Alberta Gazette — 15 April (ii)
0415 ii
Alberta — Gazette
Alberta Regulation 37/2002
Child Welfare Act
ADOPTION REGULATION
Filed: March 20, 2002
Made by the Minister of Children's Services (M.O. 42/02) on March 14, 2002
pursuant to
section 131(2) of the Child Welfare Act.
Table of Contents
Definitions 1
Interpretation of the Act 2
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 17
Direct Placement Adoption
Direct placement 18
General
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 26
Part 2
Authorization for Adoption
Placement by Intermediary
Application for authorization 27
Decision of Minister 28
Relevant considerations 29
Notice of decision 30
Part 3
Licensed Search Agencies
Definitions 31
Application for search agency licence 32
Fee 33
Inspection 34
Licence to be available for inspection 35
Application for an adoption search 36
Release of identifying adoption information 37
Duty of agency to ensure confidentiality 38
Location of a family member by an agency 39
Transfer of information to a director 40
Duty to provide statements and reports 41
Designation of program director 42
Fees payable by applicants and family members 43
Money to be held in a trust account 44
Advertising 45
Financial assistance 46
Part 4
Post-Adoption Support
Definitions 47
Post-adoption support agreement 48
Rate of support 49
Review of a post-adoption support agreement 50
Appeal 51
Part 5
Repeals, Expiry and Coming into Force
Repeal 52
Expiry 53
Coming into force 54
Forms
Definitions
1 In this Regulation,
(a) "Act" means the Child Welfare Act;
(b) "Appeal Panel" means an Appeal Panel established under
section
118 of the Act;
(c) "director" means a person designated by the Minister as a
director for the purposes of the Act;
(d) "qualified person" means a qualified person as defined in the
Qualification Regulation (AR 185/85) or a regulation that replaces that
regulation.
Interpretation of the Act
2 The definition of "family member" in
section 31(
e) applies for the
purposes of
section 78(1) of the Act.
PART 1
LICENSED ADOPTION AGENCIES
Definitions
3 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) "agency" means a licensed adoption agency;
(c) "applicant", except in sections 4 and 6, means a person who
applies to an agency for an adoption placement;
(d) "direct placement" means the placement of a child
(
i) directly by the child's parent, or
(ii) with the assistance of a person authorized by the
Minister under
section 84 of the Act
in the custody of a person who intends to adopt the child.
Application for licence to operate agency
4(1) In this
section and
section 6, "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 on Form 1
and must be accompanied by the following documentation:
(
a) evidence satisfactory to the Minister to whom the application
is submitted
(
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 staff and contract 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) 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 on 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
5(1) The fee payable with an application under
section 4 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
6 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
7 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
8(1) Any adult who maintains his 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 a child welfare 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
9(1) After the receipt by an agency of
(
a) the results of the child welfare record check referred to in
section 8(2)(b),
(
b) the results of the criminal record check referred to in
section
8(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 8.
(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
10(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,
and
(
b) require the applicant to provide a self-assessment report on
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) Any self-assessment report prepared in accordance with subsection
(1)(b), or any update of a home assessment report prepared at the
discretion of an agency, must be attached to and form part of the home
assessment report.
Decision of agency
11(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 a child welfare record check referred to in
section
8(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 12.
Appeal from decision of agency
12(1) An applicant who receives a notice from an agency under
section
11(5) may appeal the decision of the agency to an Appeal Panel by serving a
notice of appeal as prescribed in the General Regulation (AR 192/85) or a
regulation that replaces that 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
13 If the guardian of a child wishes to place the child for adoption
through an agency, the agency must
(
a) make counselling services concerning the proposed adoption
available to the guardian and the child if the child is 12 years of age or
over and ensure that the counselling services are provided by a qualified
person,
(
b) 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
(
c) 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
14(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 11, or
(
b) if the applicant 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 no longer subsists.
(3) Before placing a child with an approved applicant, an agency must
(
a) ensure that it has obtained
(
i) a report on 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 landed
immigrant status, 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-place-ment assessment
15(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 on 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
16(1) No agency shall
(
a) place a child for the purpose of adoption outside Alberta, or
(
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.
(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
17(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 13, 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
18(1) A person with whom a child has been placed for adoption through a
direct placement must apply to an agency for the processing of the
adoption.
(2) An agency must accept all applications received under subsection
(1) where the child to be adopted is a Canadian citizen or has been lawfully
admitted to Canada for permanent residence.
(3) 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,
(
b) advise the adopting person of the requirements of
section 65 of
the Act,
(
c) advise the adopting person that the results of a child welfare
record check are required and provide a copy of Form 3,
(
d) advise the adopting person that the results of a criminal
record check are required, and
(
e) be satisfied that the child is a Canadian citizen or has landed
immigrant status.
(4) An agency must ensure that the home of the adopting person is visited
by a qualified person, as soon as practicable but not later than 21 days
after receiving an application under subsection (1), for the purpose of
commencing a home assessment report in respect of the adopting person.
(5) If, at any time before a petition for an adoption order is filed with
the court, the adopting person directs an agency to stop processing the
adoption, the agency must
(
a) provide the Minister with written notice of that direction,
(
b) provide or attempt to provide written notice of that direction
to the parent who placed the child with the adopting person, and
(
c) transfer to the Minister all documentation in the possession of
the agency relating to the proposed adoption.
(6) If an agency receives a direction from an adopting person under
subsection (5) within 21 days after receiving that person's application
under subsection (1), subsection (4) does not apply.
(7) If, after completion of a home assessment report, an officer of an
agency decides not to recommend to the court the adoption of the child by
the person who made the application under subsection (1), the officer must
advise that person in writing of the decision and the reasons for the
decision.
GENERAL
Post-placement counselling services
19(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 18(1) to have a direct
placement adoption processed by the agency;
(
c) an adoptive parent with whom the agency has placed a child for
adoption or for whom the agency has processed a direct placement adoption.
(2) An agency must provide post-placement counselling services
(
a) to a guardian who has placed a child for adoption through the
agency, or
(
b) where the agency is processing the adoption, to a parent who
has placed a child for adoption through a direct placement,
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 or parent
requests those services.
(3) An agency must ensure that post-placement counselling services are
provided by a qualified person.
Additional information
20 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
section
80 of the Act.
Transfer of documents
21 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
22(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 of
(
i) applications for adoption placements received,
(ii) consents under this Regulation taken by lawyers,
(iii) home assessment reports completed,
(iv) applicants approved under
section 11,
(
v) adoption placements,
(vi) cases where an adoption placement was terminated
under
section 17 and the circumstances surrounding the termination,
(vii) 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,
(viii) applications to have a direct placement
adoption processed,
(ix) cases where a person has directed the agency under
section 18(5) to stop processing a direct placement adoption,
(
x) cases where a child was placed with a person for
adoption through a direct placement and was subsequently removed from the
person, and the circumstances surrounding the removal,
(xi) adoption orders granted, and
(xii) 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
23(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, but do
not include the preparation or completion of a home assessment report.
Fees and expenses
24(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 or
processing a direct placement adoption;
(
b) preparation of social histories of
(
i) a child who is adopted or intended to be adopted,
and
(ii) the biological parents of the child;
(
c) preparation of a medical history of the biological parents of a
child who is adopted or intended to be adopted;
(
d) preparation by a physician of a medical report in respect of a
child who is intended to be adopted;
(
e) preparation of a home assessment report;
(
f) preparation of an update of a home assessment report;
(
g) pre-placement counselling services for an applicant;
(
h) transportation relating to the placement of a child for
adoption;
(
i) preparation of a post-placement assessment;
(
j) preparation, filing and service of documents and notices
relating to an adoption and a petition for an adoption order;
(
k) post-placement counselling services provided under
section
19(1);
(
l) transfer between agencies of an application for an adoption
placement;
(
m) legal services provided in connection with an adoption;
(
n) 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 a person who applies under
section 18(1) to have
a direct placement adoption processed a flat rate fee to cover
post-placement counselling services that may be requested by a parent who
placed a child for adoption through a direct placement, where the agency is
processing or has processed the adoption.
(4) 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.
(5) 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
25(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) must be withdrawn
from the account only with the consent of the person for whom it is held
and only for fees and expenses specified in
section 24 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
26(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 18(1) to
have a direct placement adoption processed,
(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
AUTHORIZATION FOR ADOPTION PLACEMENT
BY INTERMEDIARY
Application for authorization
27 Any adult who maintains his usual residence in Alberta may apply to
the Minister on Form 8 for authorization to place or facilitate the
placement of a child for the purpose of an adoption.
Decision of Minister
28 On receiving an application under
section 27, the Minister may
interview the applicant to determine if the applicant is a suitable person
to place or facilitate the placement of a child for the purpose of an
adoption, and may
(
a) provide an authorization to the applicant on Form 9, or
(
b) refuse to provide an authorization to the applicant.
Relevant considerations
29 In making a decision to provide or refuse to provide an authorization
under
section 28, the Minister must consider the following, as well as any
other relevant matter:
(
a) the exceptional nature of the applicant's proposed involvement
in placing or facilitating the placement of a child for the purpose of an
adoption;
(
b) the applicant's proposed involvement during and after
finalization of the adoption;
(
c) the applicant's relationship to the child's biological parents
and the prospective adoptive parents;
(
d) the wishes of the biological parents with respect to the
applicant's involvement in the adoption;
(
e) the applicant's knowledge of adoption and the adoption process;
(
f) how the proposed adoption placement will meet the child's
cultural needs;
(
g) whether the applicant will receive any form of benefit from the
proposed placement;
(
h) whether the applicant is affiliated with, or acting as an agent
for, any person who purports to carry on the business of placing or
facilitating the placement of children for adoption.
Notice of decision
30 The Minister must, within 14 days after receiving an application,
advise the applicant in writing of a decision made under
section 28.
PART 3
LICENSED SEARCH AGENCIES
Definitions
31 In this Part,
(a) "adopted person" means a person who is the subject of an
adoption order made under the Act or any predecessor to the Act;
(b) "adoption search" means a search conducted by an agency for the
location of a family member;
(c) "agency" means a licensed search agency;
(d) "applicant", except in sections 32 and 34, means a person who
applies to an agency pursuant to
section 78 of the Act;
(e) "family member" means,
(
i) with respect to an applicant who is an adopted
person, a guardian of an adopted person who is a child, or a descendant of
a deceased adopted person,
(
A) a biological parent of the adopted
person,
(
B) a biological adult sibling of the
adopted person, or
(
C) if a biological parent of the adopted
person is deceased, any adult related by blood to the deceased parent;
(ii) with respect to any other applicant,
(
A) an adopted person who is 18 years of
age or older and who is the biological child or the sibling of the
applicant, or
(
B) if an adopted person referred to in
paragraph (
A) is deceased, any adult related by adoption to the deceased
adopted person;
(f) "post-adoption registry" means the service provided by the
Minister under
section 75 of the Act.
Application for search agency licence
32(1) In this
section and
section 34, "applicant", except in subsection
(2)(d)(i), means a person who applies to the Minister for a licence to
operate a search agency.
(2) An application for a licence to operate an agency must be on Form 1
and must be accompanied by the following documentation:
(
a) evidence that the applicant is a corporate body described in
section 87(1) of the Act;
(
b) evidence that the applicant has obtained general liability
insurance, satisfactory to the Minister, covering the proposed agency and
its employees;
(
c) a list of staff and contract positions, including a job
description for each position and the qualifications and experience
required for each position;
(
d) a written description of the applicant's proposed program and
procedures, including an explanation of the applicant's policy regarding
(
i) provision of counselling services for applicants
under
section 78 of the Act and for family members,
(ii) investigative procedures and practices used in an
adoption search,
(iii) contact with located family members, and
(iv) advertising of agency services;
(
e) a fee
schedule for the services to be provided by the agency;
(
f) 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 on Form 1 and must be accompanied by
(
a) a statement of any changes in any of the information referred
to in subsection (2)(b), (c), (
d) or (
e) since that information was last
provided by the applicant, 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.
Fee
33(1) The fee payable with an application under
section 32 is
(a) $100 for an initial licence, or
(b) $50 for the renewal of a licence.
(2) A fee referred to in subsection (1) is non-refundable.
Inspection
34 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 available for inspection
35 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 an adoption search
36(1) An application for an adoption search may be made to an agency on
Form 10.
(2) On receiving an application under subsection (1), an agency must
(
a) provide the applicant with a written description of the
services provided by the agency and the fee
schedule for those services,
(
b) advise the applicant of the services available through the
post-adoption registry, and
(
c) provide the Minister with a copy of the application within 14
days after receipt of the application.
Release of identifying adoption information
37(1) On receiving a copy of an application under
section 36, the Minister
may provide the agency with any identifying adoption information that may
assist the agency in carrying out an adoption search with respect to that
application.
(2) If the Minister advises the agency that a family member has registered
a veto under
section 78 of the Act, the agency
(
a) must advise the applicant that the veto has been registered,
(
b) shall not commence an adoption search for that family member,
and
(
c) shall not release personal information about that family member
to the applicant, other than information specified on the veto, the release
of which has been consented to by the family member.
(3) If the Minister advises the agency that a family member has applied to
the post-adoption registry, the agency must advise the applicant of that
application.
Duty of agency to ensure confidentiality
38 If an agency uses the services of a person who is not an employee of
the agency to conduct an adoption search, the agency must
(
a) ensure that no identifying information about the applicant is
provided to that person, other than
(
i) in the case of an applicant who is an adopted
person, the applicant's birth name or
(ii) in the case of any other applicant, the applicant's
name at the time the applicant's family member was adopted,
and
(
b) take all reasonable steps to ensure that the person maintains
confidentiality with respect to any identifying adoption information
provided to that person by the agency and any other information concerning
the applicant or a family member that comes to the attention of that person
while conducting the adoption search.
Location of a family member by an agency
39(1) When an agency locates a family member through an adoption search,
the agency must ensure that any contact between the agency and the family
member is made by a qualified person.
(2) When a family member is first contacted by a qualified person, the
qualified person must advise the family member
(
a) that an application for an adoption search has been made,
without providing identifying information about the applicant,
(
b) that the family member has a right to
(
i) consent to a reunion with the applicant on Form 11,
(ii) register a veto on Form 12 declining a reunion with
the applicant and
(
A) prohibiting the release of identifying
information to the applicant, or
(
B) consenting to the release of specified
information to the applicant through the agency,
(
c) that counselling services are available through the agency,
(
d) of any veto registered by another family member with respect to
the applicant, and
(
e) if the applicant is an adopted person, of the applicant's right
to commence an adoption search for other family members.
(3) If the family member consents to a reunion with the applicant and the
applicant chooses to use the services of the agency to facilitate the
reunion, the agency must ensure that the reunion is facilitated by a
qualified person.
(4) If the family member chooses to register a veto declining a reunion
with the applicant, the agency must send the veto to the Minister within 10
days after receiving it and must, through a qualified person,
(
a) advise the family member of the right to revoke the veto,
(
b) notify the applicant of the veto,
(
c) if the family member has consented on the veto to the release
of specified information to the applicant, provide the applicant with that
information, and
(
d) if the family member is a person described in
section
31(e)(i), explain to the family member the importance of providing medical
information to the applicant.
(5) If the family member has not, within 90 days after being contacted by
the qualified person under subsection (2), either consented to a reunion
with the applicant or registered a veto, the agency must handle the matter
as if the family member had registered a veto, and must
(
a) notify the Minister within 10 days after the expiration of the
90-day period that the matter is being handled as if a veto had been
registered,
(
b) notify the applicant that the matter is being handled as if a
veto had been registered, and
(
c) notify the family member that the matter is being handled as if
a veto had been registered.
Transfer of information to a director
40 On concluding an adoption search, an agency must close its file and
transfer to the Minister all information relating to the search in the
possession of the agency or any person who conducted a search on behalf of
the agency, including
(
a) any information about the applicant or the family member,
whether obtained from the Minister or through the adoption search,
(
b) a confirmation of the outcome of the adoption search,
(
c) an itemized statement showing the fees and disbursements
charged to the applicant and, if applicable, the family member, and
(
d) in cases where the agency used the services of investigators or
other professionals who were not employees of the agency, the names of
those professionals and the services they provided.
Duty to provide statements and reports
41(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 of
(
i) applications for adoption searches received,
(ii) reunions facilitated by the agency,
(iii) reunions where the applicant did not request the
services of the agency,
(iv) vetoes actually registered,
(
v) vetoes registered by default under
section 39(5),
(vi) cases where the family member was not located, and
(vii) requests received for counselling from applicants
and family members.
(2) An agency must submit to the Minister any statistical information and
reports relating to the operation of the agency that the Minister may
require.
Designation of program director
42(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
program of the agency, including the supervision of persons delivering the
services of the agency.
(2) 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.
Fees payable by applicants and family members
43(1) An agency may charge to an applicant the fees and expenses incurred
in providing the following services:
(
a) processing an application for an adoption search;
(
b) conducting an adoption search;
(
c) contacting a family member;
(
d) facilitating a reunion;
(
e) counselling services requested by an applicant;
(
f) any other services relating to adoption searches that, in the
opinion of the Minister, are necessary.
(2) An agency may charge to a family member the fees and expenses incurred
in providing counselling services requested by the family member.
Money to be held in a trust account
44(1) An agency that requires payment in advance for any of its services
must establish and maintain a trust account in a bank, treasury board or
trust company, and any funds received from a person who will be receiving
services from the agency must be deposited in the trust account.
(2) Money paid into a trust account under subsection (1) may be withdrawn
from the account only with the consent of the person for whom it is held
and only for fees and expenses specified in
section 43 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
45(1) An agency may advertise only in accordance with this section.
(2) Advertising by an agency
(
a) must be in good taste,
(
b) must be truthful, accurate and not misleading to the public,
(
c) shall not claim or imply that the services of the agency are
superior to those of another agency,
(
d) shall not guarantee the location, or reunification with, a
family member, and
(
e) shall not publicize any service or activity that could identify
an applicant or a family member.
(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.
Financial assistance
46(1) An agency may, on behalf of an applicant who is a resident of
Alberta, apply to the Minister for financial assistance with respect to an
adoption search.
(2) The Minister may provide financial assistance with respect to an
applicant who
(
a) receives a benefit under the Assured Income for the Severely
Handicapped Act, or
(
b) is 65 years of age or older and whose income for calculating
benefits, as defined in the Seniors Benefit Regulation (AR 213/94), does
not exceed the amount prescribed under that Regulation.
(3) An applicant may receive financial assistance under subsection
(2) only once for each family member who is the subject of an adoption search
by the applicant.
PART 4
POST-ADOPTION SUPPORT
Definitions
47 In this Part, "adopting parent" means
(
a) a person who has adopted a child, or
(
b) a person with whom a child has been placed for the purpose of
adoption.
Post-adoption support agreement
48(1) Subject to this section, a director may enter into a post-adoption
support agreement in Form 13 with an adopting parent of a child referred to
section 81 of the Act respecting the provision of financial support to
the adopting parent to assist the adopting parent in either or both of the
following:
(
a) maintaining the child in the adoptive home;
(
b) providing the child and the family of the adopting parent with
any of the following services that may be required to meet the special
needs of the child:
(
i) medical services;
(ii) orthodontic and corrective dental treatment;
(iii) home renovations or equipment required to
accommodate a disability;
(iv) occupational, speech, hearing or psychological
therapy;
(
v) day care for remedial purposes;
(vi) specialized educational support;
(vii) transportation and subsistence for treatment
purposes;
(viii) in the case of an Indian child,
transportation to maintain cultural ties to the child's band of origin;
(ix) child care to provide parental relief, to a maximum
of 504 hours per year;
(
x) treatment in a residential facility in Alberta.
(2) An agreement may be entered into under subsection (1) only
(
a) if, before the adoption order relating to the child was made,
a director acknowledged in writing that the child has a special need,
(
b) if the child has a special need as a result of
(
i) a medical, physical, mental or emotional condition
or history that could significantly impede normal development,
(ii) not having been adopted due to the child's age,
(iii) being one of 2 or more siblings who have been
placed with the adopting parent for the purpose of adoption, or
(iv) the cultural or familial needs of the child,
(
c) if, in the case of an agreement under subsection (1)(a),
(
i) a director has made reasonable efforts to find an
adoptive home for the child without the provision of financial support, or
(ii) the child has developed a significant relationship
with the adopting parent as a result of the adopting parent providing care
to the child for an extended period of time,
and
(
d) if the adopting parent is a resident of Canada.
(3) No agreement shall be entered into under subsection (1)(
b) if the
adopting parent is reasonably able to obtain the services required to meet
the special needs of the child from other sources.
(4) No agreement under subsection (1)(
a) or (
b) remains in force after the
child reaches the age of 18 years.
(5) No agreement under subsection (1)(
a) or (
b) remains in force if the
adopting parent ceases to reside in Canada.
Rate of support
49 The rate of financial support provided under an agreement under
section 48(1)(
a) shall not exceed 90% of the basic maintenance rate for
foster care as set by the Minister from time to time.
Review of a post-adoption support agreement
50(1) A director must review a post-adoption support agreement
(
a) annually, and
(
b) within 30 days after receiving a written request for a review
from the adopting parent who is a party to the agreement.
(2) If, after a review under subsection (1), the director is of the
opinion that
(
a) the special needs of the child have changed, or
(
b) the financial ability of the adopting parent to maintain the
child or to provide the services required to meet the special needs of the
child, as the case may be, has changed,
the director may require that the agreement be varied or may terminate the
agreement on 30 days' written notice to the adopting parent.
Appeal
51 A person who is affected by a decision respecting the refusal or
failure to enter into an agreement under
section 48 or respecting the terms
or the termination of that agreement may appeal the decision to an Appeal
Panel in accordance with
section 120(3) of the Act.
PART 5
REPEALS, EXPIRY AND COMING INTO FORCE
Repeal
52 The Adoption Regulation (AR 3/89) is repealed.
Expiry
53 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, 2007.
Coming into force
54 This Regulation comes into force on April 1, 2002.
FORM 1
APPLICATION FOR A LICENCE OR TO RENEW
A LICENCE TO OPERATE AN ADOPTION AGENCY
OR A SEARCH 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:
__ for a licence to operate a licensed adoption agency
__ for a licence to operate a licensed search agency
__ to renew a licence to operate a licensed adoption agency
__ to renew a licence to operate a licensed search agency
I have attached all the supporting documents required by
section 4 or
section 32 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 OR SEARCH AGENCY
1 To: (name of applicant or licensee)
Address: (address)
2 Licensing
With respect to the licensing of:
__ an adoption agency
__ a search agency
Pursuant to
section 89 of the Child Welfare Act, I give notice of my
decision to:
(Place an "X" in the appropriate box.)
__ refuse to issue a licence to operate an agency
__ refuse to renew your licence to operate an agency
__ issue a conditional licence to operate an agency
__ suspend your licence to operate an agency until
__ cancel your licence to operate an 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 Welfare 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 CHILD WELFARE 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 my adoption of a child placed in my home by the parent.
Please check child welfare 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 Child Welfare Record Check
I, (name) , (position) , have conducted a child
welfare record check on (applicant) and report as follows:
__ I have found no child welfare record indicating that the
applicants might have caused a child to be in need of protective services
in Alberta.
__ 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 (male applicant)
Business (female applicant)
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 relationships
Family composition
Understanding of adoption issues
Child desired
Any other significant changes
Part C Yes No Changes
References
3 Signatures
(Signature of applicant) (date)
(Signature of applicant) (date)
FORM 5
CHILD'S SOCIAL AND FAMILY HISTORY
Section 1: Child's Information
A Name of child: (birthdate)
Birthplace: Religion:
Has child been baptized: yes no
If yes, give details:
Racial Origin: Ethnic Origin:
If registered Indian, (registration number) Band: (name
(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 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 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 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 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 or gift being left for the child?
Have the mother and father been given background information
about the adoptive family?
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: (child welfare worker)
(child welfare office)
(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 child welfare worker
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 health unit:
Allergies:
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
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 Welfare 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 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
APPLICATION FOR AUTHORIZATION
1 Information about applicant
Name of applicant: (name of applicant)
Address: (street, apt #, P.O. Box #)
(city,town,county) (province)
(postal code) (phone number)
Occupation:
2 Information about birth parents
Name of mother: (name of mother)
Address: (street, apt #, P.O. Box #)
(city,town,county) (province)
(postal code) (phone number)
Name of father: (name of father)
Address: (street, apt #, P.O. Box #)
(city,town,county) (province)
(postal code) (phone number)
3 Information about proposed adoptive parents
Names of proposed adoptive parents:
(name of proposed adoptive mother)
(name of proposed adoptive father)
Address: (street, apt #, P.O. Box #)
(city,town,county) (province)
(postal code) (phone number)
4 Information about child
Name of child (if born): (name)
Date of birth or expected date of birth: (date)
5 To be completed by applicant
I am applying for authorization to place or help place this child for
the purpose of adoption.
I want to be involved in placing this child because:
My involvement in placing this child is exceptional because:
My role in assisting with this adoption following placement of the
child and following the granting of the adoption order will be:
My relationship to the birth parents of this child is:
My relationship to the proposed adoptive parents is:
My knowledge of adoption and the adoption process is based on:
The proposed adoption placement will meet the child's cultural needs
because:
(check one of the following:)
I will receive the following benefit for being involved
in this adoption:
I will not receive a benefit of any kind for being
involved in this adoption.
(check one of the following:)
I am affiliated with a person or organization that
carries on an adoption business. The name of the person or organization is
I am not affiliated with any person or organization that
carries on an adoption business.
6 To be completed by birth parents
I/We want the applicant to be involved in my/our child's adoption
because:
Notice to birth parents and proposed adoptive parents:
Adoption services are available to birth parents and adoptive parents
from your regional Child and Family Services Authority and from licensed
adoption agencies. Contact your regional Child and Family Services
Authority for further information.
7 Signatures
(witness's signature) (date) (applicant's signature)
(witness's signature) (date) (birth parent's signature)
(witness's signature) (date) (birth parent's signature)
(proposed
adoptive
(witness's signature) (date) parent's signature)
(proposed
adoptive
(witness's signature) (date) parent's signature)
THIS IS NOT A CONSENT TO ADOPTION
FORM 9
AUTHORIZATION
1 To: (name of applicant)
Address: (street, apt #, P.O. Box #)
(city,town,county) (province) (postal code)
2 Information about Child
Name of child (if born): (name)
Date of birth or expected date of birth: (date)
3 Information about Birth Parents
Names of birth parents:
(name of birth
mother)
(name of birth
father)
4 Information about Proposed Adoptive Parents
Names of proposed adoptive parents:
(name of proposed adoptive
mother)
(name of proposed adoptive
father)
5 Authorization
You are authorized by the Minister to place or help place this child
with the proposed adoptive parents for the purpose of adoption.
This authorization allows you to place the child only if the birth
parent wants you to.
The provisions of the Child Welfare Act apply at all times. The Act
requires the birth parent's consent to the child's adoption.
6 Signature
(signature of director) (date)
FORM 10
APPLICATION FOR AN ADOPTION SEARCH
1 To: (Licensed Search Agency)
2 Name: (first name) (middle name) (last name)
Address: (street, apt #, P.O. Box #)
(municipality) (province) (country) (postal
code)
Telephone No. (residence) (business)
Previous names
3 Applicant Information
I am
an adopted person. I am 18 years of age or older
(complete sections 4 and 9)
an adopted child. I am 16 years of age or older and
living independently from my guardian (complete sections 4 and 9)
a guardian of an adopted person who is a child
(complete sections 5 and 9)
an adult descendant of a deceased adopted person
(complete sections 6 and 9)
a birth parent of an adopted person who is 18 years
of age or older (complete sections 7 and 9)
an adult sister or brother of an adopted person who
is 18 years of age or older (complete sections 8 and 9)
4 Search Information for Adopted Person
I would like you to search for
my birth mother
my birth father
my maternal adult birth sisters and brothers
my paternal adult birth sisters and brothers
If either of my birth parents is deceased, I would like you to search
for any adult related by blood to that birth parent
Yes No
Date of adoption (if known) (date)
Date of birth (date)
Place of birth
My adoptive mother is (last name) (first name)
My adoptive father is (last name) (first name)
I believe I have the following adult birth brothers and
sisters. (Please give names and any details you know about your adult
sisters and brothers. If you need more space, attach a separate sheet.)
5 Search Information for Guardian of Adopted Child
Name of adopted child:
(first name) (middle name) (last name)
Previous names:
I would like you to search for the adopted child's
birth mother
birth father
adult birth brothers and sisters
If either of the adopted child's birth parents is deceased, I would
like you to search for any adult related by blood to that birth parent
Yes No
Date of adoption (if known) (date)
Date of birth (date)
Place of birth
The adopted child's adoptive mother is
(last name) (first name)
The adopted child's adoptive father is
(last name) (first name)
I believe the adopted child has the following adult birth
brothers and sisters. (Please give names and any details you know about
the child's adult sisters and brothers. If you need more space, attach a
separate sheet.)
6 Search Information for Descendant of Deceased Adopted Person
Name of deceased adopted person:
(first name) (middle name) (last name)
Date of death (date)
Place of death
Date of adoption (if known) (date)
Date of birth (date)
Place of birth
Names of the adoptive parents
Relationship of deceased adopted person to applicant
I would like you to search for the deceased adopted person's
birth mother
birth father
adult birth brothers and sisters
If either of the deceased adopted person's birth parents is deceased,
I would like you to search for any adult related by blood to that birth
parent Yes No
I believe the deceased adopted person has the following adult
birth sisters and brothers. (Please give names and any details you know
about the adopted person's adult sisters and brothers. If you need more
space, attach a separate sheet.)
7 Search Information for Birth Parent
I would like you to search for
my birth son my birth
daughter
whose name was (full name)
Place of birth
Date of birth (date)
If my birth son or daughter is deceased, I would like you to search
for any adult related by adoption to my birth son or daughter
Yes No
8 Search Information for Sisters and/or Brothers
I would like you to search for my adult sisters and/or
brothers who were adopted.
I believe I have the following adult sisters and/or
brothers who were adopted and for whom I wish you to search. (Please give
names and any details you know about your adult sisters and brothers. If
you need more space, attach a separate sheet.)
If any of my adult sisters and/or brothers who was adopted is dead, I
would like you to search for any adult related by adoption to the deceased Yes No
9 Signatures
I understand that the Minister will give you identifying information
about me (or the adopted person) and my (or the adopted person'
s) birth
family to help you with the search.
I understand that the Post-Adoption Registry will receive a copy of
this application.
(witness's signature) (date) (applicant's signature)
FORM 11
CONSENT BY FAMILY MEMBER
1 To: (Licensed Search Agency)
(address)
2 Consent
I am (name of family member) . I understand that
(relationship to applicant) has asked you to find me.
I give you my consent to reunite him or her with me and
to give him or her any information you have that identifies who I am to
facilitate the reunion.
I give you my consent to give him or her any information
you have that identifies who I am.
3 Signatures
(signature of
(witness's signature) (date) family member)
FORM 12
VETO
1 To: (Post Adoption Registry)
(Licensed Search Agency)
2 Veto
I am adopted person
Name: (birthdate)
Adoptive parents' names:
I am birth parent
Name: (birthdate)
Child's name: (birthdate)
I am adult birth sibling
Name: (birthdate)
Child's name: (birthdate)
I am other
Name: (birthdate)
Child's name: (birthdate)
In the event that someone applies to a licensed search agency or to
the Post Adoption Registry to find me:
I do not wish to be reunited with the applicant and I
forbid the release of any information that identifies who I am.
I do not wish to be reunited with the applicant; however,
I consent to the release of the following information about me to the
applicant:
I understand that even if I register this veto form, the applicant
might still find another birth family member. That member might give out
information about me. I understand that even if I register this veto form,
the applicant might still find me or get information about me some other
way.
I understand that I may cancel this veto at any time by writing to
the Post Adoption Registry.
3 Signatures
(witness) (date) (signature)
FORM 13
POST-ADOPTION SUPPORT AGREEMENT
1 Regarding the child (name)
Born (date)
2 Agreement
This agreement is made according to
section 81 of the Child Welfare
Act.
This agreement is between a director and (names of adoptive parents)
of (address) .
This agreement replaces the agreement we entered on (date)
A director agrees to review this agreement within 30 days of
receiving a written request from the parents.
We agree that this agreement may be changed only if both of us agree.
To change this agreement, we will sign a new agreement.
We agree that if one of us wants to cancel this agreement, we will
provide a letter to the other person 30 days before the date we want the
agreement to end.
We agree to the terms set out below this agreement. The total cost
of this agreement will not exceed .
3 Terms
Maintenance Terms
This child has been placed with the parents for the purpose of
adoption. The parents reside in Canada and require financial support to
assist them to maintain the child in their home.
A director agrees to provide the parents with financial support to
maintain the child. The rate of support will be: .
The parents agree to inform a director about any change in their
ability to maintain the child.
We agree that these terms will be effective from (date) to
(date) unless cancelled earlier.
(NOTE: The agreement may not exceed one year nor continue either
after the child's 18th birthday or if the parents cease to reside in
Canada.)
Special Service Terms
This child was adopted by the parents on (date) .
Before the adoption, a director acknowledged that the child had
special needs.
A director agrees to provide the parents with financial support for
services to meet the child's special needs.
The level of support and the type of services will be:
The parents agree to make sure the child receives the services
described above.
The parents agree to inform a director about any change in the
child's special needs.
We agree that these terms will be effective from:
(date)
the date the adoption order is granted
We agree that these terms end (date) unless cancelled
earlier.
(NOTE: The agreement may not exceed one year nor continue either
after the child's 18th birthday or if the parents cease to reside in
Canada.)
4 Signatures
(parent's signature) (date)
(parent's signature) (date)
(child welfare worker's signature) (date)
(director's delegate's signature) (date)
FORM 14
NOTICE BY AN ADOPTION APPLICANT
ABOUT A DIRECT ADOPTION PLACEMENT
1 Regarding the child (name as on birth document) , born
(date) at (place of birth) .
2 Applicants
We are the applicants who will be applying to adopt this child:
(applicant) (applicant)
(address) (phone)
3 Parents
This child's parents are:
Mother: (name) , born
(date)
(address) (phone)
Father: (name) , born
(date)
(address) (phone)
4 Notice
This is your notice that we received custody of this child from the
parent on (date) for the purpose of adoption.
We intend to apply for an adoption order regarding the child.
(applicant's signature) (date)
(applicant's signature) (date)
FORM 15
NOTICE BY A PARENT ABOUT A
DIRECT ADOPTION PLACEMENT
1 Regarding the child (name as on birth document)
born (date) at (place of birth) .
2 Parents
I am this child's parent. I am:
(name) born (date)
(address) (phone)
The child's other parent is:
(name) born (date)
(address) (phone)
3 Applicants
The people who will be applying to adopt my child are:
(applicant's legal name) (applicant's legal name)
(address) (phone)
4 Notice
This is your notice that I placed this child with the applicants on
(date) for the purpose of adoption.
I understand that I will need to sign a consent form for the
adoption. I also understand that I can have the consent form completed
either by going to a lawyer, or by contacting my regional Child and Family
Services Authority.
(parent's signature) (date)
Alberta Regulation 38/2002
Child Welfare Act
GENERAL REGULATION
Filed: March 20, 2002
Made by the Minister of Children's Services (M.O. 43/02) on March 14, 2002
pursuant to
section 131(2) of the Child Welfare Act.
Table of Contents
Definition 1
Forms 2
Secure treatment institutions 3
Qualifications for appointment as child welfare worker 4
Agreement re care and maintenance 5
Duty to keep records 6
Repeal 7
Expiry 8
Coming into force 9
Schedules
Definition
1 In this Regulation, "Act" means the Child Welfare Act.
Forms
2 The forms to be used under the Act are the forms in
Schedule 1.
Secure treatment institutions
3 The institutions in
Schedule 2 are secure treatment institutions.
Qualifications for appoint-ment as child welfare worker
4 For the purposes of the Act, the qualifications required for a person
to be appointed as a child welfare worker are that the person
(
a) is a social worker registered under the Social Work Profession
Act,
(
b) holds at least a bachelor's degree in social work from a
university or school accredited by the Canadian Association of Schools of
Social Work, or
(
c) in the opinion of the Minister is qualified because of the
person's academic qualifications or experience or a combination of the
person's academic qualifications and experience.
Agreement re care and maintenance
5(1) A director may enter into an agreement in Form 10 with a person
referred to in
section 35(2) of the Act with respect to the provision of
care and maintenance required to assist or enable the person to establish
or maintain an independent living arrangement if, in the opinion of the
director,
(
a) the care and maintenance is not reasonably available to the
person through other sources, or
(
b) the care and maintenance is required in order to achieve the
objectives of a director's case plan.
(2) An agreement under subsection (1) may provide care and maintenance
that is required for the health and well-being of the person referred to in
section 35(2) of the Act, including
(
a) living accommodation,
(
b) financial assistance related to necessities of life, training
and education,
(
c) health benefits, and
(
d) any other support services that may be required to enable the
person to live independently or achieve independence.
(3) No agreement under subsection (1) may be entered into or remains in
force after the person's 20th birthday.
(4) A person who is affected by a decision respecting the refusal or
failure to enter into an agreement under subsection (1) or the terms or
termination of that agreement may appeal the decision to an Appeal Panel in
accordance with
section 120 of the Act.
Duty to keep records
6 For the purposes of
section 127 of the Act, the following persons are
required to keep records with respect to a child who is the subject of an
investigation, agreement or order under the Act or any predecessor to the
Act:
(
a) a director;
(
b) an officer of a licensed adoption agency.
Repeal
7 The General Regulation (AR 192/85) is repealed.
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 March 31, 2007.
Coming into force
9 This Regulation comes into force on April 1, 2002.
SCHEDULE 1
FORM 1
SUPPORT AGREEMENT WITH
A GUARDIAN OR CUSTODIAN
1 Regarding the child(ren):
(name) , born (date) , ID#
(name) , born (date) , ID#
2 Agreement
This agreement is made according to
section 8(1) of the Child Welfare
Act.
This agreement is between a director and (name) of
(address) , who is this child's guardian custodian.
We agree that this agreement will be effective from (date) to
(date) unless cancelled earlier.
We agree that if one of us wants to cancel this agreement, we will
provide a letter to the other person that sets a date for the agreement to
end.
We have seen and agree to the service plan of (date)
that is attached to this agreement. We also agree that we can make
changes to the service plan if both of us agree to them.
3 Signatures
(guardian/custodian) (date)
(director's delegate) (date)
FORM 2
SUPPORT AGREEMENT WITH A CHILD
1 Regarding the child (name) , born (date)
2 Agreement
This agreement is made according to
section 8(2) of the Child Welfare
Act.
This agreement is between a director and (name) of
(address) , who is the child.
We agree that this agreement will be effective from (date) to
(date) unless cancelled earlier.
We agree that if one of us wants to cancel this agreement, we will
provide a letter to the other person that sets a date for the agreement to
end.
We have seen and agree to the service plan of (date) that is
attached to this agreement. We also agree that we can make changes to the
service plan if both of us agree to them.
3 Signatures
(child) , (date)
(director's delegate) , (date)
FORM 3
CUSTODY AGREEMENT WITH A GUARDIAN
1 Regarding the child (name) , born (date)
Personal Health Number
2 Agreement
This agreement is made according to
section 9(1) of the Child Welfare
Act.
This agreement is between a director and (name) of
(address) , who is this child's guardian.
We agree that this agreement will be effective from (date) to
(date) unless cancelled earlier.
We agree that if one of us wants to cancel this agreement, we will
provide a letter to the other person that sets a date for the agreement to
end.
We agree to the terms set out below.
3 Terms
We agree that the guardian will have the following contact with
the child:
The guardian agrees that the director may:
decide about daily routines
decide about recreational activities
enrol the child in school or vocational activities
decide about religious or cultural activities
consent to ordinary medical or dental care
consent to emergency treatment or surgical procedures
consent to employment
consent to obtaining recreational licences and permits
(except a firearms permit or driver's licence)
other
The guardian agrees to contribute the following toward
maintaining the child:
dental costs
optical costs
prescription drugs
school fees
clothing
recreational costs
counselling fees
other
cash payments of $ per month. These payments will be
made on the (day) of every month, starting (date) .
a one-time cash payment of $ to be paid by (date)
The guardian will make all cash payments to:
the Minister of Finance by supplying them to the child welfare
office at (address) .
the Director of Maintenance Enforcement at (address) .
We have seen and agree to the service plan of (date)
that is attached to this agreement. We also agree that we can make changes
to the service plan if both of us agree to them.
4 Signatures
(guardian) (date)
(director's delegate) (date)
FORM 4
CUSTODY AGREEMENT WITH A CHILD
1 Regarding the child (name) , born (date)
Personal Health Number
2 Agreement
This agreement is made according to
section 9(2) of the Child Welfare
Act.
This agreement is between a director and (name) of
(address) , who is the child.
We agree that this agreement will be effective from (date) to
(date) unless cancelled earlier.
We agree that if one of us wants to cancel this agreement, we will
provide a letter to the other person that sets a date for the agreement to
end.
We have seen and agree to the service plan of (date) that is
attached to this agreement. We also agree that we can make changes to the
service plan if both of us agree to them.
4 Signatures
(child) (date)
(director's delegate)
(date)
FORM 5
PERMANENT GUARDIANSHIP AGREEMENT
1 Regarding the child (name) , born (date)
2 Introduction
The guardians of this child have asked the director to take over
guardianship of the child.
We understand that once we enter this agreement:
anyone who is now a guardian of the child will no longer be a
guardian;
the director will become the child's only guardian;
a guardian may end this agreement within 10 days after signing
it. To end the agreement, the guardian must give the director a written
request.
3 Agreement
This agreement is made according to
section 11 of the Child Welfare
Act.
This agreement is between a director and (names) , who are
all of the guardians of the child. We agree that the director will assume
guardianship of the child.
4 Signatures
(guardian) (date) (witness)
(guardian) (date) (witness)
(director's delegate) (date) (witness)
FORM 6
ACCESS, MAINTENANCE OR
CONSULTATION AGREEMENT
1 Regarding the child (name) , born (date)
2 Agreement
This agreement is made according to:
section 10 of the Child Welfare Act (custody agreement with a
child)
section 14 of the Child Welfare Act (temporary guardianship
order)
section 34 of the Child Welfare Act (permanent guardianship
order)
This agreement is between a director and (name) of
(address) .
This agreement replaces the agreement we entered on (date) .
We agree that this agreement will be effective from (date) to
(date) .
(NOTE: the expiry date may not be after the expiry date of the custody
agreement or guardianship order.)
This agreement may be replaced only if both of us agree. To replace this
agreement, we will enter a new agreement.
To cancel this agreement:
if there are no terms of maintenance, one of us will
provide a letter to the other person that sets a date for the agreement to
end.
if there are terms of maintenance, only the director may
cancel the agreement.
We agree to the terms set out below.
3 Terms
Terms of Access (only if temporary or permanent guardianship)
We agree that (name) may have the following contact with this
child:
Terms of Maintenance (only if custody agreement or temporary guardianship)
The guardian agrees to contribute the following toward maintaining
this child:
dental costs
optical costs
prescription drugs
school fees
clothing
recreational costs
counselling fees
other
cash payments of $ per month. These payments will be
made on the (day) of every month, starting (date) .
a one-time cash payment of $ to be paid by
(date) .
The guardian will make all cash payments to:
the Minister of Finance by supplying them to the child welfare
office at (address) .
the Director of Maintenance Enforcement at (address) .
Terms of Consultation (only if temporary guardianship)
The director agrees to discuss the following matters with the guardian:
Other Terms (only if temporary guardianship)
4 Consent to Access by a
Child 12 Years of Age or Over
(Complete if this agreement is with someone
who is not a guardian)
My name is (name) . I consent to the terms of access in
this agreement.
(child's signature) (date)
5 Signatures
(guardian or other person) (date)
(director's delegate) (date)
FORM 7
SECURE TREATMENT CERTIFICATE
1 Regarding the child (name) , born (date)
2 Certificate
This certificate is issued by a director under
section 43 of the
Child Welfare Act.
This certificate is the authority for confining this child in a
secure treatment institution.
The director authorizes any person to confine the child in a secure
treatment institution from (date) to (date) .
The secure treatment institution is (name) at
(address) .
3 Affidavit
My name is (name of director's delegate) . I have the authority
to act for a Child Welfare Director.
I have reasonable and probable grounds to believe that the child is
suffering from a mental or behavioural disorder, that the child is in a
condition presenting a danger to the child or others and that it is
necessary to confine the child in order to remedy or alleviate the disorder
because:
SWORN BEFORE ME at the of )
, in the Province )
of Alberta, the day of , )
A.D. . ) (director's delegate)
Notary Public or Commissioner for Oaths
4 Notice
This is your notice that I will be appearing in Court to show cause
why this certificate was issued.
The Court hearing will be at (address) on (date) .
A judge will hear my information as soon as possible after (time)
If you want to speak to the judge about my information, you must
attend the hearing.
The child may be represented by a lawyer at any appearance before the
Court. The nearest office of the Legal Aid Society is (address)
, (phone) .
FORM 8
HANDICAPPED CHILDREN'S SERVICES AGREEMENT
The information given by the Guardian on this form is collected under the
authority of the Child Welfare Act for the purposes of making this
Agreement. The collection and use of the information is undertaken in
compliance with the provisions of the Freedom of Information and Protection
of Privacy Act. If you have any questions about the collection and use of
this information, you may contact your worker.
IN RESPECT of the child
Last name
First name
Middle name
Birthdate
HCS I.D. number
who resides at (child's address)
AND IN ACCORDANCE WITH
section 106 of the Child Welfare Act, THIS AGREEMENT
IS MADE BETWEEN the legal guardian (called "the Guardian")
(Guardian's Name) Home Phone No.
(address) Work Phone No.
and a Director or authorized designate (called the "Director"). In
recognition that the child is diagnosed with , the
Guardian and the Director agree as follows:
1 The Director will provide the following:
2 The Guardian is responsible for:
(
a) all costs normally associated with providing
everyday care for the child;
(
b) accessing any benefits or insurance plans available
to the Guardian, including dental coverage;
(
c) hiring, employing and supervising any service
providers needed to assist in caring for the child and complying with all
relevant employment standards and Canada Customs and Revenue Agency
requirements.
[add additional terms as required.]
3 The Guardian will provide medical insurance coverage under the
Alberta Health Care Insurance Plan and, when necessary, hospital or
optional health services insurance coverage for the child. The contract
number(
s) for health care insurance are:
Alberta Health Care Insurance - Child's Personal Health No.
Other Health Care Insurance, (eg. Blue Cross) , No.
4(1) Where litigation may result from the child's disabilities, the
Guardian agrees to notify the Director of any legal action planned or
commenced, including settlement discussions and the filing of court
documents. The Director may then ensure that the costs of future services
for the child, which would have been payable under any future Handicapped
Children's Services Agreements, are included and sought in the legal
action.
(2) If as a result of the child's disabilities, the Guardian or the
child has already received damages or compensation from any source,
including a legal action, prior to signing this Agreement, the Guardian
agrees to inform the Director of the amounts and the nature of the damages
or compensation received.
(3) Where compensation or damages as a result of the child's
disabilities are received by the Guardian or the child during the term of
this Agreement, the Guardian agrees to renegotiate this Agreement so that
any amounts currently paid for under this Handicapped Children's Services
Agreement for which the family or the child received damages or
compensation are no longer funded by Handicapped Children's Services.
[Choose clause 5 only when the child is maintained financially by the
Director.]
5 The Guardian acknowledges that where the Director is paying for the
maintenance of the child who lives in a residence other than the Guardian's
residence, the Canada Child Tax Benefit will be paid to the Director.
[Choose clause 6 only when the day to day decision making responsibility is
delegated to the Director. This would apply only when the child moves into
a government operated facility. This would not apply to situations where
the Guardian seeks support from a community based service provider.]
6 The Guardian delegates to the Director the responsibility for
decision making relating to the day to day care of the child while the
child resides in a Government operated facility.
7 The Guardian agrees to spend the funds provided under this Agreement
strictly in accordance with the terms of this Agreement, and the Guardian
understands and agrees that the Guardian is responsible for paying for any
services provided to the child that exceed the costs as agreed to by the
Director under this Agreement.
8 The Guardian understands that the misuse of funds or the giving of
false, misleading or inaccurate information in order to obtain services
from the Director may result in a civil action or criminal charges.
9 The Guardian understands that the Guardian has the right to appeal to
the Child Welfare Appeal Panel a refusal or failure of the Director to
enter into a Handicapped Children's Services Agreement within 30 days of
being notified of the Director's decision.
10 This Agreement is effective from (date) to (date)
unless cancelled by the Director or by the Guardian.
11 This Agreement revokes previous Handicapped Children's Services
Agreements and Addenda to Agreements, if any, previously signed by the
Guardian and a Director respecting the child.
12 This Agreement or any of its terms may be amended or varied in
writing with the consent of both the Guardian and the Director.
13 The Guardian understands that, before signing this Agreement, the
Guardian has the right to have this Agreement reviewed by a lawyer.
Agreed to and signed by:
(guardian)
(date)
(director's delegate)
(date)
(Name of HCS worker)
(Child and Family Services Authority Office)
(Agreement Number)
FORM 9
NOTICE OF APPEAL TO THE APPEAL PANEL
1 My name is (name) . My address is (address) . My
telephone number is (telephone number) .
2 Right to Appeal
I am a child
I am a guardian of a child
I am under 20 years old and when I turned 18, I had an
agreement with a director or was under the director's guardianship
I am a foster parent or other person who has had the continuous
care of a child for more than 6 of the 12 months immediately preceding the
decision of a director
I applied to a director to become a foster parent and my
application was refused
I was approved by a director as a foster parent and my approval
has been withdrawn
I applied to a director to have a child placed in my home for
the purpose of adopting the child and my application was refused
I applied to a licensed adoption agency to have a child placed
in my home for the purpose of adopting the child and my application was
refused
I hold an adoption agency licence or I am applying for an
adoption agency licence
I hold a search agency licence or I am applying for a search
agency licence
I am the Minister
3 Notice
I have been affected by the decision of
a Child Welfare Director
a licensed adoption agency
I was told about the decision on (date) .
The decision was about (if the decision was about a child, give
the child's name and birthdate) .
The decision I am appealing is .
(Signature of person appealing) (date)
FORM 10
CARE AND MAINTENANCE AGREEMENT
1 Regarding the young person (name) , born (date) .
2 Agreement
This agreement is made according to
section 35(2) of the Child
Welfare Act.
This agreement is between a director and (name) of
(address) , who is the young person.
We agree that this agreement will be effective from (date) to
(date) unless cancelled earlier.
(NOTE: the expiry date may not be after the young person's 20th
birthday.)
We agree that if one of us wants to cancel the agreement, we will
provide a letter to the other person that sets a date for the agreement to
end.
We have seen and agree to the service plan of (date) that is
attached to this agreement. We also agree that we can make changes to the
service plan if both of us agree to them.
3 Signatures
(young person) (date)
(director's delegate) (date)
SCHEDULE 2
The following are secure treatment institutions:
(
a) Youth Assessment Centre (High Prairie);
(
b) Youth Assessment Centre (Lac La Biche);
(
c) Youth Assessment Centre (Red Deer);
(
d) Yellowhead Youth Centre (Edmonton);
(
e) Hull Child and Family Services (Calgary);
(
f) Sifton Children's Centre (Lethbridge);
(
g) Central Peace Group Home (Rycroft).
------------------------------
Alberta Regulation 39/2002
Child Welfare Act
COURT RULES AND FORMS REGULATION
Filed: March 20, 2002
Made by the Lieutenant Governor in Council (O.C. 115/2002) on March 20,
2002 pursuant to
section 131 of the Child Welfare Act.
Table of Contents
Definition 1
Court practice and procedure 2
Non-compliance with this Regulation 3
Personal service 4
Application 5
No application procedure in Act 6
Forms 7
Expert witness 8
Repeal 9
Expiry 10
Coming into force 11
Schedule
Definition
1 In this Regulation "Act" means the Child Welfare Act.
Court practice and procedure
2(1) In any matter not provided for in the Act or this Regulation, the
practice and procedure in the Court is to be regulated, wherever possible,
by analogy to the Alberta Rules of Court and the procedures followed in the
Court of Queen's Bench.
(2) The Court may give directions respecting any practice or procedure in
the Court.
(3) The Court on application may
(
a) vary a rule of practice or procedure,
(
b) refuse to apply a rule of practice or procedure, or
(
c) direct that some other practice or procedure be followed.
Non-compliance with this Regulation
3(1) Unless the Court so directs, non-compliance with this Regulation does
not render any act or proceeding void, but the act or proceeding may be set
aside either wholly or in part as irregular or amended or otherwise dealt
with.
(2) No proceeding shall be defeated on the ground of an alleged defect of
form.
Personal service
4(1) Personal service is effected on an individual by leaving with the
individual a copy of the document to be served.
(2) Personal service is effected on a corporation by leaving a copy of the
document to be served with the mayor, reeve, president, chairman or other
head officer by whatever name that person is known, or with the manager,
office manager, cashier, secretary or agent.
Application
5(1) An application under the Act is to be commenced by completing and
filing the form prescribed in the
Schedule with the clerk of the Court
before the Court hears the application.
(2) Notwithstanding subsection (1), the Court may hear an application
before the relevant form is filed with the clerk of the Court.
(3) Notwithstanding subsection (1), notice of an application is not
insufficient merely because the relevant form was not filed before it was
served on the person notified.
No application procedure in Act
6 If no procedure for an application to the Court is provided in the Act,
the application is to be commenced by completing and filing Form 25 in the
Schedule.
Forms
7 The forms to be used in any application to the Court under the Act are
the forms in the Schedule.
Expert witness
8(1) A party intending to call an expert witness at a proceeding shall, at
the earliest possible time, serve on every other party to the action a
notice containing
(
a) the name and qualifications of the expert witness,
(
b) a statement that summarizes the matters expected to be dealt
with by the expert witness, and
(
c) a statement that contains the substance of the opinion of the
expert witness,
and if the party intending to call the expert witness intends to offer in
evidence a report by the expert witness, that party shall, without
prejudice to the right of any party to object to its admission in evidence,
serve a copy of the report on every other party to the action as soon as is
reasonably practicable.
(2) Unless subsection (1) has been complied with, a party may not call an
expert witness to testify without the leave of the Court.
Repeal
9 The Court Rules and Forms Regulation (AR 184/85) is repealed.
Expiry
10 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, 2007.
Coming into force
11 This Regulation comes into force on April 1, 2002.
SCHEDULE
FORM 1
NOTICE AND APPLICATION TO TERMINATE
A PERMANENT GUARDIANSHIP AGREEMENT
In the Provincial Court of Alberta
In the Matter of the Child Welfare Act
1 Regarding the child (name) , born (date)
My name is (name) .
I am this child's parent. My address is (address) .
I am a child welfare worker. I have the authority to act for a
Child Welfare Director.
2 Notice
This is your notice that I will be applying to the Court for an order
under the Child Welfare Act terminating the permanent guardianship
agreement regarding this child. A copy of my application is below this
notice.
The court hearing will be at (address) on (date) .
A judge will hear my application as soon as possible after (time).
If you want to speak to the judge about my application, you must attend the
hearing.
At the end of the hearing, the judge may make an order.
If you do not attend the court hearing, the judge may still make an
order.
3 Application
This child is the subject of a permanent guardianship agreement
entered (date) . A director is the child's only guardian.
I am applying for an order terminating the permanent guardianship
agreement regarding the child.
I am a parent of the child. I am applying for a further
order:
declaring that I am a parent of the child
appointing me as a guardian of the child
directing that the child be placed in the
custody of (name of guardian)
terminating the guardianship of (name of
guardian)
the consent of the guardian is attached to this
application
I am a child welfare worker. I believe that the child
should be returned to the guardianship of the person who was the guardian
of the child before the agreement was entered.
I am applying for this order because
(applicant's signature) (date)
FORM 2
NOTICE AND APPLICATION
FOR A SUPERVISION ORDER
In the Provincial Court of Alberta
In the Matter of the Child Welfare Act
1 Regarding the child (name) , born (date)
My name is (name) . I am a child welfare worker. I have
the authority to act for a Child Welfare Director.
2 Notice
This is your notice that I will be applying to the Court for a
supervision order under the Child Welfare Act regarding this child. A copy
of my application is below this notice. A supervision order entitles the
director to supervise the child and anyone who lives with the child.
The court hearing will be at (address) on (date) .
The judge will hear my application as soon as possible after (time).
If you want to speak to the judge about my application, you must attend the
hearing.
At the end of the hearing, the judge may make the order applied for
or may make any other order the judge considers necessary to protect the
child.
If you do not attend the court hearing, the judge may still make an
order.
3 Application
I am applying for a supervision order regarding this child.
The child needs protective services.
To protect the child's survival, security or development, the child
and (name) who lives with the child need supervision because
I recommend the following terms of supervision:
(applicant's signature) (date)
FORM 3
NOTICE AND APPLICATION
FOR A TEMPORARY GUARDIANSHIP ORDER
In the Provincial Court of Alberta
In the Matter of the Child Welfare Act
1 Regarding the child (name) , born (date) .
My name is (name) . I am a child welfare worker. I have
the authority to act for a Child Welfare Director.
2 Notice
This is your notice that I will be applying to the Court for a
temporary guardianship order under the Child Welfare Act regarding this
child. A copy of my application is below this notice. A temporary
guardianship order makes the director a guardian of the child. The
director takes over responsibility for the child's care during the time of
the order.
The court hearing will be at (address) on (date) .
The judge will hear my application as soon as possible after (time).
If you want to speak to the judge about my application, you must attend the
hearing.
At the end of the hearing, the judge may make the order applied for
or may make any other order the judge considers necessary to protect the
child.
If you do not attend the court hearing, the judge may still make an
order.
3 Application
I am applying for a temporary guardianship order regarding this
child. The child needs protective services. To protect the child's
survival, security or development, the child cannot remain with the
guardian because
I believe that within a reasonable time:
the child can be returned to the guardian, or
the child will be able to live without a guardian.
I am also applying for an order:
setting out the type and amount of contact the
child will have with (name)
setting out the matters the director must discuss
with (name of guardian)
requiring (name) to make payments of $
(amount) towards the child's maintenance.
I am also applying for an order requiring (name) to be
assessed to determine whether that person can properly take care of the
child if the child returns to live with that person.
(applicant's signature) (date)
FORM 4
NOTICE AND APPLICATION FOR TERMS
OF A TEMPORARY GUARDIANSHIP ORDER
In the Provincial Court of Alberta
In the Matter of the Child Welfare Act
1 Regarding the child (name) , born (date)
My name is (name) .
I am the child.
My relationship to the child is (e.g. guardian) .
My birth date is (date)
My address is (address)
I am a child welfare worker. I have the authority to act
for a Child Welfare Director.
2 Notice
This is your notice that I will be applying to the Court for an order
under the Child Welfare Act setting terms for the temporary guardianship of
this child. A copy of my application is below this notice.
The court hearing will be at (address) on (date) .
A judge will hear my application as soon as possible after (time).
If you want to speak to the judge about my application, you must attend the
hearing.
At the end of the hearing, the judge may make an order. The judge
may make an order different from what I apply for. If you do not attend
the court hearing, the judge may still make an order.
3 Application
I am applying for terms for the temporary guardianship order
regarding this child granted on (date) .
I am applying for an order:
setting out the type and amount of contact
the child will have with (name)
setting out the matters the director must
discuss with (name of guardian)
requiring (name) to make payments
of $ (amount) towards the child's maintenance.
I am applying for an order requiring (name) to be
assessed to determine whether that person can properly take care of the
child if the child returns to live with that person.
(applicant's signature) (date)
FORM 5
NOTICE AND APPLICATION FOR A REVIEW
In the Provincial Court of Alberta
In the Matter of the Child Welfare Act
1 Regarding the child (name) , born (date)
My name is (name) .
I am the child.
My relationship to the child is (e.g. guardian) .
My birth date is (date)
My address is (address)
I am a child welfare worker. I have the authority to act
for a Child Welfare Director.
2 Notice
This is your notice that I will be applying to the Court for a review
under the Child Welfare Act of the (type of order) order regarding this
child. A copy of my application is below this notice.
The court hearing will be at (address) on (date) .
A judge will hear my application as soon as possible after (time).
If you want to speak to the judge about my application, you must attend the
hearing.
At the end of the hearing, the judge may make the order applied for
or may make any other order the judge considers necessary to protect the
child.
If you do not attend the court hearing, the judge may still make an
order.
3 Application
I am applying for a review of the (type of order) order
regarding this child granted on (date) for a period of
(duration).
I am applying for an order to:
renew the existing order.
vary the existing order.
terminate the existing order.
I am applying to terminate the existing order and replace it
with:
a supervision order.
a temporary guardianship order.
a permanent guardianship order.
I am applying for this review because
(applicant's signature) (date)
FORM 6
NOTICE AND APPLICATION BY A DIRECTOR FOR A
PERMANENT GUARDIANSHIP ORDER
In the Provincial Court of Alberta
In the Matter of the Child Welfare Act
1 Regarding the child (name) , born (date)
My name is (name) .
I am a child welfare worker. I have the authority to act for a Child
Welfare Director.
2 Notice
This is your notice that I will be applying to the Court for a
permanent guardianship order under the Child Welfare Act regarding this
child. A copy of my application is below this notice. A permanent
guardianship order makes the director the child's only guardian. The
director takes over all the child's care.
The court hearing will be at (address) on (date) .
A judge will hear my application as soon as possible after (time).
If you want to speak to the judge about my application, you must attend the
hearing.
At the end of the hearing, the judge may make the order applied for
or may make any other order the judge considers necessary to protect the
child.
If you do not attend the court hearing, the judge may still make an
order.
3 Application
I am applying for a permanent guardianship order regarding this
child. The child needs protective services. To protect the child's
survival, security or development, the child cannot live with the guardian
because
I do not believe that the child can be returned to the guardian
within a reasonable time.
I am also applying for an order that (name) make
payments of $ (amount) towards the child's maintenance.
I am also applying for an order setting out the type and amount
of contact the child will have with (name) .
(applicant's signature) (date)
FORM 7
NOTICE AND APPLICATION BY A GUARDIAN FOR A
PERMANENT GUARDIANSHIP ORDER
In the Provincial Court of Alberta
In the Matter of the Child Welfare Act
1 Regarding the child (name) , born (date)
My name is (name) .
My birth date is (date) .
I am a guardian of this child. My address is (address) .
2 Notice
This is your notice that I will be applying to the Court for a
permanent guardianship order under the Child Welfare Act regarding this
child. A copy of my application is below this notice. A permanent
guardianship order makes the director the child's only guardian. The
director takes over all the child's care.
The court hearing will be at (address) on (date) .
A judge will hear my application as soon as possible after (time).
If you want to speak to the judge about my application, you must attend the
hearing.
At the end of the hearing, the judge may make the order applied for
or may make any other order the judge considers necessary to protect the
child.
If you do not attend the court hearing, the judge may still make an
order.
3 Application
I am applying for a permanent guardianship order. I want to give up
this child to the director because
(applicant's signature) (date)
FORM 8
NOTICE AND APPLICATION FOR ACCESS
OR MAINTENANCE UNDER A
PERMANENT GUARDIANSHIP ORDER
In the Provincial Court of Alberta
In the Matter of the Child Welfare Act
1 Regarding the child (name) , born (date)
My name is (name) .
I am the child.
My relationship to the child is (e.g. guardian) .
My birth date is (date)
My address is (address)
I am a child welfare worker. I have the authority to act
for a Child Welfare Director.
2 Notice
This is your notice that I will be applying to the Court for an order
under the Child Welfare Act setting terms for the permanent guardianship of
this child. A copy of my application is below this notice.
The court hearing will be at (address) on (date) .
A judge will hear my application as soon as possible after (time).
If you want to speak to the judge about my application, you must attend the
hearing.
At the end of the hearing, the judge may make an order. The judge
may make an order different from what I apply for.
If you do not attend the court hearing, the judge may still make an
order.
3 Application
A permanent guardianship order regarding this child was granted on
(date) .
I am applying for an order:
requiring (name) to make payments of $
(amount) towards the child's maintenance.
setting out the type and amount of contact the child will have
with (name) , because
(applicant's signature) (date)
FORM 9
APPLICATION FOR AN APPREHENSION ORDER
In the Provincial Court of Alberta
In the Matter of the Child Welfare Act
1 Regarding the child (name) , born (date)
My name is (name) .
I am a child welfare worker. I have the authority to act for a Child
Welfare Director.
2 Application
I am applying for an order under
section 19 of the Child Welfare Act
authorizing the director to apprehend this child.
authorizing the director, a child welfare worker or (name)
, and any peace officer called on to assist, to enter, by force if
necessary, the place or premises specified in my declaration below and to
search for and apprehend the child.
authorizing the director, a child welfare worker or (name)
, and any peace officer called on to assist, to enter, by force if
necessary, the place or premises specified in my declaration below and to
search for and remove the child for the purpose of returning the child to
the custody of the director.
3 Declaration
In support of my application, I solemnly declare
I have reasonable and probable grounds to believe that this
child needs protective services because
I have reasonable and probable grounds to believe that the
child may be found at (address)
The child was in the custody of the director and left or was
removed from that custody without the consent of the director. I have
reasonable and probable grounds to believe that the child may be found at
(address) and I make this solemn 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 , ) (applicant's
A.D. . ) signature)
Notary Public or Commissioner for Oaths )
FORM 10
IN THE PROVINCIAL COURT OF ALBERTA
IN THE MATTER OF ,
BORN ON ,
A CHILD WITHIN THE MEANING OF
THE CHILD WELFARE ACT
Before Honour day, the
Judge day of
at , , 20
Alberta
APPREHENSION ORDER
WHEREAS (name) , authorized by a director, has applied for an order
authorizing the apprehension of the child;
AND
WHEREAS I am satisfied that
the applicant has reasonable and probable grounds to believe
that the child is in need of protective services;
the child is in the custody of a director, has left or been
removed from that custody without the consent of the director and the
director has reasonable and probable grounds to believe that the child may
be found in a place or premises;
IT IS ORDERED THAT the director, or any person authorized by the director,
may apprehend the child forthwith;
IT IS FURTHER ORDERED THAT the director, a child welfare worker or
(name) , and any peace officer called upon to assist, may enter (place
or premises) , using force if necessary, in order to search for and
apprehend the child.
(Judge or Clerk of the Court)
FORM 11
DEMAND NOTICE FOR AN EARLY HEARING
1 Regarding each of the children
(name) , born (date)
(name) , born (date)
My name is (name) .
I am a guardian of the child.
2 Notice
To the director or a child welfare worker authorized to act for the
director.
This child has been apprehended.
Because I do not want to wait for up to 10 days for a hearing about
the child, I demand that a hearing be held about the child on the next
working day after you receive this notice.
You may give me a notice about the time and place of the hearing:
in writing at (address) ,
by telephone at (number(s)) .
3 Signature
(guardian's signature) , (date)
FORM 12
APPEARANCE TO SHOW CAUSE FOR CONFINEMENT
In the Provincial Court of Alberta
In the Matter of the Child Welfare Act
1 Regarding the child (name) , born (date)
My name is (name) .
I am a child welfare worker. I have the authority to act for a Child
Welfare Director.
2 Appearance to Show Cause
This child was apprehended on (date) .
The child was confined on (date) .
I am appearing to show cause why the confinement of the child was
necessary.
3 Application
I am applying under
Section 22(7) of the Child Welfare Act for
an order authorizing the confinement of this child for a further period of
not more than 6 days.
4 Declaration
I solemnly declare:
that this child was confined because
that the child requires further confinement because
and I make this solemn 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 , ) (child welfare
A.D. . ) worker's signature)
Notary Public or Commissioner for Oaths )
FORM 13
NOTICE AND APPLICATION FOR AN ORDER
RETURNING AN APPREHENDED CHILD
In the Provincial Court of Alberta
In the Matter of the Child Welfare Act
1 Regarding the child (name) , born (date)
My name is (name) .
I am a child welfare worker. I have the authority to act for a Child
Welfare Director.
2 Notice
This is your notice that I will be applying to the Court for an order
under the Child Welfare Act returning this child to the custody of the
guardian. A copy of my application is below this notice.
The court hearing will be at (address) on (date) .
A judge will hear my application as soon as possible after (time).
If you want to speak to the judge about my application, you must attend the
hearing.
At the end of the hearing, the judge may make the order applied for
or may make any other order the judge considers necessary to protect the
child.
If you do not attend the court hearing, the judge may still make an
order.
3 Application
I am applying for an order returning this child to the custody of the
guardian.
The child was apprehended on (date) .
I believe that the child can be returned to the guardian because
(applicant's signature) (date)
FORM 14
NOTICE AND APPLICATION FOR
A TREATMENT ORDER
In the Provincial Court of Alberta
In the Matter of the Child Welfare Act
1 Regarding the child (name) , born (date)
My name is (name) .
I am a child welfare worker. I have the authority to act for a Child
Welfare Director.
2 Notice
This is your notice that I will be applying to the Court for an order
under the Child Welfare Act authorizing treatment for this child. A copy
of my application is below this notice.
The court hearing will be at (address) on (date) .
A judge will hear my application as soon as possible after (time).
If you want to speak to the judge about my application, you must attend the
hearing.
At the end of the hearing, the judge may make an order.
If you do not attend the court hearing, the judge may still make an
order.
3 Application
I am applying for an order authorizing (describe needed treatment)
for this child.
The child was apprehended on (date) .
The guardian refuses to consent to this treatment, which is
recommended by (name of physician or dentist) of (address)
because
(applicant's signature) (date)
FORM 15
NOTICE AND APPLICATION FOR A
JOINT GUARDIANSHIP ORDER
In the Provincial Court of Alberta
In the Matter of the Child Welfare Act
1 Regarding the child (name) , born (date)
My name is (name) .
My birth date is (date) .
My address is (address) .
2 Notice
This is your notice that I will be applying to the Court for a joint
guardianship order under the Child Welfare Act regarding this child. A
copy of my application is below this notice.
The court hearing will be at (address) on (date) .
A judge will hear my application as soon as possible after (time).
3 Application
I am applying for a joint guardianship order regarding this child.
The child is the subject of
a permanent guardianship order granted on (date)
a permanent guardianship agreement made on (date)
I am over the age of 18 years and I am capable of assuming and
willing to assume the responsibility of joint guardianship of the child.
My significant and continuing relationship with the child has been
My appointment will be beneficial to the child because
(applicant's signature) (date)
FORM 16
NOTICE AND APPLICATION FOR
A SECURE TREATMENT ORDER
In the Provincial Court of Alberta
In the Matter of the Child Welfare Act
1 Regarding the child (name) , born (date)
My name is (name) .
I am a child welfare worker. I have the authority to act for a Child
Welfare Director.
2 Notice
This is your notice that I will be applying to the Court for a secure
treatment order under the Child Welfare Act regarding this child. A copy
of my application is below this notice. A secure treatment order
authorizes the director to confine the child in a secure treatment
institution.
The court hearing will be at (address) on (date) .
A judge will hear my application as soon as possible after (time).
If you want to speak to the judge about my application, you must attend the
hearing.
At the end of the hearing, the judge may make an order.
If you do not attend the court hearing, the judge may still make an
order.
3 Application
This child
is the subject of a temporary guardianship order granted on
(date) for a period of (duration)
is the subject of a permanent guardianship order granted on
(date)
was apprehended on (date)
I am applying for
a secure treatment order regarding the child
a renewal of the first secure treatment order regarding the
child, granted on (date)
a renewal of the secure treatment renewal order regarding the
child, granted on (date)
I believe that the child is suffering from a mental or behavioural
disorder, that the child is in a condition presenting a danger to himself
or others and that it is necessary to confine the child in order to remedy
or alleviate the disorder because
(applicant's signature) (date)
FORM 17
IN THE PROVINCIAL COURT OF ALBERTA
IN THE MATTER OF ,
BORN ON ,
A CHILD WITHIN THE MEANING OF
THE CHILD WELFARE ACT
Before Honour day, the
Judge day of
at , , 20
Alberta
SECURE TREATMENT ORDER
WHEREAS (name) , authorized by a director, has applied for secure
treatment in respect of (name) ;
AND
WHEREAS I am satisfied that
the child is suffering from a mental or behavioural disorder,
the child is in a condition presenting a danger to himself or others,
and
it is necessary to confine the child in order to remedy or alleviate
the disorder;
IT IS ORDERED that the child be confined in a secure treatment institution
specified by a director for days commencing forthwith and
terminating on the (date) .
(Judge or Clerk of the Court)
TAKE NOTICE THAT:
1 The reasons for the confinement are:
2 The period of confinement will be for days and will
terminate on (date) .
3 The order may be reviewed or appealed on the application of the
child, the child's guardian or a director.
4 A copy of the form prescribed for making an application for a
review may be obtained from the person in charge of the secure treatment
institution in which the child is detained.
5 The child may be represented by a lawy