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Notification of Death or Serious Bodily Harm

 

Agency Information

 

Information Regarding Child/Youth and Incident

Attention: Please do not include the name of child/youth associated with this notification

Submitted By

Contact person for further information

Notification Requirements

Attention:

You are required to provide both the young person and parent(s) with contact information for the Office of the Provincial Advocate for Children and Youth, within 14 days of the Incident. A confirmation of notification no longer needs to be submitted to the Advocate’s Office.

Service providers should maintain records that document that they have complied with the legal obligation to notify children and parents about the Office of the Provincial Advocate for Children and Youth, as the Advocate's office may request this confirmation at a later date as part of an individual or systemic investigation.

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*Please print the form for your own records before submitting. A copy of the completed form will not be provided following submission.