be

repassed in its present or an amended form following a review, this

Regulation expires on March 31, 2014.

Coming into force

36 This Regulation comes into force on the date that sections 63 to

82 of the Child Welfare Amendment Act, 2003 come into force.

Form 1

Application for a Licence or to Renew a

Licence to Operate an Adoption Agency

1 Regarding the application of (corporate name of applicant) I

am (name) . I am authorized to represent the applicant.

2 Application

I am applying (check one of the following):

__ for a licence to operate a licensed adoption agency.

__ to renew a licence to operate a licensed adoption agency.

I have attached all the supporting documents required by

section

3 of the Adoption Regulation.

I have enclosed the non-refundable application fee of

__ $100 for an initial licence.

__ $50 to renew a licence.

3 Information about Applicant

1 Information about the applying corporate body:

Registered office address:

(telephone number)

Board of Directors:

(name) (title) (address)

(name) (title) (address)

(name) (title) (address)

2 Information about the agency, if different from the

corporate body:

(name)

(address) (telephone number)

3 (Program Director)

4 Signatures

(authorized

officer's signature) (date) Corporate Seal

(authorized

officer's signature) (date)

Form 2

Notice of Decision: Licensing

of Adoption Agency

1 To: (name of applicant or licensee)

Address: (address)

2 Licensing

Pursuant to

section 88 or 89 of the Child, Youth and Family

Enhancement Act, I give notice of my decision to:

__ refuse to issue a licence to operate an adoption agency:

__ refuse to renew your licence to operate an adoption

agency:

__ issue a conditional licence to operate an adoption agency

__ suspend your licence to operate an adoption agency until

__ cancel your licence to operate an adoption agency.

The reasons for my decision are as follows:

You may appeal any decision noted on this form in accordance

with

section 120 of the Child, Youth and Family Enhancement

Act.

This decision takes effect 30 days after the date of service of this

notice.

3 Signature of Minister

(Minister's signature) (date)

Form 3

Request for Intervention

Record Check

1 To: the Minister of Children's Services

Name of applicant:

(full name and all previous names) (birthdate)

(full name and all previous names) (birthdate)

2 Regarding each applicant:

I have applied to (name of licensed adoption agency)

to: (check one of the following)

__ place a child in my home for adoption.

__ process or assist with the processing of the adoption of a

child placed in my home by the parent.

Please check intervention records for any information about me.

Please send the results of your check to me at:

(address) .

(check one of the following)

__ I have no other child.

__ My other children are: (name) (birthdate)

(name) (birthdate)

3 Signatures

(applicant's

(witness's signature) (date) signature)

(applicant's

(witness's signature) (date) signature)

4 Results of Intervention Record Check

I, (name) , (position) , have conducted an intervention

record check on (applicant) and report as follows:

__ I have found no record indicating that the applicants might

have caused a child to be in need of intervention in

Alberta.

__ I have no concern regarding the suitability of the

applicants to have care and custody of a child.

__ I have the following concern regarding the suitability of

the applicants to have care and custody of a child:

(Signature) (date)

Form 4

Update Report

1 Name of applicant(s):

Address:

Telephone: Business (applicant #1)

Business (applicant #2)

2 Assessment

Describe under the following headings the circumstances of any

changes that have occurred since the completion of the home

assessment report:

Part A Yes No Changes

Health

Education

Sources of income

Employment

Residence

Religion

Part B Yes No Changes

Marital or adult interdependent

relationships

Family composition

Understanding of adoption issues

Child desired

Any other significant changes

(including any involvement with

child intervention systems or criminal

legal systems for all persons aged 12

years and over living in the home)

Part C Yes No Changes

References

3 Signatures

(Signature of applicant) (date)

(Signature of applicant) (date)

Form 5

Family and Medical History

Section 1: Child's Information

A Name of child: (birthdate) (sex)

Birthplace: Religion:

Has child been confirmed in child's faith: yes no

unknown

If yes, give details:

Racial Origin: Ethnic Origin:

If registered Indian, (registration number) Band: (name)

Band: (number)

If Metis: (Metis settlement name or community)

Physical description of child:

Diagnosed birth or congenital health problems of child:

B Background (if newborn do not complete)

? Provide any information regarding where the child has

lived, who parented the child, etc.

? Describe relationship with family or other significant

persons.

C Development (if newborn do not complete)

? Discuss academic achievement and social adjustment to

school.

? Describe any interests, hobbies or participation in sports.

? Provide copies of any psychological or psychiatric

assessments which have been completed.

? Provide any known information regarding the child's

emotional, social, developmental or cognitive functioning.

D Personality (if newborn do not complete)

? Discuss child's personality and behaviour.

Section 2: Birth Mother's Information

Name of mother: (birthdate)

Birthplace: Religion:

Racial Origin: Ethnic Origin:

If registered Indian, (registration number)

Band: (name) Band: (number)

If Metis: (Metis settlement name or community)

Marital or adult interdependent relationship status:

Physical description: (height) (weight) (colour of

eyes) (colour of hair)

Any unique features:

Education: Employment:

Interests:

Personality:

Relationship with family:

Other children born to birth mother:

(name) (birthdate) (sex)

(name) (birthdate) (sex)

Who is caring for these children:

Birth mother's parents, brothers and sisters

(name) (address) (birthdate) (sex)

(name) (address) (birthdate) (sex)

? Describe any special talents, skills, traits within the family.

Additional comments of birth mother:

(signature of birth mother)

Section 3: Birth Mother's Medical Information

? Describe the mother's general state of health.

? Describe physical, mental, emotional or medical

conditions and treatment obtained for those conditions.

? Describe extent of use of any drugs, alcohol or tobacco

(including prenatal use).

? Describe prenatal care received by mother.

? Describe any significant physical, mental, emotional or

medical conditions within the extended family.

Section 4: Birth Father's Information

Name of father: (birthdate)

Birthplace: Religion:

Racial Origin: Ethnic Origin:

If registered Indian, (registration number)

Band: (name) Band: (number)

If Metis: (Metis settlement name or community)

Marital or adult interdependent relationship status:

Physical description: (height) (weight) (colour of

eyes) (colour of hair)

Any unique features:

Education: Employment:

Interests:

Personality:

Relationship with family:

Other biological children of birth father:

(name) (birthdate) (sex)

(name) (birthdate) (sex)

Who is caring for these children:

Birth father's parents, brothers and sisters

(name) (address) (birthdate) (sex)

(name) (address) (birthdate) (sex)

? Describe any special talents, skills, traits within the family.

Additional comments of birth father:

(signature of birth father)

Section 5: Birth Father's Medical Information

? Describe the father's general state of health.

? Describe physical, mental, emotional or medical

conditions and treatment obtained for those conditions.

? Describe extent of use of any drugs, alcohol or tobacco.

? Describe any significant physical, mental, emotional or

medical conditions within the extended family.

Section 6: Adoption Information

? Describe the relationship between the birth parents.

? Describe the circumstances surrounding the decision to

choose adoption.

? Is a letter, picture or gift being left for the child?

? Have the birth parents been given background information

about the adoptive family?

? Have the birth parents prepared a contact preference? (if

yes, attach contact preference)

Is the birth father aware that the child has been placed for

adoption? ___ yes ___ no

Additional comments of person preparing history:

(prepared by) (date) (reviewed by) (date)

Form 6

Medical Report

1 Regarding the child (name) , born (date)

Personal Health Number .

2 Referral

Date: (date)

To: (physician's name) From: (caseworker)

(worksite)

(address)

(phone)

3 Information from Most Recent Care Giver

Feeding

__ seems normal for age

__ I am concerned about

Sleeping

__ seems normal for age

__ I am concerned about

Elimination

__ seems normal for age

__ I am concerned about

Development

__ seems normal for age

__ I am concerned about

Temperament

__ seems normal for age

__ I am concerned about

I also have concerns about:

(e.g. developmental delays,

abuse, behaviour)

4 Information from Children's Services

Child's medical history: Prenatal:

Mother's health, nutrition, use of

alcohol, tobacco, other substances;

Birth:

Describe delivery and child's birth

health, including vital stats and

apgars, chronic illness,

hospitalization, abuse:

Immunizations: Up to date

Not up to date

Name of public health centre:

Allergies:

Medications or Supplements:

I also have concerns about:

5 To be completed by a registered physician

5A Laboratory Findings (complete as necessary)

Test Date Results

Blood type

Urinalysis

Urine C/S

TB test

Newborn

metabolic screening

Other

5B Physical Examination (complete as applicable)

Head circumference %tile

Height %tile

Weight %tile

Blood pressure %tile

Normal Abnormal N/A

Ant Fontanel

Head (shape/size)

Ears

Eyes

Oropharynx

Teeth

Lymph nodes

Skin

Nutrition/Iron

Endocrine

Respiratory

Heart

Abdomen

Umbilicus

Femoral pulses

Hernias

Genitalia

Nervous system

Upper limbs

Lower limbs

Hips

Vision

Hearing

Concerns

Summary

5C Assessment

Summary

Healthy child; no concerns

Diagnosis

Prognosis

Care plan and/or recommendations: (describe follow-up

plan)

6 Examining Physician

(name) (area of practice)

(address)

(phone) (date)

(physician's signature)

Form 7

Post-placement Assessment

1 Name of applicant

Name of child (birthdate)

2 Assessment Information

I, (name) , (position) a qualified person

under the Child, Youth and Family Enhancement Act, have

assessed the adjustment of the applicant(

s) and the child to the

placement of the child in the home of the applicant(

s) and report

as follows:

1. Describe the child's physical, mental and emotional level

of development.

2. Describe the child's contact with any health professionals

and the child's immunization program.

3. Describe the adjustment and bonding between the child,

the applicant(

s) and other family members.

4. Describe the home environment (including other people in

the home, parenting abilities, quality of spousal or adult

interdependent relationship).

5. Describe any efforts that have been made to retain the

child's cultural identity.

6. Describe the applicant's understanding of being an

adoptive parent.

7. Provide comments by references regarding the adjustment

of the child and the family to the adoption.

8. Do you believe the completion of this adoption is in the

child's best interests?

(completed by) (position) (date)

(reviewed by) (position) (date)

Form 8

International Adoption Application

1 Applicant Information (please print)

Applicant: (surname) (given names) M F

(telephone (residence)) (telephone (business)) (fax) (e-mail)

Applicant: (surname) (given names) M F

(telephone (residence)) (telephone (business)) (fax) (e-mail)

Address in full: (apartment number) (street number)

(city, province) (postal code)

We are using a Co-ordinator to assist us with preparation of our

adoption documentation.

Yes If yes, (Co-ordinator's name/organization)

(Co-ordinator's telephone number)

2 To be completed and signed by Applicants

? We want to adopt one child or a sibling group from:

(country) .

? We are related (grandparents, aunts, uncles,

great-aunts/uncles)

not related

to the child we wish to adopt.

? We understand that a director may not accept an

application involving a country that has been declared as

being unacceptable for the purposes of international

adoption.

? We understand that a director will not support the adoption

placement of more than one child within a 12-month

period unless the children are siblings, or there are

exceptional circumstances.

? We understand that a director must approve our completed

home assessment report and any addendum to our home

assessment report before we may proceed with our

international adoption.

? We understand that we must complete training on

preparation for international adoption before a director

will approve our home assessment report.

? We understand that if a director refuses to approve our

home assessment report or any addendum to our home

assessment report, we may appeal that decision to an

Appeal Panel.

? We will inform a director of any significant changes to our

lives during the international adoption process (pregnancy,

birth of a child, adoption, absence from Alberta, poor

health, financial or marital or adult interdependent

relationship changes). We understand that the adoption

process may be placed "on hold" until the child's country

of origin confirms that we continue to be eligible for

adoption.

? We understand that it is advisable to consult with a

physician regarding the child's health before accepting

placement of the child.

? We understand that the Government of Alberta does not

provide legal advice in the processing of our adoption.

? We understand that we are responsible for all costs of our

adoption.

(applicant's signature) (applicant's signature) (year/month/day)

3 Authorization

Authorization is given to the Applicants to obtain a Home Assessment

Report from an Alberta Licensed Adoption Agency (List attached) for

an international adoption of one child or a sibling group from:

(child's country of origin)

(Adoption Services designate's signature) (year/month/day)

PLEASE NOTE:

? Home Assessment Reports and Update Reports remain

in effect for one year. Home Assessment Reports and

addendums to Home Assessment Reports are valid

only when they have been approved by a director.

? A director will provide instructions that need to be

followed to process an adoption from a specific

country. If the instructions of the director are not

followed, the child may not be permitted to enter

Canada.

Form 9

Home Assessment Report

To prepare the Home Assessment Report, provide information under

each heading below.

Part 1: Applicants' Information

Provide information about each applicant

Name on birth certificate

Other names, if any

Address, street, city, province, postal code

Mailing address if different from above

Telephone, (residence, business, cellular), e-mail

Birthdate, (year, month and day), birthplace

Marital or adult interdependent relationship status

Racial Origin Ethnic Origin

Registered Indian Band Name

Metis Metis settlement name or

community

Health, as supported by

medical

Education Employment

Religion

Languages system

Brief family history (include parenting style, familial

relationships, significant childhood experiences, views of

extended family on this application)

Involvement with legal and child intervention systems (include

criminal record checks and intervention record checks within the

last 6 months for applicants and everyone aged 18 years and

over living in the home)

Personality

Part 2: Family Dynamics

Describe the following:

Family composition

Relationship dynamics

Previous marriages or long-term relationships

Communications patterns

Autonomy of individual family members

Ability to solve problems and handle crisis

Emotional interactions

Family traditions

Philosophy on child rearing

Modes of behaviour control

Interests and hobbies

Social support network

What arrangements have been made for alternative guardians for

the child (include names, ages, education, occupation and

income. Complete for international adoption only.)

Part 3: Home and Community

Describe the following:

Physical space

Safe environment assessment (include safe storage of

medications and weapons, if any)

Availability of resources

Community involvement

Contact with professional agencies

Part 4: Child Desired

Is assessment for a specific child? If yes, describe relationship

and involvement with child and birth family

Age

Male / Female

Racial origin

Sibling group

Acceptable background characteristics

Acceptable special needs

Acceptability of birth family contact

Acceptability of sibling contact

Acceptability of an abandoned child with no background

information

Acceptability of a child who has lived in an institution

Acceptability of legal risk placements

Compatibility of applicants and child desired

Does assessment worker agree with applicants' choices?

Part 5: Income

Describe the following:

The source and level of income and expenditures (include T4

slips)

The effect of a placement on family's finances

Part 6: Understanding and Motivation for Adoption

Describe the following:

Applicants' understanding of the legal, social, inter-racial and

emotional aspects of adoption

Applicants' plans to promote child's cultural/racial/religious

heritage and identity

Knowledge of the selected country (for international adoption

only)

Applicants' motivation for selecting the country (for

international adoption only)

Part 7: References

References (3 references for each applicant, regarding suitability

- including relationship to applicant, if any, on what basis

judgment is made about applicant's potential/actual parenting

ability and

summary of results of interview(s))

Part 8: Overview of Home Assessment Process

Date of personal visits (include amount of time spent at each

interview and location of interview)

Persons interviewed (include confirmation that each person

living in the home was interviewed separately and as a family)

Applicants' training and activities in support of their application

Part 9:

Summary of Outcome of Assessment

Report prepared by

Position

Date report prepared

Report reviewed by

Position

Date report reviewed

Report reviewed by applicants: signature and date

Part 10: Placement Supports

Needed supports and services

Arrangements for the provision of the identified

supports/services

Part 11: Recommendation/Approval of Assessor

Assessor Recommendation

Approved

Not Approved (provide brief

summary)

Approved by Director of Private Licensed Adoption Agency (for

agency and international adoptions)/Supervisor

Approved by Director, Children's Services (for international

adoptions only)

Approved by Supervisor (for PGA/PGO adoptions)

Opinion of the child in respect of the application (if applicable)

Opinion of the child's birth parents in respect of the application

(if applicable)

This home assessment report is not valid until it is approved, under

seal by Alberta Children's Services (for international adoptions)

Form 10

Addendum to Home Assessment Report

Part 1:

Name

Address, street, city, province, postal code

Mailing address, if different from above

Telephone (residence, business, cellular), e-mail

Part 2: Updated Information to the Home Assessment Report

(complete only those sections where changes have

occurred)

Applicants Information

Health

Education

Source and level of income and expenditures

(include T4 slips)

The effect of a placement on family's finances

Family Dynamics

Marital or adult interdependent relationship

Family composition

Arrangements for alternative guardian

(international adoption only)

Social support network

Home and Community

Residence

Physical space (include safe environment

assessment)

Availability of resources

Community involvement

Contact with professional agencies

Child Desired

Age

Sex

Racial origin

Sibling group (yes/no)

Acceptable background characteristics

Acceptable special needs

Acceptability of birth family contact

Acceptability of sibling contact

Acceptability of an abandoned child with no

background information

Acceptability of a child who has lived in an

institution

Acceptability of a legal risk placements

Compatibility of applicants and child desired

Does assessment worker agree with applicants'

choices?

Involvement with Legal and Child Intervention Systems

Applicants

Other residents in the home age 12 and over

Part 3: Other Significant Changes and Their Impact on Adoption

Part 4: Updated Documents (international adoption only)

Part 5: Overview of Addendum Assessment Process

Date of personal visits

Persons interviewed

Part 6:

Summary of Outcome of Addendum Assessment Process

Addendum prepared by (position/date)

Addendum reviewed by (position/date)

Addendum reviewed by applicants (signature and

date)

Part 7: Recommendation/Approval of Assessor

Assessor Recommendation (Approved/Not

Approved (provide brief

summary))

Approved by Director of Private Licensed

Adoption Agency (for agency and international

adoptions)/Supervisor

Approved by Director, Children's Services (for

international adoptions only)

Approved by Supervisor (for PGA/PGO adoptions)

Opinion of the child in respect of the application (if

applicable)

Opinion of the child's birth parents in respect of the

application (if applicable)

This Addendum is not valid until it is approved, under seal by Alberta

Children's Services (for international adoptions).

Alberta Regulation 188/2004

Child and Family Services Authorities Act

CHILD AND FAMILY SERVICES AUTHORITIES

RESPONSIBILITIES REGULATION

Filed: September 8, 2004

Made by the Minister of Children's Services (M.O. 33/04) on August 30, 2004

pursuant to

section 20(2) of the Child and Family Services Authorities Act.

Table of Contents

1 Definition

2 Role of the board chair

3 Role of the chief executive officer

4 Conflict of interest

5 Disclosure of conflict of interest

6 Determination of a conflict of interest

7 Resolution of a conflict of interest

8 Influence

9 Gifts to board members

10 Employment with Authority

11 Contracts with the Authority

12 Review

13 Coming into force

Definition

1 For the purposes of this Regulation, "associate", in relation to a

member of the board of an Authority, means a person who is any of the

following:

(

a) the board member's spouse or adult interdependent partner;

(

b) a person related to the board member by blood, marriage,

adoption or through an adult interdependent partner;

(

c) a person with whom the board member has a significant

personal or business relationship;

(

d) a corporation that is a service provider within the meaning of

the Child and Family Services Authorities Regulation of

which the board member or a person listed in clauses (

a) to

(

c) is a director, a senior officer or a shareholder;

(

e) a partnership in which

(

i) the board member or a person listed in clauses (

a) to (

c) is a partner, or

(ii) a corporation is a partner, and the board member or a

person listed in clauses (

a) to (

c) is a director, a senior

officer or a shareholder of the corporation.

Role of the board chair

2(1) Subject to express directions or instructions given by the board,

the board chair shall act for and on behalf of the board in any matter

that is within the jurisdiction of the board.

(2) The board chair, on behalf of the board, has the following

responsibilities:

(

a) providing the Minister with regular updates on the

Authority's operations;

(

b) informing the Minister of matters relating to board business;

(

c) providing general guidance to the chief executive officer;

(

d) identifying and addressing matters related to the governance

of the Authority;

(

e) identifying and addressing strategic issues that may affect the

Authority;

(

f) representing the Authority in matters involving the

coordination of regional delivery systems with other

Authorities and with the Minister's Department;

(

g) ensuring that the board conducts an annual assessment of its

performance in accordance with policies established by the

Minister;

(

h) ensuring that the board prepares an annual performance

report in respect of the chief executive officer;

(

i) ensuring that conflict of interest matters are addressed by the

board;

(

j) ensuring that the board develops and implements a board

communication strategy;

(

k) facilitating the involvement of the community and

stakeholders in strategic planning;

(

l) any other responsibilities that the Minister or the board may

assign.

Role of the chief executive officer

3(1) The chief executive officer is the administrative head of the

Authority.

(2) The chief executive officer is accountable to the Minister and the

board.

(3) The chief executive officer has the following responsibilities:

(

a) providing child and family services as prescribed under the

Act and the Child and Family Services Authorities

Regulation, and implementing other programs and services as

directed by the Minister and the board;

(

b) implementing the Minister's policies, decisions, directions

and priorities;

(

c) implementing the board's policies, decisions, directions and

priorities;

(

d) identifying to both the Minister and the board matters that

may significantly impact the Authority or child and family

services generally;

(

e) providing recommendations to the Minister and to the board

of changes to any policies, procedures or programs that are

necessary to carry out the mandate of the Authority;

(

f) managing and directing all operations of the Authority in

accordance with provincial standards;

(

g) preparing and implementing business plans in compliance

with the Minister's standards and within the allocated

funding for the Authority;

(

h) preparing an annual report of the operations of the Authority

in compliance with the Minister's standards;

(

i) providing advice and assistance to the board;

(

j) informing the board of legislation that affects the Authority;

(

k) providing the board with regular updates on the Authority's

operations, the progress of the business plan and the financial

state of the Authority;

(

l) ensuring that the Authority complies with the policies,

procedures and directives of the Government, the Minister

and the board;

(

m) ensuring that the Authority complies with applicable

legislation;

(

n) developing and implementing a communication strategy for

the Authority;

(

o) managing the finances of the Authority within the

Authority's allocated budget;

(

p) managing government employees assigned to the Authority;

(

q) any other responsibilities that the Minister or the board may

assign.

Conflict of interest

4 A conflict of interest exists with respect to a board member if the

board member has the ability to influence a decision made by the

board that could result in a financial gain or some other material

benefit to either the board member or an associate of the board

member, or both.

Disclosure of conflict of interest

5(1) If a board member has reasonable grounds to believe that he or

she has or may have a conflict of interest, the board member must

disclose the conflict of interest

(

a) to the board at a meeting of the board if the member first

becomes aware of the existing or potential conflict of interest

during the meeting, or

(

b) to the board chair at any other time as soon as the board

member becomes aware of the existing or potential conflict

of interest.

(2) If the board member discloses an existing or a potential conflict of

interest to the board chair, the chair must bring the matter before the

board at the board's next meeting.

Determination of a conflict of interest

6(1) When the board is made aware of an existing or potential conflict

of interest, the board shall, by resolution, determine whether a conflict

of interest exists.

(2) All conflict of interest matters and their resolution by the board

must be recorded in the minutes of the board's meeting.

Resolution of a conflict of interest

7(1) If a board member discloses an actual or potential conflict of

interest to the board or the board chair under

section 5, or if the board

determines that a board member has failed, whether knowingly or

unknowingly, to comply with

section 5, the board must assess the

nature and extent of the conflict of interest.

(2) In order to assess the nature and extent of the conflict of interest,

the board may require the affected board member to disclose the

details of the actual or potential financial gain or other material benefit

gained

(

a) by the board member, or

(

b) by an associate of the board member if the details of the

associate's financial gain or other material benefit gained are

known by the board member.

(3) After assessing the nature and extent of the conflict of interest, the

board may do one or more of the following:

(

a) require the board member to abstain from future discussions

of the matter and voting on the matter;

(

b) require the board member to remove himself or herself from

the conflict situation in order to resolve the conflict;

(

c) recommend to the board member that the board member

voluntarily resign from his or her position on the board;

(

d) recommend to the Minister that the board member's

appointment be terminated.

Influence

8 A board member must not use his or her influence as a board

member to secure employment, special privileges, favours or

exceptions for the board member or for an associate of the board

member.

Gifts to board members

9(1) A board member shall not accept a gift, favour or other benefit

that is directly connected with the board member's position as a board

member from any corporation, partnership, association or individual

that conducts business with the Authority.

(2) Notwithstanding subsection (1), a board member may accept a gift,

favour or other benefit as a matter of protocol or other social obligation

(

a) as soon as practical, the member discloses to the board that

the member has accepted the gift, favour or other benefit, and

(

b) the board determines that the member's acceptance of the

gift, favour or other benefit was appropriate.

(3) If a board member

(

a) accepts a gift, favour or other benefit in contravention of

subsection (1), or

(

b) does not disclose to the board the acceptance of the gift,

favour or other benefit as required under subsection (2),

the board may do one or more of the following:

(

c) determine that the member's acceptance of the gift was

appropriate,

(

d) require the member to return the gift to the corporation,

partnership, association or individual from whom it was

received,

(

e) recommend that the member voluntarily resign from his or

her position on the board, or

(

f) recommend to the Minister that the member be terminated

from his or her position on the board.

Employment with Authority

on the board prior to pursuing employment with the board's Authority.

Contracts with the Authority

11(1) For a period of 6 months from the date a person ceases to be a

board member, the Authority shall not enter into any contracts with

that person.

(2) The board with the approval of the Minister may shorten the time

period referred to in subsection (1).

Review

12 For the purpose of ensuring that this Regulation is reviewed for

ongoing relevancy and necessity, with the option that it may be

repassed in its present or an amended form following a review, this

Regulation expires on May 31, 2014.

Coming into force

13 This Regulation comes into force on November 1, 2004.

--------------------------------

Alberta Regulation 189/2004

Residential Tenancies Act

RESIDENTIAL TENANCIES EXEMPTION REGULATION

Filed: September 8, 2004

Made by the Lieutenant Governor in Council (O.C. 407/2004) on September 8, 2004

pursuant to

section 68 of the Residential Tenancies Act.

Table of Contents

1 Exemptions

2 Refusal of assignment/sublease

3 Repeal

4 Expiry

5 Coming into force

Exemptions

1 The following are exempt from the application of the Residential

Tenancies Act:

(

a) an approved hospital as defined in the Hospitals Act;

(

b) a provincial cancer hospital operated by the Provincial

Cancer Hospitals Board under the Cancer Programs Act.

Refusal of assignment/sublease

2 The Banff Housing Corporation may refuse to give its consent to

the assignment or sublease of a residential tenancy agreement under

section 22(3) of the Act if

(

a) the assignment or sublease is to a person who does not

qualify as a bona fide resident under the terms of that

agreement,

(

b) the assignment or sublease is to a person who does not meet

the eligible resident requirements defined in the National

Parks of Canada Lease and Licence of Occupation

Regulations SOR/2002-237 under the Canada National

Parks Act (Canada),

(

c) the tenant has not obtained the consent in writing of the

(

d) the Banff Housing Corporation has reasonable grounds to

believe that the assignment or sublease is to a person who

does not meet the Corporation's qualification requirements to

acquire an interest in a residential tenancy agreement.

Repeal

3 The Residential Tenancies Exemption Regulation (AR 227/92) is

repealed.

Expiry

4 For the purpose of ensuring that this Regulation is reviewed for

ongoing relevancy and necessity, with the option that it may be

repassed in its present or an amended form following a review, this

Regulation expires on July 31, 2014.

Coming into force

5 This Regulation comes into force on November 1, 2004.

--------------------------------

Alberta Regulation 190/2004

Residential Tenancies Act

Mobile Home Sites Tenancies Act

SECURITY DEPOSIT INTEREST RATE REGULATION

Filed: September 8, 2004

Made by the Lieutenant Governor in Council (O.C. 408/2004) on September 8, 2004

pursuant to

section 68 of the Residential Tenancies Act and

section 65 of the Mobile

Home Sites Tenancies Act.

Interest rates to 2004

1(1) For the purposes of

section 45(1) of the Residential Tenancies

Act and

section 50(1) of the Mobile Home Sites Tenancies Act, the

annual rate of interest is as follows:

(

a) for the period January 1, 1984 to February 28, 1987, 8%;

(

b) for the period March 1, 1987 to January 31, 1993, 6%;

(

c) for the period February 1, 1993 to June 30, 1994, 3%;

(

d) for the period July 1, 1994 to December 31, 1994, 1 1/2%;

(

e) for the period January 1, 1995 to December 31, 2004, the rate

determined under subsection (2).

(2) The annual rate of interest for a year to which subsection (1)(

e) applies is the rate that is 3 1/2% below the rate of interest that is in

effect in December of the previous year for Alberta Savings

Certificates or any security issued in that previous year to replace those

certificates.

Interest rate after 2004

2 For the purposes of

section 45(1) of the Residential Tenancies Act

and

section 50(1) of the Mobile Home Sites Tenancies Act, the annual

rate of interest for 2005 and each following year is the rate that is 3%

below the rate of interest that is in effect on November 1 of the

previous year for cashable one-year guaranteed investment certificates

held or offered by Alberta Treasury Branches Financial.

Repeal

3 The Security Deposit Interest Rate Regulation (AR 446/83) is

repealed.

Coming into force

4 This Regulation comes into force on November 1, 2004.

--------------------------------

Alberta Regulation 191/2004

Residential Tenancies

SUBSIDIZED PUBLIC HOUSING REGULATION

Filed: September 8, 2004

Made by the Lieutenant Governor in Council (O.C. 409/2004) on September 8, 2004

pursuant to

section 69 of the Residential Tenancies Act.

Table of Contents

1 Application

2 Termination of periodic tenancies

3 Rent

4 Security deposit

5 Offence

6 Repeal

7 Expiry

8 Coming into force

Application

1 This Regulation applies only to

(

a) residential tenancy agreements in which the premises under

the agreements are subsidized public housing, and

(

b) landlords and tenants under those agreements.

Termination of periodic tenancies

2 For the purposes of

section 6 of the Act, a landlord may terminate a

periodic tenancy for one or more of the following reasons:

(

a) the tenant is no longer eligible for subsidized public housing

because the maximum income levels established under the

residential tenancy agreement have been exceeded;

(

b) the tenant has not reported or has misreported income or

other information required under the residential tenancy

agreement;

(

c) the public funding for the program on which the subsidized

public housing is based has been cancelled or will be

cancelled when the notice period for terminating the tenancy

has passed;

(

d) any of the reasons for terminating a periodic tenancy

established in the Residential Tenancies Ministerial

Regulation.

Rent

3(1) In this section, "income of the tenant" means the income of the

tenant, the tenant's family or other persons living with the tenant, or a

combination of those incomes, for a year, as adjusted in accordance

with any applicable deductions made under

section 1(3) of the Social

Housing Accommodation Regulation (AR 244/94).

(2) If a residential tenancy agreement provides that the tenant's rent is

calculated by multiplying a fixed percentage times the income of the

tenant,

section 14 of the Act and any regulation made in respect of that

section apply only to an increase in rent under that agreement based on

an increase in the fixed percentage.

Security deposit

4(1) A landlord shall not require a tenant to provide a security deposit

that is greater than

(

a) the amount the tenant is required to pay to the landlord for

the first month under the residential tenancy agreement, or

(

b) the amount that would be payable for the first month under

the residential tenancy agreement if rent were payable

monthly.

(2) Section 43(1) of the Act does not apply to a landlord and tenant

under a residential tenancy agreement in which the premises under the

agreement are subsidized public housing.

Offence

5 A person who contravenes

section 4(1) is guilty of an offence and

is liable to a fine of not more than $5000.

Repeal

6 The Subsidized Public Housing Regulation (AR 228/92) is

repealed.

Expiry

7 For the purpose of ensuring that this Regulation is reviewed for

ongoing relevancy and necessity, with the option that it may be

repassed in its present or an amended form following a review, this

Regulation expires on July 31, 2014.

Coming into force

8 This Regulation comes into force on November 1, 2004.

--------------------------------

Alberta Regulation 192/2004

Child and Family Services Authorities Act

CHILD AND FAMILY SERVICES AUTHORITIES REGULATION

Filed: September 8, 2004

Made by the Lieutenant Governor in Council (O.C. 410/2004) on September 8, 2004

pursuant to

section 20 of the Child and Family Services Authorities Act.

Table of Contents

1 Definition

2 Child and family services

3 Eligibility

4 Ineligibility

5 Change in circumstances

6 Advertisement of vacancy

7 Vacancy

8 Repeal

9 Expiry

10 Coming into force

Definition

1 In this Regulation, "service provider" includes independent service

providers, independent contractors and corporations.

Child and family services

2 The following are child and family services for the purposes of the

Act:

(

a) programs and services under the Child, Youth and Family

Enhancement Act, except programs and services related to

the following:

(

i) international adoptions;

(ii) maintaining a registry of applications for adoptive

applicants and family applicants and matching

applications for voluntary disclosure in accordance with

section 75 of the Child, Youth and Family Enhancement

Act;

(iii) licensing of adoption agencies;

(iv) conducting investigations with respect to proposed

adoptions;

(

v) publication of advertisements for the purpose of finding

adoptive homes for children under the permanent

guardianship of the director;

(vi) matching of prospective adoptive parents with children

under the permanent guardianship of the director;

(

b) programs and services under the Family Support for Children

with Disabilities Act;

(

c) programs and services under the Protection of Children

Involved in Prostitution Act;

(

d) programs and services under the Social Care Facilities

Licensing Act, excluding the staff qualification process;

(

e) education and prevention with respect to child abuse and

family violence;

(

f) services designed to promote and maintain the safety and

healthy development of children and families, including early

childhood development and early intervention;

(

g) financial assistance to eligible families for out of home child

care costs;

(

h) operation of a family day home system, including

recruitment, screening, training, monitoring and evaluation.

Eligibility

3 In order for a person to be appointed as or to remain a member of a

board, the person, in addition to meeting the requirements of the Child

and Family Services Authorities Act, must be an adult who is a

Canadian citizen or lawfully admitted to Canada for permanent

residence.

Ineligibility

4 The following persons are not eligible to be appointed as or to

remain a member of a board:

(

a) employees of the Government who are under the

administration of the Minister;

(

b) a service provider who receives a significant portion of his or

her income or funding, including grants and contributions,

from either the Authority or the Minister's department, or

both, as determined by the Minister;

(

c) a director or officer of a corporation that is a service provider

where the corporation receives a significant portion of its

income or funding, including grants and contributions, from

either the Authority or the Minister's department, or both, as

determined by the Minister;

(

d) a person who has a significant role in the operation of a

service provider, as determined by the Minister;

(

e) the spouse or adult interdependent partner of any of the

persons listed in clauses (

a) to (d);

(

f) a Member of the Legislative Assembly, a Member of

Parliament, a Senator, a sitting judge of any court in Alberta

or a Justice of the Peace;

(

g) a person who has been convicted of an offence under the

Child, Youth and Family Enhancement Act or the Protection

of Children Involved in Prostitution Act.

Change in circumstances

5(1) If a board member's circumstances change, either temporarily or

permanently, in such a way that it may result in the member becoming

ineligible to remain a board member under

section 4, the member must

immediately report that change in circumstances in writing to the

Minister.

(2) If a board member's non-compliance with subsection (1) comes to

the attention of the board, the board chair must, as soon as possible,

report the member's change in circumstances in writing to the

Minister.

Advertisement of vacancy

6 Where a vacancy occurs in the membership of a board, the Minister

shall advertise for nominations for the vacant position within the

region served by that board.

Vacancy

7 Notwithstanding

section 6, if a vacancy occurs in the membership

of a board and an advertisement for an earlier vacancy in the

membership was placed under

section 6 within the 12 previous

months, the Minister

(

a) is not required to advertise the vacancy, and

(

b) may fill the vacancy from the nominations received as a

result of that advertisement.

Repeal

8 The Child and Family Services Authorities Regulation (AR 6/98) is

repealed.

Expiry

9 For the purpose of ensuring that this Regulation is reviewed for

ongoing relevancy and necessity, with the option that it may be

repassed in its present or an amended form following a review, this

Regulation expires on May 31, 2014.

Coming into force

10 This Regulation comes into force on November 1, 2004.

--------------------------------

Alberta Regulation 193/2004

Alberta Personal Property Bill of Rights

EXEMPTION AMENDMENT REGULATION

Filed: September 8, 2004

Made by the Lieutenant Governor in Council (O.C. 411/2004) on September 8, 2004

pursuant to

section 5 of the Alberta Personal Property Bill of Rights.

1 The Exemption Regulation (AR 125/99) is amended by

this Regulation.

Section 2 is amended by adding the following after

clause (a):

(a.1) the Climate Change and Emissions Management Act;

Section 3 is amended

(

a) by repealing clauses (

h) and (i);

(

b) in clause (

k) by striking out "this" and substituting

"that";

(

c) by adding the following after clause (s):

(s.1) sections 31 and 31.1 of the Forest and Prairie

Protection Act;

(

d) by repealing clauses (ii) and (jj);

(

e) by adding the following after clause (mm):

(mm.1)

section 29 of the Public Health Act;

(

f) by repealing clause (nn);

(

g) by adding the following after clause (oo):

(oo.1) sections 69(8), 77, 127, 141, 142 and 170 to 173 of the

Traffic Safety Act, and any other provision that

authorizes the seizure, removal or immobilization of a

vehicle under that Act;

(

h) in clause (rr) by striking out "section 7" and

substituting "sections 7 and 48".

Section 4 is amended

(

a) in clause (a)(

i) by adding "the Alberta Income Tax Act,

the Alberta Personal Income Tax Act," after "the Alberta

Corporate Tax Act,";

(

b) by repealing clauses (

b) and (

c) and substituting

the following:

(

b) an order of the Minister to take possession and control

of the assets of a registered corporation under the Loan

and Trust Corporations Act;

(b.1) any act of an administrator, a provisional liquidator or

the Minister under the Loan and Trust Corporations

Act;

(

c) an order of the Minister or the Credit Union Deposit

Guarantee Corporation placing a credit union under

supervision or an order of that Corporation placing a

credit union under administration under the Credit

Union Act;

(c.1) any act of an administrator, a provisional liquidator, a

liquidator, the Credit Union Deposit Guarantee

Corporation or the Minister under the Credit Union Act;

(

c) by repealing clause (

e) and substituting the

following:

(

e) money payable to the Minister of Finance pursuant to a

written notice issued under the Alberta Corporate Tax

Act, the Alberta Income Tax Act, the Alberta Personal

Income Tax Act, the Fuel Tax Act, the Hotel Room Tax

Act or the Tobacco Tax Act;

(

d) by repealing clause (

g) and substituting the

following:

(

g) seizure by a liquidator under the Securities Act;

Section 5 is amended by adding the following after

clause (b):

(

c) the Vehicle Seizure and Removal Regulation (AR 323/2002).

Section 6 is repealed and the following is substituted:

Exempt matters under regulations

Section 2 of the Act does not apply in respect of the following

matters:

(

a) orders issued under the authority of sections 8 and 11 of

the Communicable Diseases Regulation (AR 238/85);

(

b) the capture, destruction or other disposal of an animal

under

section 18 of the General Regulation

(AR 102/85).

Exempt provisions of regulations

6.1

Section 2 of the Act does not apply in respect of the

provisions of the following regulations:

(

a) sections 9, 13, 14 and 24 of the Conservation and

Reclamation Regulation (AR 115/93);

(b) sections 11(2), 12, 23, 47 and 48 of the Correctional

Institution Regulation (AR 205/2001);

(

c) section 4 of the Environmental Protection and

Enhancement (Miscellaneous) Regulation (AR 118/93);

(

d) sections 8, 15, 36, 37, 48 and 49 of the Exploration

Regulation (AR 214/98);

(e)

section 12(3) of the Horse Capture Regulation

(AR 59/94);

(

f) sections 12 and 13 of the Metallic and Industrial

Minerals Exploration Regulation (AR 213/98);

(

g) section 4 of the Nuisance and General Sanitation

Regulation (AR 243/2003);

(

h) section 31 of the Pesticide Sales, Handling, Use and

Application Regulation (AR 24/97);

(i)

section 20(2) of the Vegetable Sales Regulation

(AR 105/97);

(

j) sections 33 and 36(4) of the Waste Control Regulation

(AR 192/96);

(

k) section 70 of the Water (Ministerial) Regulation

(AR 205/98);

(

l) sections 9 to 11, 14, 17, 25, 28, 35, 36, 40, 43, 44, 55,

57, 69, 74, 92 to 97, 102, 104, 115 and 120 of the

Dispositions and Fees Regulation (AR 54/2000).

--------------------------------

Alberta Regulation 194/2004

Maintenance Enforcement Act

MAINTENANCE ENFORCEMENT AMENDMENT REGULATION

Filed: September 8, 2004

Made by the Lieutenant Governor in Council (O.C. 412/2004) on September 8, 2004

pursuant to

section 45 of the Maintenance Enforcement Act.

1 The Maintenance Enforcement Regulation (AR 2/86) is

amended by this Regulation.

Section 1 is amended

(

a) by repealing clauses (a.1) and (b):

(

b) by repealing clause (

c) and substituting the

following:

(c) "support deduction notice" means a support deduction

notice issued under

section 17 of the Act;

(

c) in clause (

d) by adding the following after

subclause (i):

(i.1) a type of remuneration that, in the opinion of the

Director, is equivalent to wages or salary.

Section 2 is amended

(

a) in repealing subsection (3) and substituting the

following:

(3) If a creditor receives a payment of any sum of money from

the debtor in respect of a maintenance order after the date of the

affidavit filed under subsection (2) or after the date the order is

filed under

section 7(1) of the Act, the creditor shall report the

payment to the Director within 7 days.

(

b) by adding the following after subsection (3):

(4) A report by a creditor under subsection (3) must be made

by using any of the automated telephone or internet reporting

features that may be provided by the Director for that purpose

from time to time.

Section 2.2 is amended

(

a) in subsection (1) by striking out "15(c)" and

substituting "15(3)(e)";

(

b) in subsection (1)(

a) by striking out "of a debtor in

arrears";

(

c) in subsection (1)(

f) by striking out ", or" at the end

of subclause (ii), repealing subclause (iii) and

substituting the following:

(iii) determining whether a repayment is required under

Part 6 of the Income and Employment Supports

Act, or

(iv) preparing or making an application or agreement

under the Parentage and Maintenance Act,

Domestic Relations Act, Child Welfare Act or

Part

5 of the Income and Employment Supports Act;

(

d) by adding the following after subsection (1)(f):

(

g) the Ethics Commissioner for the purposes of carrying

out his or her duties and functions under the Conflicts of

Interest Act.

(

e) in subsection (2)(

d) and (5) by striking out "whether

any of the arrears are subrogated to the Crown and, if so, the

amount" and substituting "whether any of the

maintenance or arrears are subrogated to the Crown or

whether the Crown is entitled to receive any of the

maintenance or arrears and, if so, the amount, the periods of

time when it was subrogated to the Crown or the Crown was

entitled to it, and any related information";

(

f) in subsection (4) by striking out "Reciprocal

Enforcement of Maintenance Orders Act" and

substituting "Interjurisdictional Support Orders Act";

(

g) in subsection (4)(

b) by adding ", cell phone number,

e-mail address" after "work telephone number".

Section 3 is repealed.

Section 5 is amended

(

a) in subsection (2.01) by striking out "17(4)" and

substituting "17(2)";

(

b) by adding the following after subsection (3):

(3.1) In addition to the means of service provided for in

subsection (3), a request by the Director for information to be

provided under

section 13 of the Act may be served by

telecopier, by electronic mail or by ordinary mail.

(

c) by repealing subsection (8) and substituting the

following:

(8) Despite a court order described in

section 44 of the Act, the

Director shall not serve a document under that

section on a debtor

or creditor named in the court order as the party to be

substitutionally served by service on the Director unless

(

a) the Director has been provided with a filed copy of an

order described in

section 44 of the Act and 2 copies of

each document to be served on the party,

(

b) the person who wishes the Director to serve the

document on the party submits to the Director a

completed request for service in Form 5,

(

c) the Director has an address for service for the party to

be served, and

(

d) the fee for service has been paid.

Section 7 is amended

(

a) by repealing subsections (1), (1.1) and (2) and

substituting the following:

Forms

7(1) A statement of finances required to be filed by a debtor

under the Act must be in Form 1.

(

b) in subsection (3) by striking out "Form 4" and

substituting "Form 2";

(

c) in subsection (4) by striking out "Form 5" and

substituting "Form 3";

(

d) in subsection (5) by striking out "Form 6" and

substituting "Form 4";

(

e) in subsection (6) by striking out "Form 7" and

substituting "Form 5";

(

f) in subsection (7) by striking out "Form 8" and

substituting "Form 6".

Section 8 is repealed.

9 Sections 9 to 12 and 15 to 18 are amended by striking

out "notice of continuing attachment" wherever it occurs and

substituting "support deduction notice".

Section 12(3) is repealed.

11 Sections 13 and 14 are repealed and the following is

substituted:

Exemption

13(1) In this section, "gross wages or salary" means the amount of

wages or salary payable before any mandatory or voluntary

deductions, and includes holiday pay, vacation pay, bonus or

incentive-based pay and overtime pay, but does not include

termination or severance pay.

(2) Subject to subsection (4), if the money bound under a support

deduction notice is payable to a debtor as wages or salary, 60% of

the gross wages or salary is exempt from attachment during each

month.

(3) The debtor or the Director on 2 days' notice to the Director and

the creditor may apply to the Court of Queen's Bench for an order

increasing or decreasing the exemption under subsection (2).

(4) The debtor and the Director may agree that the exemption

referred to in subsection (2) shall be less than 60%.

Section 16 is amended

(

a) in subsection (1) by striking out "5 years" and

substituting "12 years";

(

b) by repealing subsection (5).

Section 18 is amended

(

a) in subsection (3) by striking out "13(2.1)" and

substituting "17(3)" and by striking out "13(2.2)" and

substituting "17(4)";

(

b) in subsection (4) by striking out "17(6)" and

substituting "17(4)".

Section 19 is repealed.

Section 20 is amended by striking out "Reciprocal

Enforcement of Maintenance Orders Act" and substituting

"Interjurisdictional Support Orders Act".

16 The following is added after

section 22:

Definitions

23(1) For the purposes of

section 12 of the Act, "funds" are

defined as

(

a) a payment, except for a payment on behalf of a minor,

by the Administrator of the Motor Vehicle Accident

Claims Act pursuant to a judgment under that Act,

(

b) a prize of $1001 or more that is payable to an individual

claimant pursuant to a single winning ticket in a lottery

scheme that is conducted and managed by the Western

Canada Lottery Corporation or any successor of the

Western Canada Lottery Corporation, if the prize is

claimed directly from the Western Canada Lottery

Corporation or its successor, and

(

c) funds locked into a retirement savings vehicle as

defined in

section 17.1 of the Act if

(

i) the funds are the subject of a financial hardship

application to the Superintendent of Pensions, and

(ii) the applicant has disclosed in the application that

(

A) he or she is a maintenance debtor, or

(

B) the reason for the financial hardship

application is that the funds are needed to pay

maintenance.

(2) The Western Canada Lottery Corporation, and any successor

of the Western Canada Lottery Corporation, is designated as an

entity under

section 12(3) of the Act.

(3) The Western Canada Lottery Corporation, and any successor

of the Western Canada Lottery Corporation, is required to

provide the Director with information and to hold funds in

accordance with the Act, this Regulation and any agreement that

may be entered into by the Western Canada Lottery Corporation

or its successor and the Director when it receives a claim for

funds from an individual claimant as described in subsection

(1)(b).

(4) The information required to be provided to the Director

under

section 12(3)(

a) and (b)(

i) and (ii) of the Act includes

(

a) the name of the individual to whom or on whose behalf

a payout of funds is to be made, including any

variations of the name that have been provided by the

individual to the Crown, Provincial agency or statutory

agent responsible for authorizing the payout,

(

b) the name of an agent or legal counsel acting for the

individual, if any,

(

c) if an individual has filed a financial hardship application

that meets the criteria set out in subsection (1)(c),

(

i) the name, date of birth, mailing address, phone

number, telecopier number, e-mail address and

principal residence address of the individual, if

available, and

(ii) the account number of the retirement savings

vehicle and the name, address and telecopier

number of the financial institution that administers

it,

and

(

d) all available information related to the identity of the

individual that is shown on a record in the possession or

control of the Crown, the Provincial agency or statutory

agent.

(5) The information required to be provided to the Director

under

section 12(3)(b)(iii) of the Act includes

(

a) the information referred to in subsection (3)(

a) and (

b) that has been provided by or on behalf of the individual

to the entity responsible for authorizing the payout, and

(

b) all available information related to the identity of the

individual that is shown on a record in the possession or

control of the entity responsible for authorizing the

payout.

17 The following is added after

section 23:

Deterrent charges

24 The deterrent charges payable under the Act and this

Regulation are as follows:

(

a) for failing to pay maintenance in accordance with

subsection 25.1(1)(

a) of the Act, $25 per month;

(

b) for failing to file a statement of finances in accordance

with subsection 25.1(1)(

b) of the Act, $200;

(

c) for each dishonoured or stopped payment under

subsection 25.1(1)(

c) of the Act, $50;

(

d) for each payment accepted by a creditor and not

reported in accordance with

section 2(3) of this

Regulation, $50.

Service fees

25(1) A debtor or creditor who

(

a) withdraws a maintenance order that has been filed with

the Director and who subsequently refiles the order, or

(

b) requests that the Director reopen a file that has been

closed by the Director because the debtor or creditor has

failed to provide information required under the Act or

this Regulation,

shall be charged a service fee of $200 each time the order is refiled

or the file is reopened.

(2) A person who serves a party with documents by substitutional

service on the Director will be charged a service fee of $50 for

each request for service.

(3) If interest has been collected by the Director on arrears

outstanding under a maintenance order, the Director shall retain

20% of the interest collected as a service fee.

18 The Forms are repealed and the

Schedule to this

Regulation is substituted.

19(1) Sections 2, 6, 7, 8, 9, 10, 11, 12, 13 and 18 of this

Regulation come into force on the coming into force of

sections 2(

a) and 12 of the Maintenance Enforcement

Amendment Act, 2004.

(2) Section 16 of this Regulation comes into force on the

coming into force of

section 7 of the Maintenance

Enforcement Amendment Act, 2004.

(3) Section 17 of this Regulation comes into force on the

coming into force of

section 16 of the Maintenance

Enforcement Amendment Act, 2004.

Schedule

Form 1

Statement of Finances

COURT FILE NO:

MEP ACCOUNT NO:

IN THE COURT OF QUEEN'S BENCH OF ALBERTA

JUDICIAL DISTRICT OF

BETWEEN:

- and -

Statement of Finances

I, __________ of __________, Alberta, MAKE OATH AND SAY:

1. THAT I am the debtor in this matter;

2. THAT I have made a full and complete disclosure of my present

financial situation in this Affidavit;

3. THAT all the information contained in this Affidavit is true and

accurate.

SWORN BEFORE ME at the of )

, in the Province of Alberta, the )

day of , . )

) (signature of debtor)

(Commissioner for Oaths )

in and for the Province of Alberta) )

Print or Stamp Name and Appointment Expiry Date

COURT FILE NO:

MEP ACCOUNT NO:

Affidavit

(Please print)

A Debtor Information

(last name) (first name) (middle name) (birthdate)

(present address (mailing address)) (area code) (home phone no.)

(city) (province) (postal code) (e-mail address) (day time phone no.)

(street address or land description (if different from mailing address))

(social (driver's (Alberta Health Care

insurance no.) licence no.) Insurance no.) (fax no.)

(list your trade, profession or occupation) (cell phone no.)

Are you a member of a Union? Yes No

If yes, which local(s)?

B Income (If income is from self-employment see

section "C")

(name of present employer) (area code) (business phone no.)

(street address) (fax no.)

(city) (province) (postal code) (e-mail address)

(nature of business) (position held)

(gross monthly wages or salary) $ (net monthly wages or salary) $

(name of previous employer) (area code) (business phone no.)

(street address) (fax no.)

(city) (province) (postal code) (e-mail address)

(nature of business) (position held)

(gross monthly wages or salary) $ (net monthly wages or salary) $

What is your annual bonus from your employer? $

How much money do you receive from commission work? $

How much of a raise will you be receiving this year, and when? $

How much money do you receive from other part-time employment? $

(provide name, street address, telephone no. of all part-time employers)

How much money do you receive from income producing hobbies? $

Add all other income (dividends, rental income, annuities, pensions, etc.)

Annual income tax and/or G.S.T. rebates $

Any additional household income (spousal, adult interdependent

partner, roommate, etc.) $

TOTAL MONTHLY INCOME $

Have you filed income tax returns within the past 3 years? Yes No

If yes, provide the following information or attach copies of your returns

or Notice of Assessment:

Taxation Year Net Taxable Income

C Income from Self-Employment

List any business in which you are involved as an owner, part owner,

shareholder, director or officer. If the business is a proprietorship,

partnership or joint venture, list the names, addresses and telephone

numbers of any partners, principals or participants:

Name Address Telephone No.

(type of business) (name of business) (telephone no.)

(business location) (street address)

(city) (province) (postal code) (e-mail address)

Is this business a ? proprietorship? ? partnership?

? joint venture? ? corporation?

What is the percentage of the business owned by you? %

What is the net book value of the business? $

What is the estimated market value of the business? $

Itemize your yearly income below:

Salary $

Bonuses $

Dividends $

Other (automobile allowances, expenses, etc.). Describe:

Itemize other benefits (company car, house, loans, savings plans,

share purchase options, etc.):

Describe Benefit: Value:

Total Income $

Include a copy of the business's most recent financial statement.

Where are the business's bank accounts located?

Name of Institution Branch Address Account No.

If the business is a corporation, complete the following:

? Public ? Professional

? Private ? Other (describe)

Are you an Officer or Director of the corporation? Yes No

If yes, what is your title?

If the business is NOT a public corporation, complete the following:

Total number of shares issued and outstanding (describe type and class of

shares):

(Class) (Number) (Net book value)

Total number of shares of each class held by you:

(Class) (Number) (Net book value)

Total amount of all loans payable to you by the corporation:

Amount $

Interest earned (if any) $

Terms of repayment

D Monthly Expenses

Total

Expense

Amount

Paid by

You

Rent or mortgage payments (name of

landlord or mortgagee)

Property taxes

Utilities

Groceries (food, toiletries, etc.)

Clothing

Transportation (fuel, parking, repairs,

public transit, etc.)

Personal expenses (prescription drugs,

medical and dental expenses, expenses

not covered by insurance, etc.)

Home or rental insurance

Vehicle insurance

Life insurance

Disability insurance, etc.

Maintenance

Alcohol, tobacco, other dependencies

Other (specify)

15 List your monthly payments (loans, credit cards, personal debts, etc. below):

Type of Debt

To Whom

Payable

Amount

Outstanding

Monthly

Payment

Amount

Paid by You

TOTAL MONTHLY EXPENSES $

E Dependents

List the members of your household who are financially dependent on you:

Name of Dependent Date of Birth Relationship to you

List all orders or agreements requiring you to pay child or spousal

maintenance:

Date of Order/Agreement Amount Payable Person Payable Arrears

per Month To

$ $

F Assets

BANK ACCOUNTS: List chequing and savings accounts, term deposits,

annuities, etc.

Type of Deposit Name of Account No. Branch Address Amount

Institution

RETIREMENT SAVINGS PLANS: Provide information about all

RRSPs, LIRAs, LIFs, LRIFs, pensions, etc.

Type of Plan Financial Branch Account No. Current Value

Institution Address

REAL ESTATE: Fill in the required information below regarding all real

estate (homes, rental properties, cottages, condominiums, etc.) inside and

outside Alberta in which you own an interest.

Municipal

Address

Legal

Description

Purchase

Price

Balance

Owing

Current

Market Value

List the name and address of the mortgagee or lender for each property

described above.

MOTOR VEHICLES, ETC: Fill in the requested information regarding all

motor vehicles (cars, trucks, farm machinery, construction equipment,

recreational vehicles, aircraft, etc.) in which you own an interest.

Type - Make

Model - Year

Serial

No.

Purchase

Price

Balance

Owing

Current

Market Value

Equity

SECURITIES: List your shares, bonds, etc., and their current market value

below.

Type

Number

Dividends (if any)

Current Market Value

List location of all certificates for all corporate holdings (both public and

private) and the name(

s) and address(es) of the brokers through whom you

deal.

Location of Certificates Name and Address of Broker(

s) G Insurance

List all insurance policies that you own or in which you are a named

beneficiary. Include the insurance company granting the policy, the policy

number, the amount, the person insured, the premium and its cash

surrender value.

Insurance

Company

Policy

No.

Amount

Person

Insured

Premium

Cash Surrender

Value

H Trusts

List all properties or interests held by a trustee on your behalf. Describe

the asset being held, the location of the asset and the name and address of

the Trustee.

Description of Assets

Held

Location of Assets

Name and Address of

Trustee

I Parties Who Owe You Money

List all parties who owe you money.

Name

Address

Reason for Debt

Amount Owing

Are you the plaintiff in any lawsuit that may result in the court awarding

money to you?

Yes No

Name of

Person

Being Sued

Amount

Claimed

Your

Lawyer's

Name

Address

Phone

No.

Status of

Court Action

Have you settled a lawsuit for a sum of money that has not been

paid yet?

Yes No

(amount owing) (payment date) (your lawyer's name)

(lawyer's address) (lawyer's telephone no.)

Status of court action (if any):

Have you applied for any benefit, refund, compensation, grant, settlement

or other funds from any government department or program? Yes No

Government

Department or Program

Amount Applied For

Reasons for

Application

J Inheritances

List all estates in which you are the beneficiary of an inheritance.

Deceased's

Name

Name of

Executor/

Administrator

Address of

Executor/

Administrator

Name of

Lawyer

Acting for

Estate

Value of

Inheritance

K Other Assets

List the type, value and location of other assets (whether solely or jointly

owned) below.

Type of Asset

Description

Sole Owner

Location

Value

YES NO

Interests in other

businesses

? ?

Promissory notes,

judgment debts

? ?

Loans and mortgages

receivable

? ?

Objects of art, jewellery,

bullion, coins, cameras

? ?

Household furnishings and

appliances (stereos, TVs,

computers, crystal, etc.)

? ?

Other assets not previously

listed

? ?

L Transfer of Property

Have you given away, sold, assigned or otherwise transferred any property

(land, buildings, vehicles, money, household furnishings, etc.) to anyone

within the last 12 months? Give details.

Description of

Property

To Whom

Transferred

Date of

Transfer

How much money was

received by you?

Notice to Debtor

COURT FILE NO.

MEP ACCOUNT NO.

TAKE NOTICE THAT you are

hereby required to provide to the

Maintenance Enforcement Program

within fifteen (15) days of the

service of this Notice a full and

complete statement of your

financial situation by completing

this document.

IN THE COURT OF QUEEN'S

BENCH OF ALBERTA

JUDICIAL DISTRICT OF

Section 25.1 of the Maintenance

Enforcement Act states in part:

25.1(1) If...

(

b) a debtor fails to file a statement

of finances with the Director

pursuant to

section 24, the Director

may require the debtor to pay a

charge in an amount set in the

regulations.

BETWEEN

- and -

(2) A charge payable under

subsection (1) may be collected in

the same manner as maintenance

may be enforced under this Act.

STATEMENT OF FINANCES

(3) A debtor who is required to pay

a charge under subsection (1) for

failing to file a statement of

finances with the Director may not

be charged under

section 26 with an

offence in respect of that

contravention.

Section 24 of the Maintenance

Enforcement Regulation provides in

part:

MAINTENANCE

ENFORCEMENT

PROGRAM

24 The deterrent charges payable

under the Act and this Regulation

are as follows:

(

b) for failing to file a statement of

finances in accordance with

subsection 25.1(1)(

b) of the Act,

$200;

7th Floor, J.E. Brownlee Building

10365 - 97 Street

Edmonton, Alberta T5J 3W7

PHONE: (780) 422-5555*

FAX: (780) 401-7575

* Dial 310-0000 first for toll-free

access from anywhere in Alberta

Section 26 of the Act states in part:

26(1) A debtor who

(

a) does not file a statement of

finances in accordance with this

Act, or

(

b) knowingly gives false

information in a statement of

finances filed with the Director or

the Court of Queen's Bench

is guilty of an offence and liable to

a fine of not more than $2000 or to

imprisonment for a term of not

more than 3 months, or to both.

Form 2

Statement of Arrears

(Creditor)

I, (creditor) of the of in the Province of Alberta, hereby

declare that as of the ___ day of ________, 20__, (debtor) is in

arrears under a maintenance order or agreement to pay maintenance in the

total amount of $ ____. Particulars of the arrears are attached.

I make this declaration conscientiously believing it to be true, and knowing

that it is of the same force and effect as if made under oath.

DECLARED before me at the of )

, in the Province of Alberta, the )

day of , . )

) (signature of creditor)

(Commissioner for Oaths )

in and for the Province of Alberta) )

Form 3

Statement of Arrears

(Maintenance Enforcement Program)

THIS IS TO STATE THAT:

(the debtor) is in arrears under a maintenance order or agreement to

pay maintenance filed with the Director of Maintenance Enforcement in

the total amount of $ .

DATED this day of , 20 .

MAINTENANCE ENFORCEMENT PROGRAM

Form 4

Notice of Filing with the Director

of Maintenance Enforcement

To the Registrar of the _______ Alberta Land Registration District

TAKE NOTICE THAT a Maintenance Order or Agreement to pay

maintenance

(

a) dated _______ and submitted for registration with this Notice, or

(

b) registered at the Land Titles Office on the ___ day of ________,

20__ as instrument number _____ against the lands of

(debtor) including the lands legally described as follows:

______________________________________________________

______________________________________________________

has been filed with the Director of Maintenance Enforcement.

PURSUANT to the Maintenance Enforcement Act, you shall discharge or

register the postponement of this Order or Agreement to pay maintenance

only if the discharge or postponement is signed by the Director of

Maintenance Enforcement.

DATED this ___ day of ________, 20__.

(Director of Maintenance Enforcement)

Form 5

Service Request Form

(Section 44 of the Maintenance Enforcement Act)

MEP Account No:

Documents to be served: (check all that apply and attach 2 copies of each)

? order allowing substitutional service on the Director

? Notice of Motion, returnable

? Affidavit, filed

? Other:

Service to: Please effect service on the following person:

NAME:

ADDRESS (if available): (residence) or (employment)

TELEPHONE NUMBER (if available): Home: Work:

Person Requesting Service:

NAME:

COMPANY/LAW FIRM:

ADDRESS:

TELEPHONE NUMBER:

DATE SERVICE REQUESTED:

Signature:

Fee: The Maintenance Enforcement Regulation sets a fee of $50 for all

requests for service. Fee paid by:

? Cheque ? Cash

? Debit Card ? Money Order

OFFICE USE ONLY

Date Documents Forwarded:

Address Used:

Form 6

COURT OF QUEEN'S BENCH OF ALBERTA

ACTION NO. ____________________

JUDICIAL DISTRICT OF ____________________

Maintenance Enforcement Support Agreement

1. BETWEEN: , the Recipient (Creditor)

- and -

, the Payor (Debtor)

2. ? This agreement requires the payment of support for a (former)

spouse or adult interdependent partner. We, the Payor and

Recipient, certify that there has never been a court order

previously granted requiring the Payor to pay spousal or adult

interdependent partner support for the Recipient.*

? This agreement requires the payment of support for the child(ren)

named below. We, the Payor and Recipient, certify that there has

never been an agreement under the Parentage and Maintenance

Act, the Income Support Recovery Act,

Part 5 of the Income and

Employment Supports Act or a court order under any legislation

requiring the Payor to pay support to the Recipient for any of the

children named below.*

Full Name of Child Birthdate (yyyy/mm/dd)

/ /

/ /

/ /

* This agreement cannot vary the terms of an agreement made under the

Parentage and Maintenance Act, the Income Support Recovery Act,

Part 5

of the Income and Employment Supports Act or of any court order.

3. Previous Maintenance Enforcement Support Agreements

a. ? We have not previously made any Maintenance

Enforcement Support Agreement between us relating to

child, spousal or adult interdependent partner support,

b. ? This agreement replaces the Maintenance Enforcement

Support Agreement previously made between us on

(yyyy/mm/dd) , which was filed with the Court of

Queen's Bench, Judicial District of , on

(yyyy/mm/dd) as Court Action No. , or

c. ? This agreement supplements the Maintenance

Enforcement Support Agreement previously made

between us on (yyyy/mm/dd) , which was filed with

the Court of Queen's Bench, Judicial District of

, on (yyyy/mm/dd) as Court Action No.

. Where there is a conflict between the 2

agreements, the terms of this agreement will be used.

IT IS AGREED THAT:

4. Guideline Income

a. The Payor's annual income as calculated in accordance with

the Federal Child Support Guidelines is $ .

b. The Recipient's annual income as calculated in accordance

with the Federal Child Support Guidelines is $ .

5. Base Child Support

a. The Payor shall pay to the Recipient the sum of $ per

month for the support of the child(ren) named above.

b. ? Payment will be made on the day of each month

commencing (yyyy/mm/dd) , or

? Payment will be made in 2 equal instalments of

$ , payable on the and days of

each month, commencing (yyyy/mm/dd) .

6. Adjustment of Child Support by the Director of

Maintenance Enforcement

When the Director of Maintenance Enforcement is provided with

evidence that satisfies the Director that one or more children

named above are no longer financially dependent on the

Recipient, or otherwise do not qualify for the collection of support

under the policies of the Maintenance Enforcement Program, the

Director will adjust the amount of support payable as follows:

a. If one child is no longer eligible for support collection, then

the base child support payment shall be reduced to

$ per month.

b. If 2 children are no longer eligible for support collection,

then the base child support payment shall be reduced to

$ per month.

c. If 3 children are no longer eligible for support collection,

then the base child support payment shall be reduced to

$ per month.

7. Additional Expenses Relating to the Child(ren)

a. ? Monthly Payments:

(

i) In addition to the base child support payment, the Payor

shall pay to the Recipient the sum of $ per month for

additional expenses for the child(ren) on the day of

each month commencing (yyyy/mm/dd) , calculated as

follows:

(ii) Name of Child Nature of Additional Amount of

Expense Payor's

Contribution

Should the Recipient cease to incur any additional expense listed

above, then the Payor shall no longer be required to contribute to

that expense.

b. ? Lump Sum or Annual Payments:

In addition to any other payments required by this agreement, the

Payor shall pay to the Recipient the following additional expenses

for the children:

Name of

Child

Nature of

Additional

Expense

Amount of

Payor's

Contribution

Payable When?

?one-time

lump sum

payable

(yy/mm/dd)

?payable

annually

each

(mm/dd)

Should the Recipient cease to incur any additional expense listed

above, then the Payor shall no longer be required to contribute to

that expense.

8. Termination of Child Support and Expenses

The obligation of the Payor to pay child support and expenses for

a child shall terminate:

a. ? on the child no longer being considered a "child of the

marriage" within the meaning of the Divorce Act, or

b. ?

9. Monthly Spousal or Adult Interdependent Partner Support

a. The Payor shall pay to the Recipient the sum of $

per month for the support of the Recipient.

b. ? Payment will be made on the day of each

month commencing (yyyy/mm/dd) , or

? Payment will be made in 2 equal monthly instalments

of $ , payable on the and days of

each month, commencing (yyyy/mm/dd) .

10. Termination of Spousal or Adult Interdependent Partner

Support

The obligation of the Payor to pay support for the Recipient shall

terminate:

a. ? on (yyyy/mm/dd) , or

b. ? .

11. Lump Sum Spousal or Adult Interdependent Partner

Support

The Payor shall pay to the Recipient, for the support of the

Recipient, a lump sum of $ , payable on (yyyy/mm/dd) .

12. Enforcement by the Director of Maintenance Enforcement

It is intended that this agreement be registered with the Director of

Maintenance Enforcement and that payments made under this

agreement be made pursuant to the Maintenance Enforcement Act

to the Director of Maintenance Enforcement.

13. Date of Agreement

This agreement is entered into on (yyyy/mm/dd) at (City or

Town) , Alberta.

Signature of

Recipient

Date (yyyy/mm/dd)

Print Name of Recipient

Address of Recipient

(for service of the filed copy of this agreement)

Signature of

Witness

Date (yyyy/mm/dd)

Print Name of Witness

Signature of

Payor

Date (yyyy/mm/dd)

Print Name of Payor

Address of Payor

(for service of the filed copy of this agreement)

Signature of

Witness

Date (yyyy/mm/dd)

Print Name of Witness

Before this agreement can be registered with the Maintenance

Enforcement Program, it must be filed by the Recipient or Payor

with the Court of Queen's Bench of Alberta. The Maintenance

Enforcement Act also requires that notice of the filing be given to

the other party before the agreement can be enforced.

Affidavit of Execution (Recipient)

My name is: (name of witness)

My address is:

(address of witness)

I make oath and say that I was personally present and did see

(name of Recipient) , who is:

? personally known to me

? known to me on the basis of photographic identification

provided

to be the person named herein, sign and execute the Maintenance

Enforcement Support Agreement for the purpose named therein.

SWORN BEFORE ME at the of )

, in the Province of Alberta, the )

day of , . )

) (witness signature)

(Commissioner for Oaths )

in and for the Province of Alberta) )

Print or Stamp Name and Appointment Expiry Date

Affidavit of Execution (Payor)

My name is: (name of witness)

My address is:

(address of witness)

I make oath and say that I was personally present and did see

(name of Recipient) , who is:

? personally known to me

? known to me on the basis of photographic identification

provided

to be the person named herein, sign and execute the Maintenance

Enforcement Support Agreement for the purpose named therein.

SWORN BEFORE ME at the of )

, in the Province of Alberta, the )

day of , . )

) (witness signature)

(Commissioner for Oaths )

in and for the Province of Alberta) )

Print or Stamp Name and Appointment Expiry Date

COURT OF QUEEN'S BENCH OF ALBERTA

ACTION NO. ____________________

JUDICIAL DISTRICT OF ____________________

Maintenance Enforcement Support Agreement

This agreement was filed in the Court of Queen's Bench by the

following person:

(Name)

(Address for service)

(Address for service)

(Address for service)

(Phone number)

(Fax number)

-------------------------------

Alberta Regulation 195/2004

Senatorial Selection Act

SENATORIAL SELECTION AMENDMENT REGULATION

Filed: September 8, 2004

Made by the Lieutenant Governor in Council (O.C. 413/2004) on September 8, 2004

pursuant to

section 29 of the Senatorial Selection Act.

1 The Senatorial Selection Regulation (AR 121/98) is

amended by this Regulation.

Section 3 is repealed and the following is substituted:

Term of a Senate nominee

3 For the purpose of

section 3(2)(

c) of the Act, the term of a

Senate nominee commences on the day the person is declared

elected under the Act and expires on the day the writ is issued in

respect of the 2nd general election held under the Election Act

following the election of the Senate nominee.

--------------------------------

Alberta Regulation 196/2004

Health Professions Act

DISCLOSURE OF INFORMATION REGULATION

Filed: September 8, 2004

Made by the Lieutenant Governor in Council (O.C. 415/2004) on September 8, 2004

pursuant to

section 134 of the Health Professions Act.

Table of Contents

1 Definition

2 Minister's use of information

3 Colleges and organizations

4 Disclosure of information

5 Other use of information

6 Method of disclosure

7 Minister to be reasonably satisfied

8 Expiry

Definition

1 In this Regulation, "health planning and delivery" includes health

policy development, health workforce planning and health service

planning and delivery.

Minister's use of information

2 The Minister may use any information disclosed by the registrar

under

section 122 of the Health Professions Act for the purpose of

health planning and delivery.

Colleges and organizations

3(1) The Minister may, for the purpose of health planning and

delivery, disclose the information obtained under

section 122 of the

Health Professions Act to a college.

(2) The information provided under subsection (1) is limited to the

specific information each college has provided under

section 122 of

the Health Professions Act about its own members.

Disclosure of information

4 The Minister may disclose information pursuant to

section 122 of

the Health Professions Act

(

a) to any regulated member where the disclosure is necessary to

enable the regulated member to provide a health service;

(

b) to any individual who provides a health service if

(

i) the individual is governed by a regulatory body, where

the regulatory body is established or governed pursuant

to an Alberta enactment, and

(ii) the disclosure is necessary to enable the individual to

provide a health service.

Other use of information

5 The Minister may, for the purpose of health planning and delivery,

disclose information pursuant to

section 122 of the Health Professions

Act to

(

a) regional health authorities,

(

b) the Alberta Cancer Board,

(

c) the Alberta Mental Health Board, and

(

d) any province or organization with which the Government of

Alberta has entered into an agreement to share information.

Method of disclosure

6 The Minister may disclose information under this Regulation

through any means satisfactory to the Minister.

Minister to be reasonably satisfied

7 Before the Minister discloses information under this Regulation,

the Minister must be reasonably satisfied that the recipient of the

information will

(

a) use the information only for the specific health planning and

delivery purpose for which the information is being

disclosed,

(

b) maintain the security of the information, and

(

c) act in accordance with

section 122(1.2) of the Health

Professions Act.

Expiry

8 For the purpose of ensuring that this Regulation is reviewed for

ongoing relevancy and necessity, with the option that it may be

repassed in its present or an amended form following a review, this

Regulation expires on June 30, 2014.

--------------------------------

Alberta Regulation 197/2004

Public Health Act

PUBLIC HEALTH ACT FORMS REGULATION

Filed: September 8, 2004

Made by the Lieutenant Governor in Council (O.C. 416/2004) on September 8, 2004

pursuant to

section 66 of the Public Health Act.

Table of Contents

1 Definition

2 Notice under s22 of Act

3 Notice under s23 of Act

4 Warning under s32 of Act

5 Forms

6 Repeal

7 Expiry

Schedule

Definition

1 In this Regulation, "Act" means the Public Health Act.

Notice under s22 of Act

2(1) A notification under

section 22(1) or (2) of the Act must contain

the following:

(

a) the name, gender, age, date of birth, address, telephone

number and personal health number of the infected person;

(

b) any other demographic information relating to the infected

person as specified by the medical officer of health for the

regional health authority in which the infected person is

located or the Chief Medical Officer of Health;

(

c) the name of the disease;

(

d) all clinical and epidemiologic details pertinent to diagnosis or

follow-up;

(

e) the name of the person reporting.

(2) A notification under

section 22(3) of the Act must contain the

following:

(

a) the name, gender, age, date of birth, address, telephone

number and personal health number of the infected person;

(

b) any other demographic information relating to the infected

person as specified by the medical officer of health for the

regional health authority in which the infected person is

located or the Chief Medical Officer of Health;

(

c) the name of the disease or infecting agent;

(

d) the name of the person reporting;

(

e) the name of any contact identified;

(

f) all clinical and epidemiologic details required for

confirmation of the diagnosis or for follow-up.

Notice under s23 of Act

3 A notification under

section 23 of the Act must contain the

following:

(

a) the name, gender, age, date of birth, address, telephone

number and personal health number of the infected person;

(

b) the name of the disease or infecting agent;

(

c) the name of the physician who ordered the laborato