Alberta Gazette — 15 October (ii)

1015 ii

Alberta — Gazette

Alberta Gazette — 15 October (ii)

1015 ii

Alberta — Gazette

Alberta Regulation 204/2004

Government Organization Act

MUNICIPAL AFFAIRS GRANTS AMENDMENT REGULATION

Filed: September 22, 2004

Made by the Lieutenant Governor in Council (O.C. 430/2004) on September 22, 2004

pursuant to

section 13 of the Government Organization Act.

1 The Municipal Affairs Grants Regulation (AR 123/2000) is

amended by this Regulation.

Section 1(3) of

Schedule 2 is amended by striking out

"and 2004" and substituting " , 2004 and 2005".

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

Alberta Regulation 205/2004

Real Estate Act

EXEMPTION AMENDMENT REGULATION

Filed: September 22, 2004

Made by the Lieutenant Governor in Council (O.C. 436/2004) on September 22, 2004

pursuant to

section 84 of the Real Estate Act.

1 The Exemption Regulation (AR 111/96) is amended by

this Regulation.

Section 2 is amended

(

a) in subsection (1) by striking out "exempted" and

substituting "exempt";

(

b) by adding the following after subsection (2):

(3) The following persons are exempt from the Act as it relates

to acting as a real estate appraiser:

(

a) a person who appraises a business that has no premises

or other interests in land;

(

b) an accredited municipal assessor of Alberta or a

candidate member as defined in the Municipal Assessor

Regulation (AR 84/94), when the accredited municipal

assessor or candidate member is involved in the practice

of assessment as defined in the Municipal Assessor

Regulation (AR 84/94).

3 This Regulation comes into force on October 1, 2004.

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

Alberta Regulation 206/2004

Youth Criminal Justice Act (Canada)

Youth Justice Act (Alberta)

YOUTH JUSTICE DESIGNATION AMENDMENT REGULATION

Filed: September 22, 2004

Made by the Lieutenant Governor in Council (O.C. 440/2004) on September 22, 2004

pursuant to the Youth Criminal Justice Act (Canada) and

section 35 of the Youth

Justice Act (Alberta).

1 The Youth Justice Designation Regulation (AR 69/2003)

is amended by this Regulation.

Section 4(

d) is repealed.

Section 5 is amended

(

a) by repealing clause (b);

(

b) by repealing clause (c).

Section 7 is amended

(

a) by repealing clause (e);

(

b) by repealing clause (h);

(

c) by repealing clause (i);

(

d) by repealing clause (j).

Alberta Regulation 207/2004

Health Insurance Premiums Act

HEALTH INSURANCE PREMIUMS AMENDMENT REGULATION

Filed: September 22, 2004

Made by the Lieutenant Governor in Council (O.C. 442/2004) on September 22, 2004

pursuant to

section 2 of the Health Insurance Premiums Act.

1 The Health Insurance Premiums Regulation (AR 217/81)

is amended by this Regulation.

Section 2 is amended by striking out "8.2" and

substituting "3.1".

3 The following is added after

section 3:

3.1(1) Notwithstanding

section 3, if a registrant or the registrant's

spouse or adult interdependent partner is 65 years of age or over,

the registrant is eligible for a full premium subsidy on behalf of the

registrant and the registrant's dependants.

(2) Where only the registrant's spouse or adult interdependent

partner is 65 years of age or over, subsection (1) only applies if the

registrant's spouse or adult interdependent partner is a resident of

Alberta.

(3) Sections 7(2) and (3) and 8 do not apply to a subsidy under this

section.

(4) This

section is effective with respect to a registrant,

(

a) who becomes a registrant on or after October 1, 2004,

on the date on which the registration becomes effective,

where at the time of registration the registrant or the

registrant's spouse or adult interdependent partner is 65

years of age or over,

(

b) on October 1, 2004, where the registrant or the

registrant's spouse or adult interdependent partner is 65

years of age or over on that date,

(

c) on the first day of the first month following the 65th

birthday of the registrant or the registrant's spouse or

adult interdependent partner, where the birthday occurs

after October 1, 2004, or

(

d) on the 65th birthday of the registrant or the registrant's

spouse or adult interdependent partner, where the

birthday falls on the first day of a month and occurs

after October 1, 2004.

(5) The subsidy under this

section ceases at the end of the 2nd

month following the month in which the death occurs, as the case

may be, of the registrant or the registrant's spouse or adult

interdependent partner who was 65 years of age or over at the

time of death.

Section 8.2 is repealed.

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

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

Alberta Regulation 208/2004

Public Sector Pension Plans Act

LOCAL AUTHORITIES PENSION PLAN (NEW EMPLOYERS, 2004)

AMENDMENT REGULATION

Filed: September 22, 2004

Made by the Lieutenant Governor in Council (O.C. 445/2004) on September 22, 2004

pursuant to

Schedule 1,

section 4 of the Public Sector Pension Plans Act and

Schedule

section 2.1 of the Public Sector Pension Plans (Legislative Provisions) Regulation.

1 The Local Authorities Pension Plan (AR 366/93) is

amended by this Regulation.

Part 1 of

Schedule 2 is amended by adding the following

in their appropriate alphabetical order:

Aquatera Utilities Inc.

The Business Link Business Service Centre

Children's Services Centre, An Alberta Society

Section 2,

(

a) as it applies to The Business Link Business Service

Centre, is deemed to have come into force on April

1, 2002;

(

b) as it applies to Children's Services Centre, An

Alberta Society, is deemed to have come into force

on July 1, 2002;

(

c) as it applies to Aquatera Utilities Inc., is deemed to

have come into force on January 1, 2003.

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

Alberta Regulation 209/2004

School Act

HOME EDUCATION AMENDMENT REGULATION

Filed: September 23, 2004

Made by the Minister of Learning (M.O. 064/2004) on September 21, 2004 pursuant

section 29(3) of the School Act.

1 The Home Education Regulation (AR 126/99) is amended

by this Regulation.

Section 11 is amended by striking out "October 1, 2004"

and substituting "March 31, 2005".

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

Alberta Regulation 210/2004

Mobile Home Sites Tenancies Act

MOBILE HOME SITES TENANCIES MINISTERIAL

AMENDMENT REGULATION

Filed: September 29, 2004

Made by the Minister of Government Services (M.O. C:004/2004) on September 27,

2004 pursuant to

section 66 of the Mobile Home Sites Tenancies Act.

1 The Mobile Home Sites Tenancies Ministerial Regulation

(AR 54/96) is amended by this Regulation.

Section 3(1) and (4) to (7) are repealed and the following

is substituted:

(4) When an inspection has been conducted by the landlord and

the tenant or their agents, the inspection report

(

a) must contain the following statement, and the landlord

or landlord's agent must sign the statement:

The inspection of the mobile home site was conducted

on (date) by (landlord or landlord's agent) and by

(tenant or tenant's agent) .

and

(

b) must contain both of the following statements, and the

tenant or the tenant's agent must sign one of the

statements:

(

i) I, (name of tenant or tenant's agent) , agree that

this report fairly represents the condition of the

mobile home site.

(ii) I, (name of tenant or tenant's agent) , disagree

that this report fairly represents the condition of

the mobile home site for the following reasons:

(5) Where the tenant or the tenant's agent refuses to sign one of

the statements set out in subsection (4)(b), the inspection report

must contain the following statement, and the landlord or the

landlord's agent must sign the statement:

The tenant or tenant's agent present at the inspection refused

to sign the tenant's statement.

(6) Where an inspection is conducted by the landlord or the

landlord's agent without the tenant or the tenant's agent being

present, the inspection report must contain the following statement,

and the landlord or landlord's agent must sign the statement:

The inspection of the mobile home site was conducted on

(date) by (landlord or landlord's agent) without the

tenant or the tenant's agent being present.

Section 5(2)(

b) and (3)(

b) are amended by striking out

"Superintendent of Real Estate" and substituting "Director of

Residential Tenancies".

Section 7 is repealed and the following is substituted:

Investment of security deposit trust account

7 Money in a security deposit trust account may be invested only

in deposit receipts, deposit notes, certificates of deposit, bankers

or Alberta and other similar instruments issued by or guaranteed as

to principal and interest by a bank, credit union, loan corporation,

treasury branch, trust corporation or insurance company authorized

to carry on business in Alberta.

Section 8(1) is amended by adding "at the end of the

tenancy" before "and transferred".

Section 12 is amended by striking out "October 31, 2004"

and substituting "October 31, 2010".

7 The

Schedule is repealed and the following is

substituted:

Schedule

Form 1

This notice may be used by a landlord to terminate a periodic tenancy.

Landlord's Notice to Tenant

Termination of a Periodic Tenancy

TO: (name of tenant)

(address, including postal code)

I give you notice that the periodic tenancy between me as landlord and

you as tenant for (identify the mobile home site) is terminated on

(date) . You are required to vacate the mobile home site by (time)

on that date. (Section 22 of the Mobile Home Sites Tenancies Act

states that a tenancy terminates at 12 noon on the last day of the

tenancy unless the landlord and tenant agree to a different time.)

The tenancy is being terminated for the following reason(s):

Dated this day of , 20

(signature of landlord or landlord's agent)

(print name of landlord or landlord's agent)

(address, including postal code)

( telephone)

Form 2

This notice may be used by a tenant to terminate a periodic tenancy.

Tenant's Notice to Landlord

Termination of a Periodic Tenancy

TO: (name of landlord)

(address, including postal code)

I give you notice that the periodic tenancy between me as tenant and

you as landlord for (identify the mobile home site) is terminated on

(date) . I will give up possession of the mobile home site by

(time) on that date. (Section 22 of the Mobile Home Sites Tenancies

Act states that a tenancy terminates at 12 noon on the last day of the

tenancy unless the landlord and tenant agree to a different time.)

Dated this day of , 20

(signature of tenant or tenant's agent)

(print name of tenant or tenant's agent)

(address, including postal code)

(telephone)

Form 3

This notice may be used by a landlord to terminate a tenancy under

section 32 of the Act when the tenant commits a substantial breach of

the tenancy agreement.

Landlord's Notice to Tenant

Termination of Tenancy for Substantial Breach

TO: (name of tenant)

(address, including postal code)

I give you notice that the tenancy between me as landlord and you as

tenant for (identify the mobile home site) is terminated on (date) .

You are required to vacate the mobile home site by (time) on that

date. (Section 22 of the Mobile Home Sites Tenancies Act states that a

tenancy terminates at 12 noon on the last day of the tenancy unless the

landlord and tenant agree to a different time.)

The tenancy is being terminated because you have committed the

following act(

s) which constitutes a substantial breach of our tenancy

agreement:

Dated this day of , 20

(signature of landlord or landlord's agent)

(print name of landlord or landlord's agent)

(address, including postal code)

(telephone)

*IMPORTANT: This notice must be served on the tenant at least 14

days before the day that the tenancy is to terminate.

Form 4

This notice may be used by a landlord to terminate a tenancy under

section 33 of the Act when the tenant has

(

a) done or permitted significant damage to the mobile home

site, the common areas or the property of which they form a

part, or

(

b) physically assaulted the landlord or other tenants.

Landlord's Notice to Tenant

24-hour Notice of Termination

TO: (name of tenant)

(address, including postal code)

I give you notice that the tenancy between me as landlord and you as

tenant for (identify the mobile home site) is terminated on (date) .

You are required to vacate the mobile home site by (time) on that

date.

The tenancy is being terminated for the following reason(s):

Dated this day of , 20

(signature of landlord or landlord's agent)

(print name of landlord or landlord's agent)

(address, including postal code)

(telephone)

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

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

Alberta Regulation 211/2004

Residential Tenancies Act

RESIDENTIAL TENANCIES MINISTERIAL REGULATION

Filed: September 29, 2004

Made by the Minister of Government Services (M.O. C:012/2004) on September 27,

2004 pursuant to

section 70 of the Residential Tenancies Act.

Table of Contents

Definitions

2 Termination of periodic tenancies

3 Rent increases

4 Inspection reports

5 Abandoned goods

6 Establishing tenant's liabilities

7 Trustee of security deposit trust account

8 Investment of security deposit trust account

9 Withdrawals from security deposit trust account

10 Trustee Act

11 Offence

12 Forms

13 Repeal

14 Expiry

15 Coming into force

Schedule

Definitions

1 In this Regulation,

(a) "Act" means the Residential Tenancies Act;

(b) "non-owner landlord", in respect of residential premises,

means a person who falls within the definition of landlord in

the Act, other than an owner of the premises;

(c) "security deposit trust account" means a trust account

referred to in

section 44(1)(

a) of the Act for security deposits

consisting of money.

Terminations of periodic tenancies

2(1) In this section,

(a) "major renovations" does not include painting, the

replacement of a floor covering or routine maintenance;

(b) "relative" includes any relative by blood, marriage or

adoption or by virtue of an adult interdependent relationship.

(2) For the purposes of

section 6(1) of the Act, a landlord may

terminate a periodic tenancy for any of the following prescribed

reasons:

(

a) if the landlord or a relative of the landlord intends to occupy

the residential premises of the tenant;

(

b) if the landlord has entered into an agreement to sell the

residential premises of the tenant in which all conditions

precedent in the agreement have been satisfied or waived and

(

i) the purchaser or a relative of the purchaser intends to

occupy the premises, or

(ii) the agreement is to sell one detached or semi-detached

dwelling unit or one condominium unit,

and the purchaser requests in writing that the landlord give

the tenant a notice to terminate the tenancy;

(

c) if the landlord intends

(

i) to demolish the building in which the residential

premises of the tenant are located, or

(ii) to make major renovations to the residential premises of

the tenant that require the premises to be unoccupied;

(

d) if the landlord intends to use or rent the residential premises

of the tenant for a non-residential purpose;

(

e) in a case where the landlord is an educational institution and

the tenant is a student of that institution, if the tenant is no

longer a student or will no longer be a student when the

notice period for terminating the tenancy has passed.

Rent increases

3 For the purposes of

section 14(4) of the Act, a landlord shall not

increase the rent payable under a residential tenancy agreement or

recover any additional rent resulting from an increase unless,

(

a) in respect of a weekly tenancy, at least 26 tenancy weeks

have passed since the last rent increase,

(

b) in respect of a monthly tenancy, at least 6 tenancy months

have passed since the last rent increase, or

(

c) in respect of any other periodic tenancy, at least 180 days

have passed since the last rent increase.

Inspection reports

4(1) Each inspection report made under

section 19 of the Act must

contain statements in accordance with this

section and the statements

must be signed in accordance with this section.

(2) Each inspection report must contain the following statement:

Inspections should be conducted when the premises are

vacant unless the landlord and tenant or their agents

otherwise agree.

(3) When an inspection has been conducted by the landlord and the

tenant or their agents, the inspection report

(

a) must contain the following statement, and the landlord or the

landlord's agent must sign the statement:

The inspection of the premises was conducted on (date) by

(landlord or landlord's agent) and by (tenant or tenant's

agent) .

and

(

b) must contain both of the following statements, and the tenant

or the tenant's agent must sign one of the statements:

(

i) I, (name of tenant or tenant's agent) , agree that this

report fairly represents the condition of the premises.

(ii) I, (name of tenant or tenant's agent) , disagree that this

report fairly represents the condition of the premises for

the following reasons:

(4) Where the tenant or the tenant's agent refuses to sign one of the

statements set out in subsection (3), the inspection report must contain

the following statement, and the landlord or the landlord's agent must

sign the statement:

The tenant or tenant's agent present at the inspection refused

to sign the tenant's statement.

(5) Where an inspection is conducted by the landlord or the landlord's

agent without the tenant or tenant's agent being present, the inspection

report must contain the following statement, and the landlord or the

landlord's agent must sign the statement:

The inspection of the premises was conducted on (date) by

(landlord or landlord's agent) without the tenant or the

tenant's agent being present.

Abandoned goods

5(1) The prescribed amount for the purposes of

section 31(2) and (3)

of the Act is $2000.

(2) The prescribed period for the purposes of

section 31(4)(

a) of the

Act is 30 days.

Establishing tenant's liabilities

6(1) In this section, "tenant" includes a person

(

a) who was a tenant of premises,

(

b) whose tenancy has expired or been terminated, and

(

c) who has vacated the premises.

(2) A tenant's liability to a landlord for rent is established for the

purposes of

section 31(9) of the Act if the landlord

(

a) makes an affidavit that sets out the amount of rent owing by

the tenant, and

(

b) mails the affidavit to the last known address of the tenant and

provides a copy of the affidavit to the Director of Residential

Tenancies appointed under

section 55 of the Act.

(3) A tenant's liability to the landlord for damage to the residential

premises that have been repaired is established for the purposes of

section 31(9) of the Act if the landlord

(

a) makes an affidavit that sets out

(

i) the damage to the premises,

(ii) if the landlord hired someone to repair the damage, the

cost of the repairs based on receipts attached to the

affidavit as an exhibit, and

(iii) if the landlord made the repairs, the cost of the repairs

based on receipts for materials attached to the affidavit

as an exhibit and a reasonable amount for the landlord's

labour,

and

(

b) mails the affidavit to the last known address of the tenant and

provides a copy of the affidavit to the Director of Residential

Tenancies appointed under

section 55 of the Act.

(4) In addition to the methods for establishing a tenant's liability

under subsections (2) and (3), any liability of the tenant to a landlord in

respect of a tenancy is established for the purposes of

section 31(9) of

the Act if the landlord obtains a judgment against the tenant.

Trustee of security deposit trust account

7(1) If a residential tenancy agreement is between a non-owner

landlord and a tenant, the non-owner landlord is the sole trustee of the

money paid by the tenant as a security deposit that is held in a security

deposit trust account.

(2) A non-owner landlord of residential premises who, under

subsection (1), is the sole trustee of the money in a security deposit

trust account shall hold and administer the trust account until the

non-owner landlord ceases to be a landlord of those premises.

(3) The owner of residential premises shall not hold and administer a

security deposit trust account in respect of those premises if a

non-owner landlord of those premises is required under subsection

(2) to hold and administer the security deposit trust account.

Investment of security deposit trust account

8 Money in a security deposit trust account may be invested only in

deposit receipts, deposit notes, certificates of deposit, bankers

Alberta and other similar instruments issued by or guaranteed as to

principal and interest by a bank, credit union, loan corporation,

treasury branch, trust corporation or insurance company authorized to

carry on business in Alberta.

Withdrawals from security deposit trust account

9(1) If a landlord is entitled under the Act to the money in a security

deposit trust account, the money may be withdrawn from the trust

account at the end of the tenancy and transferred to the landlord.

(2) Money that has been withdrawn from the security deposit trust

account by a non-owner landlord for the purpose of transferring it to

the landlord who is entitled to the money is subject to the terms of any

agreement or trust respecting that money between the non-owner

landlord and the landlord entitled to the money.

Trustee Act

10 Sections 3 to 9, 14, 15, 34 and 35 of the Trustee Act do not apply

to the trustee of a security deposit trust account.

Offence

11 The contravention of

section 2, 3, 4, 5, 6, 7, 8 or 9 of this

Regulation constitutes an offence for the purposes of

section 70(

l) of

the Act.

Forms

12 The forms in the

Schedule may be used by landlords and tenants.

Repeal

13 The Residential Tenancies Ministerial Regulation (AR 229/92) is

repealed.

Expiry

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

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

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

Regulation expires on July 31, 2014.

Coming into force

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

Schedule

Form 1

This notice may be used by a landlord to terminate a periodic tenancy.

Landlord's Notice to Tenant

Termination of a Periodic Tenancy

TO: (name of tenant)

(address, including postal code)

I give you notice that the periodic tenancy between me as landlord and

you as tenant for (identify the premises) is terminated on (date) .

You are required to vacate the premises by (time) on that date.

(Section 20 of the Residential Tenancies Act states that a tenancy

terminates at 12 noon on the last day of the tenancy unless the landlord

and tenant agree to a different time.)

The tenancy is being terminated for the following reason(s):

Dated this day of , 20 .

(signature of landlord or landlord's agent)

(print name of landlord or landlord's agent)

(address, including postal code)

(telephone)

Form 2

This notice may be used by a tenant to terminate a periodic tenancy.

Tenant's Notice to Landlord

Termination of a Periodic Tenancy

TO: (name of landlord)

(address, including postal code)

I give you notice that the periodic tenancy between me as tenant and

you as landlord for (identify the premises) is terminated on (date) .

I will give up possession of the premises by (time) on that date.

(Section 20 of the Residential Tenancies Act states that a tenancy

terminates at 12 noon on the last day of the tenancy unless the landlord

and tenant agree to a different time.)

Dated this day of , 20 .

(signature of tenant or tenant's agent)

(print name of tenant or tenant's agent)

(address, including postal code)

(telephone)

Form 3

This notice may be used by a landlord to terminate a tenancy under

section 29 of the Act when the tenant commits a substantial breach of

the tenancy agreement.

Landlord's Notice to Tenant

Termination of Tenancy for Substantial Breach

TO: (name of tenant)

(address, including postal code)

I give you notice that the tenancy between me as landlord and you as

tenant for (identify the premises) is terminated on (date) . You are

required to vacate the premises by (time) on that date. (Section 20

of the Residential Tenancies Act states that a tenancy terminates at 12

noon on the last day of the tenancy unless the landlord and tenant agree

to a different time.)

The tenancy is being terminated because you have committed the

following act(

s) which constitutes a substantial breach of our

residential tenancy agreement:

Dated this day of , 20 .

(signature of landlord or landlord's agent)

(print name of landlord or landlord's agent)

(address, including postal code)

(telephone)

? This notice must be served on the tenant at least 14 days before

the day that the tenancy is to terminate.

? If this notice is for the non-payment of rent, the tenancy will not

be terminated if, on or before the termination date specified in

this notice, the tenant pays the rent due and any additional rent

that has become due under the residential tenancy agreement as

of the date of payment.

Form 4

This notice may be used by a landlord to terminate a tenancy under

section 30 of the Act when the tenant has

(

a) done or permitted significant damage to the residential

premises, the common areas or the property of which they

form a part, or

(

b) physically assaulted or threatened to physically assault the

landlord or another tenant.

Landlord's Notice to Tenant

24-hour Notice of Termination of Tenancy

TO: (name of tenant)

(address, including postal code)

I give you notice that the tenancy between me as landlord and you as

tenant for (identify the premises) is terminated on (date) . You are

required to vacate the premises by (time) on that date.

The tenancy is being terminated for the following reason(s):

Dated this day of , 20 .

(signature of landlord or landlord's agent)

(print name of landlord or landlord's agent)

(address, including postal code)

(telephone)

Form 5

This notice may be used by a landlord to require a person who is not a

tenant but who is living in residential premises to vacate those

premises when

(

a) the tenant has abandoned the premises, pursuant to

section 33

of the Act, or

(

b) the premises are occupied by a tenant, pursuant to

section 36

of the Act.

Landlord's Notice to Vacate

to Person(

s) who are Not Tenants

TO: (name of person(

s) required to vacate)

(address, including postal code)

I give you notice that you are required to vacate (identify the

premises) on (date) by (time) . You are required to vacate for the

following reason:

Dated this day of , 20 .

(signature of landlord or landlord's agent)

(print name of landlord or landlord's agent)

(address, including postal code)

(telephone)

Form 6

This notice may be used by a tenant to terminate a tenancy under

section 28 of the Act when the landlord commits a substantial breach

of the tenancy agreement and the specified conditions under

section 28

have been met.

Tenant's Notice to Landlord

Termination of Tenancy for Substantial Breach

TO: (name of landlord)

(address, including postal code)

I give you notice that the tenancy between me as tenant and you as

landlord for (identify the premises) is terminated on (date) . I will

vacate the premises by (time) on that date. (Section 20 of the

Residential Tenancies Act states that a tenancy terminates at 12 noon

on the last day of the tenancy unless the landlord and tenant agree to a

different time.)

The tenancy is being terminated because you have committed the

following substantial breach:

Dated this day of , 20 .

(signature of tenant or tenant's agent)

(print name of tenant or tenant's agent)

(address, including postal code)

(telephone)

? This notice must be served on the landlord at least 14 days

before the day that the tenancy is to terminate.

Alberta Regulation 212/2004

Persons with Developmental Disabilities Community Governance Act

GOVERNANCE (MINISTERIAL) REGULATION

Filed: September 29, 2004

Made by the Minister of Community Development (M.O. 45/04) on September 27,

2004 pursuant to

section 23(2) of the Persons with Developmental Disabilities

Community Governance Act.

Appeal form

1 The form of a notice of appeal to the Provincial Board is in the

attached Form 1.

Repeal

2 The Governance (Ministerial) Regulation (AR 195/97) is repealed.

Expiry

3 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 October 1, 2010.

Form 1

Notice of Appeal to the Provincial Board

1 My name is (name)

My address is (address)

My telephone number is (telephone number)

2 I am (check one): a person who has been affected by a

decision of a Community Board.

the guardian of (name of

dependent adult) , who is a person

who has been affected by a decision

of a Community Board.

the agent of (name of maker of

personal directive) , who is a

person who has been affected by a

decision of a Community Board.

3 I am appealing a decision of (name of Board)

The decision I am appealing is

I was told about the decision on (year/month/day)

My reasons for appealing the decision are:

4 I understand that before proceeding with a formal hearing of my

appeal this dispute can be referred to an impartial person who will

attempt to mediate the dispute.

I agree to having my appeal referred to a mediator

I do not agree to having my appeal referred to a mediator

(year/month/day)

(signature of person appealing)

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

Alberta Regulation 213/2004

Election Act

ELECTION ACT FORMS REGULATION

Filed: September 29, 2004

Made by the Lieutenant Governor in Council (O.C. 450/2004) on September 29, 2004

pursuant to

section 207 of the Election Act.

1 The Forms in the attached

Schedule are the forms prescribed under

the Election Act.

2 The Election Forms Regulation (AR 369/92) is repealed.

Schedule

Form 1

Province of Alberta Election Act

(Section 39)

Writ of Election

Canada

Province of Alberta

Elizabeth The Second, by the Grace of God, of the United

Kingdom, Canada and her other Realms and Territories, Queen,

Head of the Commonwealth, Defender of the Faith.

To , of in the Province of Alberta.

Greeting:

We command you that, notice of the time and place of election

being given, you do cause an election to be held according to law,

to elect a Member to serve in the Legislative Assembly of Our

Province of Alberta for the Electoral Division of with

nomination day for the election to be the day of next, and

that in the event of a poll being required you do cause a poll to be

taken on the day of , 20 , and you do certify the name of

the member, so elected to the Chief Electoral Officer on the day

of , 20 next, being the date fixed for the return of the writ.

Dated at the City of Edmonton in the Province of Alberta, this

day of , 20 .

Endorsement

By Order: The writ received on the

Chief Electoral Officer day of , 20

Returning Officer

Form 2

Chief Electoral Officer Election Act

Alberta (Section 55)

Election Proclamation

ELECTORAL DIVISION

For the purpose of electing a representative to the Legislative

Assembly of Alberta for the Electoral Division of

Public Notice is hereby given to the electors that the following are

fixed pursuant to the Election Act.

REVISIONS TO LIST OF ELECTORS

AT: (Address)

FROM: (Day/Month) TO: (Day/Month) 20 to

on weekdays, and to on Saturdays, excluding holidays.

Revisions close at 4:00 P.M. on Saturday (Date)

NOMINATION OF CANDIDATES

COMMENCING immediately and continuing until 2:00 P.M. on

(Calendar Day) (Day/Month/Year) , excluding Sundays and

holidays, nomination papers may be filed with the Returning Officer.

ADVANCE POLLS 9:00 A.M. TO 8:00 P.M.

THURSDAY (Date)

FRIDAY (Date)

SATURDAY (Date)

AT (Address(es) where advance poll(

s) will be held)

POLLING DAY 9:00 A.M. TO 8:00 P.M.

(Calendar Day) (Day/Month/Year)

ANNOUNCEMENT OF OFFICIAL RESULTS

(Place, Time, and Date)

Additional information concerning the Election may be obtained

from the Returning Officer at

(Address of Returning Officer) (Telephone Number)

ISSUED (Date) BY (Returning Officer)

GOD SAVE THE QUEEN

Form 3

Chief Electoral Officer Election Act

Alberta (Sections 9,28,47,47.1,

71,73,76,77.1,78)

Appointment and Oath of Election Officer

I, (Name) of (Address) appointed as

(Capacity of Election Officer) in (Electoral Division)

Polling Subdivision number (Complete if applicable) , in the

Province of Alberta, which duties I will perform in accordance with

the provisions of the Election Act, Swear (or solemnly Affirm) that I

am legally qualified to act as (Capacity of Election Officer) and that

I will act faithfully without partiality, fear, favour, or affection.

SO HELP ME GOD

(Omit if Affirmed)

SWORN (or Affirmed) BEFORE ME )

at the of , in the )

Province of Alberta, this day ) (Signature)

of , .)

(Signature of Returning Officer, Election Clerk )

Deputy Returning Officer, Commissioner )

for Oaths, Justice of the Peace or Notary Public) )

Other Information

Social Insurance Number:

Telephone Number:

Enumerator's Identification Number:

Serial Numbers of Enumeration Records:

Serial Number of Ballot Box Seal:

RETURNING OFFICER COPY

Form 4

Chief Electoral Officer Election Act

Alberta (Sections 56 - 61)

Candidate Nomination Paper

We, the undersigned electors, resident in the Electoral Division of

(Name of Electoral Division) , nominate (Candidate) ,

representing (Registered Political Party or Independent) , as a

Candidate for the election now being held.

Printed Name

of Elector

Address in

Electoral Division

Signature of Elector

I, (Print Name) , Swear (or Affirm) that I witnessed the signatures

of the electors recorded on this Candidate Nomination Paper.

SWORN (or Affirmed) BEFORE ME )

at the of , in the )

Province of Alberta, this day ) (Signature of Attesting Witness)

of , .)

(Signature of Returning Officer, )

Commissioner for Oaths or Notary Public) )

Prior to the nomination being accepted, the candidate must be

registered under the Election Finances and Contributions Disclosure

Act.

Form 5

Chief Electoral Officer Election Act

Alberta (Sections 56-62)

Declaration of Candidate and

Appointment of Official Agent

I, (Print Name of Candidate) , declare that I am eligible under

section 56 of the Election Act to be a candidate, that I consent to my

nomination and wish my name to appear on the ballot paper as (Print

Any Combination of Given Names, Initials or Nickname)

(Print Surname) .

In accordance with

section 60 of the Election Act, I appoint (Print

Name) of (Address) as my official agent.

Complete A or B

I understand that prior to my nomination being accepted, I must be

registered under the Election Finances and Contributions Disclosure

Act.

A. The attached certificate from (Registered Political Party)

confirms my endorsement as the official candidate in the

Electoral Division of (Electoral Division)

(Date) (Signature of Candidate)

B. I am an independent candidate in the Electoral Division of

(Electoral Division)

(Date) (Signature of Candidate)

Consent of Official Agent

I, (Print Name) , consent to my appointment as the official agent.

Documents may be served and notices given respecting the candidate

at: (Complete Address including Postal Code) (Business

Telephone Number) (Home Telephone Number) (Fax Number)

(Date) (Signature of official agent)

Receipt for Deposit and

Filing of Nomination Paper

Received, on behalf of (Name of Candidate) , the sum of $500.00

and the Candidate Nomination Paper pursuant to

section 61 of the

Election Act.

(Date) (Signature of Returning Officer)

Form 6

Chief Electoral Officer Election Act

Alberta (Section 61)

Candidate's Nomination Endorsement Certificate

I certify that (Nominee)

is the Candidate officially endorsed by the:

(Name of Registered Political Party)

for the Electoral Division of:

(Date) (Signature of authorized representative of

the Registered Political Party)

Form 7

Chief Electoral Officer Election Act

Alberta (Sections 79,92)

Appointment of Scrutineer

Electoral Division

I, hereby appoint (Print Name of Scrutineer) of (Complete

Address) as a scrutineer for (Print Name of Candidate) at polling

station number(

s) and/or registration officer station location

(Date) (Signature of Candidate or Official Agent)

Form 8

Chief Electoral Officer Election Act

Alberta (Section 64)

Election Acclamation

I hereby certify that the member elected for the Electoral Division of

in pursuance of the Writ of Election is

(Name)

(Political Affiliation)

No other candidates having been nominated

the other candidate(

s) having withdrawn.

(Date) (Signature of Returning Officer)

Form 9

Chief Electoral Officer Election Act

Alberta (Section 67)

Official Agents of Nominated Candidates

ELECTORAL DIVISION (Name of Electoral Division)

Candidate

Political Affiliation

Official Agent

Telephone Number

Campaign

Address

(Print Returning Officer's Name)

Form 10

Chief Electoral Officer Election Act

Alberta (Section 69)

Notice of Poll Being Granted

and Candidates Nominated

ELECTORAL DIVISION

PUBLIC NOTICE is hereby given to the electors of the aforesaid Electoral

Division that a poll has been demanded at the election now pending for the

said Electoral Division and that I have granted such poll; and further that

the persons duly nominated as candidates at the said election and for

whom votes will be received are

NAME POLITICAL AFFILIATION

(Date) (Signature of Returning Officer)

Form 11

Chief Electoral Officer Election Act

Alberta (Section 78)

Oath of Interpreter

I, (Print Name) , swear (or affirm) that I will, to the best of my

skill and judgment, after my appointment as interpreter, make a true

(language)

interpretation of all voting instructions and that I will

the election officers.

SWORN (or Affirmed) BEFORE ME )

at the of , in the )

Province of Alberta, this day ) (Signature of

of , .) Person Taking Oath)

(Signature of Returning Officer, Election Clerk )

Deputy Returning Officer, Commissioner )

for Oaths, Justice of the Peace or Notary Public) )

Form 12

Chief Electoral Officer Election Act

Alberta (Section 82)

Affidavit of Printer

ELECTORAL DIVISION

I, (print name) SWEAR (or Affirm):

That by direction of the Returning Officer for the above named

Electoral Division I printed the ballots for use at the election to be held

on the day of , 20 on the paper furnished for

that purpose.

That the attached sample shows the description of the ballots printed

by me.

That I supplied the Returning Officer with of such ballots.

That no other of such ballots were printed by or supplied by me to

anyone.

SWORN (or Affirmed) BEFORE ME )

at the of , in the )

Province of Alberta, this day ) (Signature of Printer)

of , .)

(Returning Officer, Election Clerk, )

Commissioner for Oaths or Notary Public) )

Form 13

(Ballot front)

Form 14

(Ballot back)

Serial No.

Number

from

Poll Book

INITIALS OF

D.R.O.

Electoral Division

Year

(SECOND FOLD)

Printed by

(FIRST FOLD)

Form 15

Chief Electoral Officer Election Act

Alberta (Section 90)

Notice as to Secrecy of Voting

It is the sworn duty of every person in attendance at this polling place,

or at the counting of the votes not to attempt to ascertain how any

person is about to vote or has voted and not to communicate any

information obtained at the polling place that may enable or assist any

person to ascertain how any person has voted.

It is further the sworn duty of every such person by all proper means to

maintain and aid in maintaining the absolute secrecy of the polling at

this polling place.

By the Election Act, it is further provided that no person shall destroy,

take, open or otherwise interfere with any ballot box or book or packet

of ballot papers or a ballot paper or ballot in use for the purpose of the

election nor shall attempt to do so and any Returning Officer, Deputy

Returning Officer or other officer engaged in the election who is guilty

of any violation of that provision is liable to conviction.

Any person who acts in contravention of their duty in any of the said

particulars is liable to a penalty in accordance with the Election Act.

Form 16

Chief Electoral Officer Election Act

Alberta (Section 90)

Directions for Guidance of Voters

THE VOTER MUST vote for only one candidate by the use of the "X"

mark opposite the name of the candidate of the voter's choice in the

white circle provided.

THE VOTER IS to refold the ballot and return it to the Deputy

Returning Officer for removal of the counterfoil and placement of the

ballot in the ballot box.

IF THE VOTER SPOILS a ballot, the voter may return it to the

Deputy Returning Officer who will give the voter another ballot.

Candidate

MARK ONE CIRCLE ONLY

A ballot marked in more than one circle will not be counted.

A ballot spoiled or marked in error may be exchanged for another.

Form 17

Chief Electoral Officer Election Act

Alberta (Section 90)

Offences, Corrupt Practices and

Voter Disqualification

Offences

Note: Sections 154(1), 157(2) and (3) and 162(1) of the

Election Act must be set out here.

Corrupt Practices

Note: Sections 164, 166, 167, 171, 172, 173, 174, 175 and

177(1) of the Election Act must be set out here.

Voter Disqualification

Note:

Section 45(a), (

b) and (

c) of the Election Act must be set

out here.

NOTE: The above extracts from the Election Act are provided for

information of voters, but for a complete enunciation of

the law relating to offences, corrupt practices and voter

disqualification reference should be made to the Election

Act,

Chapter E-1 of the Revised Statutes of Alberta 2000.

Form 18

Chief Electoral Officer Election Act

Alberta (Section 93)

Oath of Secrecy

Electoral Division Polling Subdivision Number

I, (Print Name) , swear (or affirm):

? that I will not attempt to discover and will, by every means in my

power, prevent any other person from finding out how any person

is about to vote, or has voted at this election, except as may be

necessary and proper in the case of persons unable to read or

incapable of marking their ballots as provided in the Election Act,

? that I will not communicate to any person any information of any

kind that may enable or assist any person to ascertain the candidate

for whom any person has voted, and

? that I will, in all respects, maintain and aid in maintaining the

absolute secrecy of the voting at this polling place and at this

election.

SWORN (or Affirmed) BEFORE ME )

at the of , in the )

Province of Alberta, this day ) (Signature of

of , .) Person Taking Oath)

(Signature of Returning Officer, Election )

Clerk, Registration Officer, Deputy Returning )

Officer, Commissioner for Oaths, Justice of )

the Peace or Notary Public) )

Form 19

Chief Electoral Officer Election Act

Alberta (Sections 95,104)

Oath of Elector

I, (first name) (middle initial) (surname) of (residential or

mailing address) , (city/town/village) , (postal code) swear (or

affirm) that I have not previously voted at this election and that I am a

qualified elector by virtue of being:

? a Canadian Citizen,

? 18 years of age or older,

? ordinarily resident of the Province of Alberta for at least the

immediately preceding 6 months, and

? ordinarily resident in the polling subdivision in which I wish to

vote.

? Check if electors previously registered at this address are to be

deleted.

SWORN (or Affirmed) BEFORE ME )

at the of , in the )

Province of Alberta, this day ) (Signature of Elector) -

of , 20 . ) must be provided prior

) to ballot being issued)

(Registration Officer, Deputy Returning Officer) ) (PSD#)

Nature of Identification

Two pieces of identification required: Other identification (be specific):

? Alberta motor vehicle operator's Type

licence number: Number

? Alberta health insurance card Type

number: Number

? Senior Citizen's Identification Type

Card number: Number

The following information is optional. If provided, it will be used to

update the Register of Electors in accordance with the Election Act and

to create future Lists of Electors. Date of birth and gender

information, if provided, will not appear on the List of Electors.

Previous address: (address) (city/town/village) (postal code)

Date of birth: (year/month/day) Gender: (m/f)

Phone number: ( )

Other Electors that moved from this address:

Information collected for the Register of Electors may be shared with other

electoral agencies to prepare for municipal and federal elections.

Directions for exclusion from the Register are on the reverse side

Form 20

Oath of Elector (back)

I wish to be excluded from the Register of Electors. I understand that

my name will not appear on future provincial Lists of Electors, and

that I will be required to have my name added during the Revision

Period or by swearing in on Polling Day.

(Signature) (Date)

Form 21

Chief Electoral Officer Election Act

Alberta (Section 96)

Blind Voter Template

This template is for the use of blind voters who wish to mark their own

ballot.

? Detach the ballot from the book,

- Place it in the template,

- Ensure that the bottom of the ballot is uniform with the bottom of

the template,

- Ensure that the white circles on the ballot are clearly shown

through the holes of the template

? Reading from the bottom of the ballot, inform the elector of the

order of the candidate's name and political affiliation.

? Direct the elector to:

- mark the ballot,

- refold it leaving the perforated counterfoil exposed, and

- return the ballot to the deputy returning officer.

Form 22

Chief Electoral Officer Election Act

Alberta (Section 96)

Oath of Inability to Read the Ballot or

Physical Incapacity

I, (print name) , swear (or affirm) that I am unable to read the

ballot, or that due to physical incapacity I am unable to mark the

ballot.

SWORN (or Affirmed) BEFORE ME )

at the of , in the )

Province of Alberta, this day ) (Identification Mark)

of , 20 . )

having first read to the above )

named and signed by him in my )

presence with his mark. )

(Signature of Deputy Returning Officer) )

Form 23

Chief Electoral Officer Election Act

Alberta (Section 96)

Oath of Friend of Voter

I, (Print Name) of (Address in Full) swear (or affirm) that I will

keep secret for whom I voted on behalf of (Print Name of Voter) .

SWORN (or Affirmed) BEFORE ME )

at the of , in the )

Province of Alberta, this day ) Signature of Friend

of , 20 . ) of Voter)

(Signature of Deputy Returning Officer) )

Form 24

Chief Electoral Officer Election Act

Alberta (Section 99)

Advance Poll Declaration

Electoral Division Advance Poll Number

I, (Print First Name, Middle Initial and Surname of Elector) of

(Residential or Mailing Address) (City/Town/Village) ,

(Postal Code) declare that I have not previously voted at this

election and that I am qualified to vote at the Advance Poll because:

Check ? I am disabled.

? I believe that I will be absent from my ordinary

place of residence on polling day.

? I am an election officer.

? I am a candidate, official agent or scrutineer.

? I believe that I will be unable to vote on polling

day.

(Date) (Signature of Elector)

(Elector's Polling Subdivision Number (Signature of Deputy Returning Officer)

Form 25

Special Ballot (front)

Print the name of the candidate OR the registered political

party of the candidate on the line below.

I vote for:

Form 26

Special Ballot (back)

Special Ballot

Supplied by the Chief Electoral

Officer

Initials of returning officer,

election clerk

or administrative assistant

Serial No.

Form 27

Chief Electoral Officer Election Act

Alberta (Section 116)

Special Ballot Certificate Envelope

Electoral Division Polling Subdivision Number

Number from Poll Book

(Print First Name, Middle Initial and Surname of Elector)

(Address of Ordinary Residence, including Postal Code, within

Electoral Division)

Part I

To be completed by Elector

I certify that I am a qualified elector by virtue of being:

? a Canadian citizen,

? 18 years of age or older,

? ordinarily resident of the Province of Alberta for at least the

immediately preceding 6 months, and

? ordinarily resident in the polling subdivision in which I wish to

vote.

I certify that I am qualified to vote under Election Act because I am unable

to attend in person on polling day or at the advance poll by reason of

being:

(Check one)

? Physically incapacitated

? Absent from the Electoral Division

? An inmate sentenced to a term of 10 days or less, or for the

non-payment of a fine

? An Election Officer

? A Candidate, Official Agent or Scrutineer

? A resident of a Remote Area

? Other (specified by Chief Electoral Officer)

I declare that the above statements are true and that I have not previously

voted at this election.

Dated at (Address, including Postal Code, where Special Ballot

Certificate Envelope is received) this day of , 20

(Signature of Elector)

Part II

To be completed by the Returning Officer, Election

Clerk or Administrative Assistant

CHECK:

? Name of individual recorded on the front of envelope is on the List

of Electors for the electoral division and polling subdivision

? Name of individual recorded on the front of envelope is recorded in

the Special Ballot Poll Book

Part I is properly completed

? Special Ballot Certificate Envelope IS accepted

Special Ballot Certificate Envelope IS NOT opened because:

Part I is not properly completed,

? Received after the close of polls on polling day, or

? Other (specify)

(Date) (Signature of Returning Officer, Election

Clerk or Administrative Assistant)

Form 28

Chief Electoral Officer Election Act

Alberta (Sections 111,112,118)

Statement of Poll

Electoral Division (Name of Electoral Division)

Polling Station Number Location

Number of Ballots Received from Returning Officer 1

Number of Ballots Counted for Each Candidate

Candidate Number of Votes (RO Use Only)

Sub Total 2

Number of Spoiled Ballots 3

(Ballots spoiled by electors and returned to DRO)

Number of Declined Ballots 4

(Ballots returned to the DRO by electors who

declined to vote)

Number of Ballots Not Used 5

(Unused ballots returned to RO)

Number of Rejected Ballots 6

(Ballots deposited in ballot box but not counted as valid)

Number of Ballots Removed from Polling Place 7

Total 8

(Sum of 2, 3, 4, 5, 6, 7)

To balance, Line 8 equals Line 1

Total number of names on the List of Electors including those sworn in:

Number of voters recorded in the Poll Book as having voted:

(Signature of Poll Clerk) (Signature of Deputy Returning Officer) (Date)

Form 29

Chief Electoral Officer Election Act

Alberta (Section 112)

Poll Clerk's Oath After

Closing the Poll

I, (Print Name) , poll clerk for polling station number located

at in the Electoral Division of , swear (or affirm) that the

Poll Book for the poll kept under the direction of (Print DRO

Name) , who acted as Deputy Returning Officer:

? was kept correctly by me to the best of my skill and

judgment, and

? the total number of ballots cast according to the Poll Book is

and that to the best of my knowledge and belief it contains a

true and exact record of the voters who voted at this polling

station.

SWORN (or Affirmed) BEFORE ME )

at the of , in the )

Province of Alberta, this day ) (Signature of Poll Clerk)

of , . )

(Deputy Returning Officer) )

Form 30

Chief Electoral Officer Election Act

Alberta (Section 112)

Deputy Returning Officer's Oath

After Closing the Poll

I, (Print Name) , deputy returning officer for polling station number

located at in the Electoral Division of , swear (or

affirm) that to the best of my knowledge and belief:

? the Poll Book kept for the poll under my direction has been

kept correctly,

? the total number of ballots cast according to the Poll Book is

and it contains a true and exact record of the votes

given at the poll, and

? the Statement of Poll, List of Electors, Poll Book, envelopes

containing ballots and other documents required to be

returned by me to the returning officer have been placed in

the ballot box.

SWORN (or Affirmed) BEFORE ME )

at the of , in the )

Province of Alberta, this day ) (Signature of Deputy

of , 20 . ) Returning Officer)

(Returning Officer, Election Clerk, Supervisory )

Deputy Returning Officer, Registration Officer, )

Commissioner for Oaths or Notary Public) )

Form 31

Chief Electoral Officer Election Act

Alberta (Section 137)

Returning Officer's Certificate and Return

I hereby certify that at the election held on the day of , 20 ,

the following candidates received the number of votes set opposite their

names:

NAME OF

CANDIDATE

VOTES

RECEIVED

POLITICAL

AFFILIATION

I CERTIFY THAT THE MEMBER ELECTED TO REPRESENT THE

ELECTORAL DIVISION OF IS:

NAME

POLITICAL AFFILIATION

Dated at (City, Town, Village) , Alberta

(Date) (Signature of Returning Officer)

Form 32

Chief Electoral Officer Election Act

Alberta (Section 137)

Statement of Official Results

Page __ of __

Respecting votes polled and ballots used at the polls for the electoral division of

at the election held on the day of ,

Poll

Number

Name of

Poll

Name, political affiliation and number of votes polled for EACH

candidate in the order that they appeared on the ballot

mbe

r of

Vali

Ball

ots

(Tota

Colu

mns

A -

Number

Spoiled

Ballots

(Ballots

spoiled by

electors

and

returned to

DRO)

Numb

er of

Declin

Ballot

(Ballots

returned

to DRO

electors

who

declined

to vote)

mbe

r of

Ball

ots

Not

Use

(Unu

sed

ballot

retur

ned

RO)

Numb

er of

Reject

Ballot

(Ballots

deposite

d in

ballot

box but

not

counted

as valid)

mbe

r of

Ball

ots

mov

fro

Poll

ing

Plac

Numb

er of

Ballots

Sent to

Each

Poll

(Total

Column

s 2, 3,

4, 5, 6

& 7

Total Number of

Names on

List of Electors

(including those

sworn in at

advance &

polling day)

Subtotal/Total

Certified Correct

(Signature of Returning Officer)

Form 33

Chief Electoral Officer Election Act

Alberta (Section 139)

Disclaimer

I, (print name of candidate) having been declared elected as the

candidate who received the largest number of votes in the election held

for the electoral division of (print name of electoral division) , and

not at this time having yet become the Member of the Legislative

Assembly for that electoral division, pursuant to

section 1(2) of the

Legislative Assembly Act, do hereby disclaim my right to become a

Member of the Legislative Assembly.

(NAME OF DISCLAIMER (print)) (SIGNATURE)

(ELECTORAL DIVISION (print))

(NAME OF WITNESS (print)) (SIGNATURE)

(ADDRESS OF WITNESS (print))

Filed at my office this day of , 20

(CHIEF ELECTORAL OFFICER)

Form 34

Chief Electoral Officer Election Act

Alberta (Section 142)

Returning Officer's Affidavit

I, (Print Name) , Returning Officer for the Electoral

Division of do Solemnly Swear (or Affirm):

THAT on the day of , 20 I submitted the

statements called for and my return in respect of the election held on

the day of , 20 , to the Chief Electoral Officer

and that the statements and return are to the best of my knowledge and

belief, correct and true.

THAT the ballot boxes, ballots and all other election material required

to be returned have been transmitted to the Chief Electoral Officer in

accordance with the Election Act.

SO HELP ME GOD

(Omit if Affirmed)

SWORN (or Affirmed) BEFORE ME )

at the of , in the )

Province of Alberta, this day ) (Signature of Returning Officer)

of , 20 . )

(Justice of the Peace, Commissioner )

for Oaths or Notary Public) )

Form 35

Chief Electoral Officer Election Act

Alberta (Section 186)

Form of Petition Controverted Election

In the Court of Queen's Bench, Judicial District of

Between (Print Name of Petitioner) , Petitioner,

and

(Print Name of Respondent) , Respondent,

The petition of (Petitioner) of (Residence and Occupation)

showeth:

1. An election was held on the (Polling Day) day of (Month)

20 for the Electoral Division of at which

(Respondent) was a candidate and has been returned as the

person elected at that election.

2. The petitioner was a qualified elector at that election (or the

petitioner was a defeated candidate at that election).

3. The petition says (state here the facts and grounds on which the

petitioner relies).

Wherefore the petitioner prays that it may be declared that the

election of (Respondent) is void and that it be set aside.

Dated this day of , 20

(Signature of Petitioner)

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

Alberta Regulation 214/2004

Election Act

FEES AND EXPENSES AMENDMENT REGULATION

Filed: September 29, 2004

Made by the Lieutenant Governor in Council (O.C. 451/2004) on September 29, 2004

pursuant to

section 207 of the Election Act.

1 The Fees and Expenses Regulation (AR 173/2004) is

amended by this Regulation.

2 The following is added after

section 9:

Senatorial Selection Act Fees

9.1(1) If an election under the Senatorial Selection Act is to be

held in conjunction with a general election under the Election Act,

in addition to fees payable under sections 1 to 10, fees under this

section may be paid for duties performed relating to the conduct of

an election under the Senatorial Selection Act.

(2) A returning officer may be paid the following:

(

a) a fee of $510 if a writ of election is issued but no poll is

held;

(

b) a fee of $1505 if a writ of election is issued and a poll is

held, including training of election staff and the conduct

of the official count;

(

c) a fee of $0.05 per name included in the list of electors

on polling day.

(3) An election clerk may be paid the following:

(

a) a fee of $375, where a writ of election is issued and no

poll is held;

(

b) a fee of $995 if a writ of election is issued and a poll is

held, including training of election staff and the conduct

of the official count;

(

c) a fee of $0.04 per name included in the list of electors

on polling day.

(4) A supervisory deputy returning officer may be paid a basic fee

of $75 for duties performed on polling day or on each advance

polling day.

(5) An administrative assistant may be paid the following:

(

a) a fee of $835 for duties performed on a full-time basis

in the returning officer's office where a writ of election

is issued and a poll is held;

(

b) a fee to be prorated at a daily rate, as approved by the

Chief Electoral Officer, for duties performed on a

part-time basis in the returning officer's office where a

writ of election is issued and a poll is held;

(

c) a fee of $290 for duties performed on a full-time basis

where a writ of election is issued and no poll is held;

(

d) a fee to be prorated at a daily rate, as approved by the

Chief Electoral Officer, for duties performed on a

part-time basis, where a writ of election is issued but no

poll is held.

(6) A registration officer may be paid a basic fee of $70 for duties

performed on polling day or on each advance polling day.

(7) A deputy returning officer may be paid the following:

(

a) a basic fee of $60 for duties performed on polling day;

(

b) a fee of $180 to conduct an advance poll.

(8) A poll clerk may be paid the following:

(

a) a fee of $50 for duties performed on polling day;

(

b) a fee of $150 for advance poll duties.

Section 10 is amended by adding the following before

subsection (1):

(0.1) This

section applies with respect to an election under the

Election Act and to an election under the Senatorial Selection Act

held in conjunction with a general election under the Election Act.

Alberta Regulation 215/2004

Senatorial Selection Act

Election Act

SENATE NOMINEE REGULATION

Filed: September 29, 2004

Made by the Lieutenant Governor in Council (O.C. 453/2004) on September 29, 2004

pursuant to

section 29 of the Senatorial Selection Act and

section 207 of the Election

Act.

Table of Contents

1 Application

2 Forms

3 Additional forms

4 Term of Senate nominee

Interpretation

6 Consequential amendments

7 Expiry

Application

1 This Regulation applies to an election under the Senatorial

Selection Act that is to be held in conjunction with a general election

under the Election Act.

Forms

2 The forms, oaths and notices required under the Senatorial

Selection Act are set out in the Schedule.

Additional forms

3 In addition to the forms prescribed in the Schedule,

(

a) Forms 3, 7, 11, 15, 17 to 24, 27, 29, 30 and 35 of the Election

Act Forms Regulation under the Election Act may be used,

without making any specific references to the Senatorial

Selection Act, for the purposes of the election under the

Senatorial Selection Act and the general election under the

Election Act;

(

b) Forms 1 to 20 as set out in the

Schedule must be used instead

of Forms 1, 2, 4 to 6, 8 to 10, 12 to 14, 16, 25, 26, 28 and 31

to 34 of the Election Act Forms Regulation under the

Election Act for the purposes of the election under the

Senatorial Selection Act and the general election under the

Election Act.

Term of Senate nominee

4 The term of a Senate nominee commences on the day the person is

declared elected in accordance with the Senatorial Selection Act and

expires 6 years from that date.

Interpretation

5(1) For greater certainty,

(a) "polling day" means the day fixed for voting at an election;

(b) "polling place" means a polling place as defined in the

Election Act and includes a polling station as defined in that

Act.

(2) In the event that 2 or more candidates received the same number of

votes, and if it is necessary to determine which candidate is elected, the

procedure outlined under

section 21(4) of the Senatorial Selection Act

applies in order to determine which candidate is elected.

(3) This

section expires in accordance with

section 29(2) of the

Senatorial Selection Act.

Consequential amendments

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

amended by renumbering

section 1 as

section 1.1 and by

adding the following before

section 1.1:

Application

1 This Regulation applies to an election under the Senatorial

Selection Act that is to be held in conjunction with general

elections under the Local Authorities Election Act.

Expiry

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

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

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

Regulation expires on December 31, 2010.

Schedule

Form 1

Province of Alberta Senatorial Selection Act

(Section 5)

WRIT UNDER THE SENATORIAL SELECTION ACT

Canada

Province of Alberta

Elizabeth The Second, by the Grace of God, of the United

Kingdom, Canada and her other Realms and Territories, Queen,

Head of the Commonwealth, Defender of the Faith.

To (Name of Chief Electoral Officer) , Chief Electoral Officer,

in the Province of Alberta, Greeting:

We command you that, notice of the time and place of election

being given, you do cause an election to be held to elect

person(

s) in accordance with the Senatorial Selection Act, and you

do cause a nomination of a candidate(

s) to be held on the date fixed

for nominations for the next general election under the Election Act

and in the event of a poll being granted you do cause a poll to be

taken on the date fixed for voting for the next general election

under the Election Act and you do cause the name of the person(

s) so elected by the electors of the Province of Alberta to be certified

to the President of the Executive Council.

Dated at the City of Edmonton in the Province of Alberta, this

day of , .

By Order:

Lieutenant Governor

Received the writ on the day of , .

Chief Electoral Officer

Form 2

Chief Electoral Officer Senatorial Selection Act

Alberta (Section 46)

Senate Nominee Election

Proclamation

For the purpose of electing person(

s) according to the Senatorial

Selection Act whose name(

s) is (are) to be submitted by the

Government of Alberta to the Queen's Privy Council for Canada as a

person(

s) who may be summoned to the Senate of Canada for the

purpose of filling a vacancy or vacancies relating to Alberta, Public

Notice is hereby given to the electors that the following are fixed

pursuant to the Senatorial Selection Act:

Nomination of Candidates

Commencing immediately and continuing until 2:00 p.m. on the date

fixed for nominations for the next general election under the Election

Act, excluding Saturdays, Sundays and holidays, nomination papers

may be filed with the Office of the Chief Electoral Officer during

normal business hours at [Published Address], for a candidate under

the Senatorial Selection Act.

Advance Polls

Advance Polls will be held in each electoral division at the locations

designated and on the dates fixed for Advance Polls for the next

general election under the Election Act.

Polling Day

Voting will take place on the date fixed for voting for the next general

election under the Election Act.

Announcement of Official Results

The announcement of official results will take place at the Office of

the Chief Electoral Officer 10 days after the polling date fixed for the

next general election under the Election Act.

Additional information concerning Senate Nominee election may be

obtained from the Office of the Chief Electoral Officer, [Published

Address] [Published Telephone Number], or from the Returning

Officer in the applicable Electoral Division:

[Returning Officer's Name, Electoral Division]

[Published Address]

[Published Telephone Number]

Issued (Date) by (Chief Electoral Officer)

God Save the Queen

Form 3

Chief Electoral Officer Senatorial Selection Act

Alberta (Section 11)

Senate Nominee Election

Nomination Paper

The electors whose names appear on the attached lists hereby

nominate:

(Given Name/Initial(s)/Surname)

of (Address within Alberta where documents may be served and

notices given) as a Candidate for the purpose of electing a person

according to the Senatorial Selection Act, whose name is to be

submitted by the Government of Alberta to the Queen's Privy Council

for Canada as a person who may be summoned to the Senate of

Canada for the purpose of filling a vacancy relating to Alberta, and that

they desire the person to be described on the ballot paper as:

(Any combination of Given Name, Initial(

s) or Nickname and Surname)

representing (Registered Political Party or independent)

Declaration of Candidate and

Appointment of Official Agent

I, (Candidate) , declare that I am eligible according to the

Senatorial Selection Act to be a Candidate and I consent to my

nomination.

I appoint (Name) of

(Address) , (Telephone Number) , as my

Official Agent.

I further declare that I am a registered candidate under the Election

Finances and Contributions Disclosure Act and that (check one)

(a) ? the attached certificate from (Registered Political Party)

confirms my endorsement as the official Candidate under the

Senatorial Selection Act.

(b) ? I am an independent Candidate under the Senatorial

Selection Act.

(Date) (Candidate's Signature)

Receipt for Deposit and Nomination Paper

Received from (Candidate or Official Agent) the sum of

$4,000 as a nomination deposit and the nomination paper filed

pursuant to the Senatorial Selection Act.

(Date) (Chief Electoral Officer's Signature)

Form 4

Chief Electoral Officer Senatorial Selection Act

Alberta (Section 11)

Page ____ of ____

Senate Nominee Election

Nomination Paper - Declaration of Support

We the undersigned qualified electors of the Province of Alberta

hereby nominate:

(Given Name/Initial(s)/Surname) of

(Address) as a

candidate under the Senatorial Selection Act, whose name is to be

submitted to the Queen's Privy Council for Canada for the purpose of

filling a vacancy in the Senate of Canada.

Printed Name

of Elector

Address

Telephone

Signature

Date

Affidavit of Attesting Witness

I, the undersigned elector, swear (or solemnly affirm) that I witnessed

the signatures of the electors recorded on this Nomination Paper.

SWORN (OR AFFIRMED) BEFORE )

ME at the of )

, in the Province of )

Alberta, this day of , . )

(Returning Officer, Justice of the Peace ) (Signature of Attesting Witness)

Commissioner for Oaths or Notary Public) )

Form 5

Chief Electoral Officer Senatorial Selection Act

Alberta (Section 11)

Senate Nominee Election

Candidate's Nomination

Endorsement Certificate

I certify that (Nominee) is a

Candidate officially endorsed by the:

(Name of Registered Political Party) for

an election under the Senatorial Selection Act.

(Date) (Signature of authorized Representative

of the Registered Political Party)

Form 6

Chief Electoral Officer Senatorial Selection Act

Alberta (Section 14)

Senate Nominee Election

Acclamation

I hereby certify and declare that the person(

s) elected for the Province

of Alberta pursuant to the writ under the Senatorial Selection Act is

(are):

Name(

s) Political Affiliation

No other candidates having been nominated.

The other candidate(

s) having withdrawn.

(Date) (Signature of Chief Electoral Officer)

Form 7

Chief Electoral Officer Senatorial Selection Act

Alberta (Section 18)

Senate Nominee Election

Official Agents of Nominated Candidates

Candidate and Political

Affiliation

Official Agent/

Telephone No.

Campaign Address

(Signature of Chief Electoral Officer)

Form 8

Chief Electoral Officer Senatorial Selection Act

Alberta (Section 34)

Senate Nominee Election

Notice of Poll Being Granted

and Candidates Nominated

PUBLIC NOTICE is hereby given to the electors of the Province of

Alberta that a poll has been demanded at the election now pending

under the Senatorial Selection Act and that I have granted such poll;

and further that the persons duly nominated as candidates at the said

election and for whom votes will be received are:

Name Political affiliation

(Date) (Signature of Chief Electoral Officer)

Form 9

Senatorial

Selection

(year)

Back of Ballot

Initials of DRO

Number from Poll

Book _____

First Fold

Printed by

(Printer's

name)

Second Fold

Form 10

Senatorial Selection

This ballot shall not be marked for

more than (number of candidate(

s) to be

elected) candidate(s).

Front of Ballot

Name of Candidate

Political Party or Independent

Name of Candidate

Political Party or Independent

Name of Candidate

Political Party or Independent

Name of Candidate

Political Party or Independent

Name of Candidate

Political Party or Independent

Form 11

Chief Electoral Officer Senatorial Selection Act

Alberta (Section 20)

Senate Nominee Election

Affidavit of Printer

I, , swear (or solemnly affirm):

that by direction of the Chief Electoral Officer for the Province of

Alberta I printed ballots for use at the election to be held under the

Senatorial Selection Act on the day of , ;

that the attached sample shows the description of the ballots printed by

me;

that I supplied the Chief Electoral Officer with (number of ballots)

of such ballots; and

that no other of such ballots were printed by or supplied by me to

anyone.

SWORN (OR AFFIRMED) BEFORE ME at

the (City, Town, etc.)

of (Name of City, Town, etc.)

in the Province of Alberta, this (Signature of Printer)

day of , .

(Justice of the Peace, Commissioner

for Oaths or Notary Public)

Form 12

Chief Electoral Officer Senatorial Selection Act

Alberta

Direction for Guidance of Voters

THE VOTER MUST vote for not more than candidate(

s) by the

use of the "X" mark opposite the name(

s) of the candidate(

s) of the

voter's choice in the white circle provided.

THE VOTER IS to refold the ballot and return it to the Deputy

Returning Officer for removal of counterfoil and placement of ballot in

ballot box.

IF THE VOTER SPOILS a ballot, the voter may return it to the

Deputy Returning Officer who will give the voter another ballot.

SENATE NOMINEE ELECTION

THE VOTER MUST vote for not more than (number of

candidates) by the use of the "X" mark opposite the name(

s) of

the candidate(

s) of the voter's choice in the white circle provided.

Candidate

Candidate

Candidate

A ballot marked in more than (number of candidates) circles

will not be counted.

Form 13

Chief Electoral Officer Senatorial Selection Act

Alberta

Senate Nominee Election

Special Ballot

Initials of

returning

officer

election clerk

administrative

assistant

Serial No.

Supplied by the Chief Electoral Officer (year)

Form 14

Print the name(

s) of up to (number of person(

s) to be

elected) different Senate Nominee candidates on the lines

below

I vote for:

I vote for:

I vote for:

Form 15

Chief Electoral Officer Senatorial Selection Act

Alberta

Senate Nominee Election

Special Ballot Envelope

Insert the marked ballot into this envelope and seal it.

Insert this envelope into the Special Ballot Certificate Envelope and

seal it.

Form 16

Chief Electoral Officer Senatorial Selection Act

Alberta

Senate Nominee Election

Statement of Poll

Electoral Division of (Name of Electoral Division)

Polling Station Number Location

Number of Ballots Received from Returning Officer 1

Number of Ballots Counted for Each Senate Nominee Candidate

Candidate Number of Votes (R.O. Use Only)

Total Votes Cast for Candidates

Number of Valid Ballots

Number of Spoiled Ballots

(Ballots spoiled by electors and

returned to DRO) 3

Number of Declined Ballots

(Ballots returned to DRO by

electors who declined to vote) 4

Number of Ballots Not Used

(Unused ballots returned to RO) 5

Number of Rejected Ballots

(Ballots deposited in ballot box

but not counted as valid) 6

Number of Ballots Removed from

Polling Place 7

Total 8

(Sum of 2, 3, 4, 5, 6, 7)

To balance, Line 8 equals Line 1

Total number of names on the List of Electors

including all those sworn in:

Number of voters recorded in the Poll Book as

having voted:

(Signature of Poll Clerk) (Signature of Deputy Returning Officer) (Date)

Form 17

Chief Electoral Officer Senatorial Selection Act

Alberta (Section 21)

Senate Nominee Election

Certificate and Return

I hereby certify that at the election held under the Senatorial Selection

Act on the day of , , the following candidates

received the number of votes set opposite their names:

Name of Candidate

Political Affiliation

Votes Received

I hereby certify that the person(

s) elected under the Senatorial

Selection Act is(are):

Name

Political Affiliation

Dated at , Alberta

(Date) (Signature of Chief Electoral Officer)

Form 18

Chief Electoral Officer Senatorial Selection Act

Alberta (Section 21)

Senate Nominee Election

Statement of Official Results

Page __ of __

Respecting votes polled and ballots used at the polls for the electoral division of

at the election held on the day of , .

Poll

Number

Name of

Poll

Name, political affiliation and number of votes polled for EACH

candidate in the order that they appeared on the ballot

ota

mbe

r of

Vali

Ball

ots

(Fro

State

ment

Poll)

Number

Spoiled

Ballots

(Ballots

spoiled by

electors

and

returned to

DRO)

Numb

er of

Declin

Ballot

(Ballots

returned

to DRO

electors

who

declined

to vote)

mbe

r of

Ball

ots

Not

Use

(Unu

sed

ballot

retur

ned

RO)

mbe

r of

Reje

cted

Ball

ots

(Ball

ots

depos

ited

ballot

box

but

not

count

ed as

valid)

mbe

r of

Ball

ots

Sent

Eac

Poll

(Tota

l of

Colu

mns

3, 4,

5, 6

,7 &

Total Number of

Names on

List of Electors

(including those

sworn in at

advance &

polling day)

Subtotal/Total

Certified Correct

(Signature of Returning Officer)

Form 19

Chief Electoral Officer Senatorial Selection Act

Alberta (Section 23)

Senate Nominee Election

Disclaimer

I, (Print Name of Disclaimant) , having been declared elected at

the (Day/Month/Year) election under the Senatorial Selection

Act, request that my name not be submitted to the Queen's Privy

Council for Canada, or that, if my name has been submitted, the

submission be withdrawn; and do hereby disclaim my right to have

my name forwarded to the Queen's Privy Council for Canada.

(Print Name of Disclaimant) (Signature)

(Print Name of Witness) (Signature)

(Print Address of Witness)

Filed at my office this day of , .

(Signature of Chief Electoral Officer

Form 20

Chief Electoral Officer Senatorial Selection Act

Alberta (Section 21, 51)

Senate Nominee Election

Tabulation of Official Results

Page __ of __

Respecting votes and ballots used at the election held according to the Senatorial Selection Act on day of , .

Electoral Division

Name, political affiliation and number of votes polled for EACH

candidate in the order that they appeared on the ballot

ota

mbe

r of

Vali

Ball

ots

(Fro

State

ment

Poll)

Number

Spoiled

Ballots

(Ballots

spoiled by

electors

and

returned to

DRO)

Numb

er of

Declin

Ballot

(Ballots

returned

to DRO

electors

who

declined

to vote)

mbe

r of

Ball

ots

Not

Use

(Unu

sed

ballot

retur

ned

RO)

mbe

r of

Reje

cted

Ball

ots

(Ball

ots

depos

ited

ballot

box

but

not

count

ed as

valid)

mbe

r of

Ball

ots

Sent

Poll

(Tota

l of

Colu

mns

3, 4,

5, 6

,7 &

Total Number of

Names on

List of Electors

(including those

sworn in at

advance &

polling day)

Subtotal/Total

Certified Correct

(Signature of Chief Electoral Officer)

Alberta Regulation 216/2004

Wildlife Act

WILDLIFE AMENDMENT REGULATION

Filed: September 29, 2004

Made by the Minister of Sustainable Resource Development (M.O. 40/04) on

September 29, 2004 pursuant to sections 12, 23 and 103 of the Wildlife Act.

1 The Wildlife Regulation (AR 143/97) is amended by this

Regulation.

Section 36(3)(d)(ii) is repealed and the following is

substituted:

(ii) the snare is a device designed and set to capture that kind of

fur-bearing animal by the neck and, where applicable, the

specific use of a snare on the land referred to in subsection

(1) has been authorized in writing by the person who

provided the relevant authorization referred to in subsection

(1).

Schedule 15 is amended

(

a) in

section 7(1) by striking out "The" and substituting

"Subject to, and except to the extent that there is no open

season by virtue of the application of, subsection (3), the";

(

b) in

section 7(2) by striking out "subsection (1)" and

substituting "subsections (1) and (3)";

(

c) in

section 7(3)

(

i) by striking out all the words preceding clause

(

a) and substituting the following:

(3) The following open season quotas, which apply

relative to either or both sexes of cougar as indicated, are

established and the Minister may close an open cougar

hunting season in a specific Cougar Management Area

whenever either the female number quota or the male

number quota for that area is first reached or, if there is an

open season for only one sex, the number quota for that

sex is reached:

(ii) in clause (

a) by striking out "2 female cougar or 3

cougar" and substituting "1 female cougar";

(iii) in clause (

b) by striking out "3 female cougar or 5

cougar" and substituting "2 female cougar or 1 male

cougar";

(iv) in clause (

c) by striking out "3 female cougar or 6

cougar" and substituting "2 female cougar or 1 male

cougar";

(

v) in clause (

d) by striking out "2 cougar" and

substituting "1 male cougar";

(vi) in clause (

e) by striking out "5 female cougar or 10

cougar" and substituting "3 female cougar or 4 male

cougar";

(vii) in clause (

f) by striking out "3 cougar" and

substituting "1 male cougar";

(viii) in clause (

g) by striking out "7 female cougar or 14

cougar" and substituting "4 female cougar or 4 male

cougar";

(ix) in clause (

h) by striking out "9 female cougar or 16

cougar" and substituting "4 female cougar or 5 male

cougar";

(

x) in clause (

i) by striking out "5 female cougar or 10

cougar" and substituting "4 female cougar or 4 male

cougar";

(xi) in clause (

j) by striking out "20 female cougar or

28 cougar" and substituting "12 female cougar or 12

male cougar";

(xii) in clause (

k) by striking out "3 female cougar or 7

cougar" and substituting "2 female cougar or 3 male

cougar";

(xiii) in clause (

l) by striking out "2 female cougar or 4

cougar" and substituting "1 female cougar or 2 male

cougar";

(xiv) in clause (

m) by striking out "3 female cougar or 5

cougar" and substituting "1 female cougar or 2 male

cougar";

(xv) in clause (

n) by striking out "5 female cougar or 10

cougar" and substituting "3 female cougar or 4 male

cougar";

(xvi) in clause (

o) by striking out "6 female cougar or 12

cougar," and substituting "3 female cougar or 4 male

cougar";

(xvii) by striking out "whichever of the female number and

the total number of cougar are killed first";

(

d) in

section 7(4)

(

i) by striking out "licences and" and substituting

"licences that are not allocated licences and that are";

(ii) by striking out ", plus cougars that have been

estimated to have been removed from the wildlife

population by the actions of any person, including a

collision with any vehicle,";

(

e) in

section 9(1)(d)

(

i) in subclause (

i) by striking out "WMU 511, 512, 516,

517, 518, 519, 520, 528, 529, 530, 531, 532, 540, 542 or

544" and substituting "Fur Management Zone 1 or 2";

(ii) in subclause (i)(

A) by striking out "10" and

substituting "6";

(iii) in subclause (i)(B)

(

A) by striking out "10" and substituting "6";

(

B) by striking out "5" wherever it occurs and

substituting "3";

(iv) by repealing subclause (ii);

(

v) in subclause (ii.1) by striking out "or in

WMU 357, 358, 359, 522, 523, 526 or 527" and

substituting ", 4 or 5";

(vi) in subclause (ii.1)(

A) by striking out "6" and

substituting "4";

(vii) in subclause (ii.1)(B)

(

A) by striking out "6" and substituting "4";

(

B) by striking out "3" wherever it occurs and

substituting "2";

(viii) by repealing subclause (iii);

(

f) in

section 9(1)(e)

(

i) in subclause (

i) by striking out "2 or in WMU 511,

512, 516, 517, 518, 519, 529, 530 or 531" and

substituting "1 or in WMU 350, 351, 357, 358, 359,

522, 523, 524, 525, 526, 527, 534, 535, 536, 537 or

539";

(ii) in subclause (i)(

A) by striking out "8" and

substituting "5";

(iii) in subclause (i)(B)

(

A) by striking out "8" and substituting "5";

(

B) by striking out "4" wherever it occurs and

substituting "2";

(iv) in subclause (ii) by striking out "349, 353, 354,

355, 356, 360 or 521" and substituting "520, 528,

540, 542 or 544";

(

v) in subclause (ii)(

A) by striking out "4" and

substituting "6";

(vi) in subclause (ii)(B)

(

A) by striking out "4" and substituting "6";

(

B) by striking out "2" wherever it occurs and

substituting "3";

(vii) in subclause (iii) by striking out "350 or 351" and

substituting "349, 353, 354, 355, 356, 360 or 521";

(viii) in subclause (iii)(

A) by striking out "5" and

substituting "4";

(ix) in subclause (iii)(

B) by striking out "5" and

substituting "4";

(

x) by repealing subclause (iv);

(

g) in

section 15 by striking out footnote 3 and

substituting the following:

3 This season does not apply to WMU 314, 316, 318, 320,

322, 324, 330, 332, 334, 336, 337, 338, 348, 360, 410, 412,

414, 416, 417, 418, 507, 508 or 521. The season for wolves in

those WMUs is from October 1 to March 31. The season for

coyotes in those WMUs is from October 1 to February 28.

(

h) by repealing Table 5 and substituting the following:

TABLE 5

FUR SEASONS

FUR

MANAGEMENT

ZONE 1

FUR

MANAGEMENT

ZONE 2

FUR

MANAGEMENT

ZONE 3

FUR

MANAGEMENT

ZONE 4

FUR

MANAGEMENT

ZONE 5

FUR

MANAGEMENT

ZONE 6

FUR

MANAGEMENT

ZONE 7

FUR

MANAGEMENT

ZONE 8

BADGER

CLOSED

CLOSED

D1 - Ap15

D1 - Ap15

D1 - Ap15

D1 - Ap15

D1 - Ap15

D1 - M31

BEAVER

O1 - Ma15

O1 - Ma15

O1 - Ma15

O1 - Ma15

O1 - Ma31

O15 - Ma15

O15 - Ap30

O15 - Ap30

BOBCAT

CLOSED

CLOSED

CLOSED

CLOSED

CLOSED

D1 - J31

CLOSED

N1 - F28

COYOTE

O1 - F28

O1 - F28

O1 - F28

D1 - F283

D1 - F28

D1 - F283

O1 - F28

O1 - F28

FISHER

N1 - J312,5

N1 - J312,5

N1 - J312

N1 - J312

N1 - J312

CLOSED

CLOSED

CLOSED

RED/ARCTIC

FOX

O1 - J314

O1 - J314

O1 - F28

O1 - F28

O1 - F28

O1 - F28

O1 - F28

O1 - F28

LYNX

D1 - F152

D1 - F152

D1 - F152

D1 - F152

D1 - F152

D1 - F152

CLOSED

CLOSED

MARTEN

N1 - J315

N1 - J315

N1 - J312

N1 - J31

N1 - J31

N1 - J31

CLOSED

CLOSED

MINK

N1 - J315

N1 - J315

N1 - J31

N1 - J31

N1 - J31

N1 - J31

N1 - J31

N1 - J31

MUSKRAT

O1 - Ma15

O1 - Ma15

O1 - Ma15

O1 - Ma15

O1 - Ma15

O15 - Ma15

O15 - Ap30

O15 - Ap30

OTTER

D1 - Ma151

D1 - Ma151

D1 - Ma151

D1 - Ma151,7

CLOSED

CLOSED

CLOSED

CLOSED

RED

SQUIRREL

N1 - F28

N1 - F28

N1 - F28

N1 - F28

N1 - F28

N1 - F28

N1 - F28

N1 - F28

WEASEL

N1 - F28

N1 - F28

N1 - F28

N1 - F28

N1 - F28

N1 - F28

N15 - F14

N15 - F14

WOLF

O1 - M31

O1 - M31

O1 - M31

D1 - M313

D1 - M31

D1 - F283

O1 - F28

O1 - F28

WOLVERINE

N1 - J311,5

N1 - J311,5

N1 - J311

N1 - J311

N1 - J311

N1 - J311

CLOSED

CLOSED

Alberta Regulation 217/2004

Insurance Act

AUTOMOBILE INSURANCE PREMIUMS AMENDMENT REGULATION

Filed: September 30, 2004

Made by the Lieutenant Governor in Council (O.C. 454/2004) on September 30, 2004

pursuant to

section 656 of the Insurance Act.

1 The Automobile Insurance Premiums Regulation

(AR 124/2004) is amended by this Regulation.

Schedule 1,

section 1(1)(a), is repealed and the following

is substituted:

Definitions

1(1) In this Schedule,

(a) "at-fault claim" means, in respect of liability described

section 627 of the Act or under the same or

equivalent coverage in any other jurisdiction, inside or

outside Canada,

(

i) a claim paid in respect of that liability for which

the driver is wholly or partially at fault, and

(ii) a claim made in respect of which the insurer has

reasonably determined that a payment will or is

likely to be made as a result of the fault, whole or

partial, of the driver,

but does not include

(iii) a claim in respect of which the policyholder has

repaid the insurer for the amount of the claim

within 90 days after the claim was paid by the

insurer, or

(iv) a claim in respect of which the insurer has not

increased the premium payable by the policyholder

on the first renewal after the claim is paid;

Schedule 1,

section 5(3) is repealed and the following is

substituted:

(3) The grid step is first established for a driver by moving down

one grid step from grid step zero for each year of driving

experience to a maximum of 15 years' driving experience, then, if

applicable, moving up 5 grid steps for each at-fault claim during

the 6 years preceding the relevant date.

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

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

Alberta Regulation 218/2004

Child, Youth and Family Enhancement Act

CHILD, YOUTH AND FAMILY ENHANCEMENT

AMENDMENT REGULATION

Filed: September 30, 2004

Made by the Minister of Children's Services (M.O. 36/04) on September 24, 2004

pursuant to

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

1 The Child, Youth and Family Enhancement Regulation

(AR 160/2004) is amended by this Regulation.

2 Under

Schedule 1, Form 16 is amended by striking out "a

foster parent for more than 6 of the 12 months preceding a director's

decision" and substituting "a foster parent".

Schedule 2 is amended by adding the following after

clause (e):

(

f) Sifton Family and Youth Services (Lethbridge).

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

Alberta Regulation 219/2004

Cancer Programs Act

CANCER PROGRAMS AMENDMENT REGULATION

Filed: September 30, 2004

Made by the Minister of Health and Wellness (M.O. 102/2004) on September 28,

2004 pursuant to sections 16 and 22 of the Cancer Programs Act.

1 The Cancer Programs Regulation (AR 242/98) is

amended by this Regulation.

2 The

Schedule is repealed and the following

Schedule is

substituted:

Schedule

Drug

Group

Dosage

Form

Criteria

13 Cis-RETINOIC ACID

capsules

Pediatrics

- restricted to the treatment

of advanced stage

neuroblastoma following

POG/CCG Protocols

- prescribing limited to

written authorization by

physicians recommended by

the pediatric tumour program

ALL-TRANS RETINOIC ACID

capsules

- restricted to treatment of

acute promyelocytic

leukemia

- prescribing limited to

written authorization by

physicians recommended by

the hematology/lymphoma

tumour program or the

pediatric tumour program

AMSACRINE

injectable

ANAGRELIDE

capsules

- for thrombocytosis due to

myeloproliferative disorder

- prescribing limited to

written authorization by

physicians recommended by

the hematology/lymphoma

tumour program

ANASTROZOLE

tablets

- for post-menopausal

patients with receptor-

positive, metastatic breast

cancer who have progressed

or have experienced severe

side effects on prior hormone

therapy

tablets

Breast Cancer Adjuvant

- for adjuvant use in invasive

breast cancer patients who

are post-menopausal,

hormone receptor positive in

whom tamoxifen is

contraindicated or not

tolerated

- prescribing limited to

written authorization by

named physicians as

recommended by the breast

tumour program

ASPARAGINASE

injectable

BCG

injectable

- bladder carcinoma

BICALUTAMIDE

tablets

- restricted to patients who

are intolerant to Nilutamide

or Flutamide

- approved dosage is 50 mg

daily

BLEOMYCIN

injectable

pump

BUSERELIN

injectable

- prostate cancer

- Restricted to:

Stage II (T2a-T2c):

Neoadjuvant use pre RT (2

months pre and during RT).

Neoadjuvant use pre radical

prostatectomy (4 months pre)

Stage III (T3a-T4b):

Neoadjuvant use pre RT (2

months pre and during RT).

Adjuvant use (3 years post

RT)

Stage IV (N1-N3)

(M1-M1c): As monotherpy

in medical castration.

In total androgen blockade

(medical castration and

nonsteriodal antiandrogen)

- Guidelines for LHRH use

in the above stated stages

include: LHRH agonists are

indicated for use in patients

at risk of thromboembolic

disease, strokes (CVA),

myocardial infarction and

also for consideration in

patients with dyslipidemia,

hypertension, diabetes

mellitus or where a patient is

considered intolerant to

cyproterone acetate or

megestrol acetate

BUSULFAN

tablets

CAPECITABINE

oral

- metastatic or advanced

breast cancer (with or

without prior anthracycline

exposure)

- prescribing limited to

written authorization by

physicians recommended by

the breast tumour program

oral

- option in first line

treatment of advanced or

metastatic colorectal cancer

- prescribing limited to

written authorization by

named physicians as

recommended by the GI

tumour program

CARBOPLATIN

injectable

CARMUSTINE

injectable,

topical

CHLORAMBUCIL

tablets

CISPLATIN

injectable

CLADRIBINE

injectable,

subcutane-

ous

- restricted to treatment of

hairy cell leukemia

- Waldenstrom's

macroglobulinemia

- hematologic malignancies

(histocytosis-X, cutaneous

T-cell lymphoma, systemic

mast cell disease)

- prescribing limited to

written authorization by

physicians recommended by

the hematology/lymphoma

tumour program

injectable

POG Protocol 9720

prescribing limited to written

authorization by physicians

recommended by the

pediatric tumour program

CLODRONATE

oral

- treatment of osteolytic

bone lesions in metastatic

breast cancer

CYCLOPHOSPHAMIDE

injectable,

tablets

CYPROTERONE

tablets

CYTARABINE

injectable

CYTARABINE LIPOSOMAL

injectable

- for intrathecal management

of neoplastic meningitis due

to solid tumours or

lymphoma

DACARBAZINE

injectable

DACTINOMYCIN

injectable

DAUNORUBICIN

injectable

DEXAMETHASONE

injectable,

tablets

- antiemetic use NOT

covered

DOCETAXEL

injectable

- treatment of metastatic

breast cancer after failure of

any previous chemotherapy

regimen

- as a single agent or in

combination, as an option for

first line treatment of

metastatic breast cancer

- only one taxane is to be

administered to any one

patient

- prescribing limited to

written authorization by

named physicians as

recommended by the breast

tumour program

injectable

Breast Neoadjuvant

- following a neoadjuvant

anthracycline containing

regimen in locally advanced

(Stage IIIA or IIIB) breast

cancer

- prescribing limited to

written authorization by

named physicians as

recommended by the breast

tumour program

injectable

Breast Adjuvant

- (with doxorubicin and

cyclophosphamide (TAC))

for adjuvant treatment of

node positive breast cancer

- prescribing limited to

written authorization by

named physicians as

recommended by the breast

tumour program

injectable

- 2nd line therapy in patients

with advanced or metastatic

non-small cell lung cancer

with good performance status

(ECOG 0-2) and no

symptomatic or uncontrolled

brain metastases

- prescribing limited to

written authorization by

named physicians as

recommended by the lung

tumour program

injectable

Prostate Cancer

- Docetaxel (with

prednisone) as first-line

treatment of hormone

refractory prostate cancer

- prescribing limited to

written authorization by

named physicians as

recommended by the tumour

program

DOXORUBICIN

injectable

DOXORUBICIN LIPOSOMAL

injectable

- Kaposi's sarcoma

injectable

- 2nd or 3rd line treatment of

ovarian cancer, fallopian tube

carcinoma and primary

peritoneal neoplasms

- prescribing limited to

written authorization by

named physicians as

recommended by the

gynecology tumour program

EPIRUBICIN

injectable

Breast Cancer

- adjuvant (node positive)

and neoadjuvant (stage II and

III) treatment of pre- and

post-menopausal breast

cancer patients

- adjuvant treatment of high

risk (as defined by current

Alberta Breast Cancer

Program Guidelines), lymph

node negative breast cancer

- prescribing limited to

written authorization by

named physicians as

recommended by the breast

tumour program

injectable

Esophagogastric Cancer

- used (in combination with

cisplatin and fluorouracil) in

the treatment of locally

advanced or metastatic

esophagogastric cancer in

patients with good

performance status

injectable

NCIC MA21 Trial

- use as adjuvant treatment

in NCIC MA21 Trial

- prescribing limited to

written authorization by

clinical trial principal

investigator(

s) or co-

investigators

ESTRAMUSTINE

capsules

ETOPOSIDE

injectable,

capsules

EXEMESTANE

oral

- for post-menopausal

patients with

receptor-positive,

advanced/metastatic breast

cancer that have progressed

or have experienced severe

side effects on prior hormone

therapy

FLUDARABINE

injectable,

tablets

- previously treated or

untreated chronic

lymphocytic leukemia

- low grade lymphoma

- Waldenstrom's

macroglobulinemia

- prescribing limited to

written authorization by

physicians recommended by

the hematology tumour

program

FLUOROURACIL

injectable,

cream

pump

FLUTAMIDE

tablets

- prostate cancer

GEMCITABINE

injectable

Non-small Cell Lung Cancer

- patients who are unable to

tolerate vinorelbine or

paclitaxel containing

regimens with documented

reason for intolerance

- prescribing limited to

written authorization by

physicians recommended by

the lung tumour program

injectable

Bladder Cancer

- Gemcitabine/Cisplatin as

first line chemotherapy in

locally advanced/metastatic

bladder cancer

- prescribing limited to

written authorization by

physicians recommended by

the GU tumour program

injectable

Pancreas

- locally advanced or

metastatic adenocarcinoma

of the pancreas

- prescribing limited to

written authorization by

physicians recommended by

the GI tumour program

injectable

Hematology

- Gemcitabine,

Dexamethasone, Cisplatin

for relapsed or refractory

Hodgkins or Non-Hodgkins

Lymphoma (GDP regimen)

- prescribing limited to

written authorization by

named physicians as

recommended by the

hematology/lymphoma

program

injectable

Breast Cancer

- Gemcitabine/Paclitaxel for

treatment of metastatic breast

cancer

- prescribing limited to

written authorization by

named physicians as

recommended by the breast

tumour program

GOSERELIN

injectable

- prostate cancer

- Restricted to:

Stage II (T2a-T2c):

Neoadjuvant use pre RT (2

months pre and during RT).

Neoadjuvant use pre radical

prostatectomy (4 months pre)

Stage III (T3a-T4b):

Neoadjuvant use pre RT (2

months pre and during RT).

Adjuvant use (3 years post

RT)

Stage IV (N1-N3)

(M1-M1c): As monotherpy

in medical castration

In total androgen blockade

(medical castration and

nonsteriodal antiandrogen)

- Guidelines for LHRH use

in the above stated stages

include: LHRH agonists are

indicated for use in patients

at risk of thromboembolic

disease, strokes (CVA),

myocardial infarction and

also for consideration in

patients with dyslipidemia,

hypertension, diabetes

mellitus or where a patient is

considered intolerant to

cyproterone acetate or

megestrol acetate

injectable

- breast cancer. 2nd line

hormonal therapy for

recurrent or metastatic

disease in either or both

estrogen and progesterone

receptor positive pre and

perimenopausal patients after

tamoxifen failure

- prescribing limited to

written authorization by

physicians recommended by

the breast tumour program

HYDROCORTISONE SODIUM

SUCCINATE

injectable

- intrathecal use only

HYDROXYUREA

capsules

IDARUBICIN

injectable

POG Protocol 9720

- prescribing limited to

written authorization by

physicians recommended by

the pediatric tumour program

IFOSFAMIDE

injectable

pump

IMATINIB

capsules

- for surgically unresectable

or metastatic gastrointestinal

stromal tumour (GIST)

- prescribing limited to

written authorization by

named physicians as

recommended by the tumour

program

capsules

Hematology

- Philadelphia-chromosome

positive leukemia (including

disease situations such as

first chronic phase chronic

myelogenous leukemia

(CML), accelerated phase

CML, blast crisis phase

CML, acute lymphoblastic

leukemia, or other leukemias

that have the characteristic

t(9;22) translocation detected

by cytogenetics, FISH

analysis, or PCR-positive for

bcr-abl oncogene)

- prescribing limited to

written authorization by

named physicians as

recommended by the

hematology/lymphoma

program

INTERFERON

- alpha 2a or 2b

- alpha 2b in new patients "03-

04"

injectable

- cladribine-resistant hairy

cell leukemia

- Kaposi's sarcoma

- chronic myelogenous

leukemia

- metastatic renal cell

carcinoma

INTERFERON

alpha 2a ONLY

injectable

- mycosis fungoides and

sezary syndrome (cutaneous

T-cell lymphomas)

- prescribing limited to

written authorization by

physicians recommended by

the hematology/lymphoma

tumour program

INTERFERON

alpha 2b ONLY

injectable

- basal cell carcinoma

- adjuvant treatment of high

risk melanoma

injectable

Superficial Bladder Cancer

- Interferon alone - second

line treatment or first line in

those with a documented

intolerance or

contraindication (i.e.,

immunosuppression or other)

to BCG

- Interferon in combination

with BCG - second line

treatment

injectable

- treatment of patients with

malignant carcinoid and

neuroendocrine

gastroenteropancreatic

tumours not amenable to

surgical extirpation

- prescribing limited to

written authorization by

physicians recommended by

the GI and endocrine tumour

programs

injectable

- maintenance therapy in

multiple myeloma patients

who have achieved complete

remission after high dose

chemotherapy and

autologous stem cell

transplant

- follicular lymphoma and

need for therapy as indicated

by any of: mass >7 cm or 3

sites >3 cm, Bsx,

splenomegaly @ umbilicus,

compression syndromes (GI,

GU, orbit), effusions

cytopenias, Age

Document details

CollectionAlberta — Gazette
Citation1015 ii
Typegazette
Volume / chapter1015 ii
Languageen
Formathtml
SourcePROVINCIAL
Identifierf5b4d17f75e70e1c04806d46bf2be86e9ae574dd

Source file is stored in the law ingest library (html).