Adult and Child Abuse Registry

Notice of Collection

The Registrar of the Adult Abuse Registry is obtaining your personal information (including, if necessary for identification purposes, your personal health identification number) so that the Registrar can conduct an Adult Abuse Registry check on you. The Registrar will also use this information to update the Adult Abuse Registry. The Registrar is collecting your personal information under the authority of clauses 36(1)(a) and (b) of The Freedom of Information and Protection of Privacy Act  and your personal health information, if any, under the authority of subsection 13(1) of The Personal Health Information Act.  Please note that you have a right to examine and receive a copy of any personal information  about you maintained in the Adult Abuse Registry. For any questions you may have about the collection and disclosure of your personal information please contact: 

Consent

I understand that the results of the Adult Abuse Registry check will disclose whether my name is listed on the Registry and that the Registrar will disclose the results to me.

I understand that the disclosure of the results of the check to me is authorized under Section 42 of The Adult Abuse Registry Act. 

I understand that the Registrar will release no other information unless the Registrar is authorized or required to do so by law.

I understand that I may revoke this consent to the collection and disclosure of information and results by written statement at any time prior to the information being released under this consent.

I acknowledge my checking the “I consent” button is sufficient to allow for the disclosure of the information requested

Consent below is limited to this application only and becomes effective on the date submitted. This consent expires six months from the effective date.

I hereby consent to the collection and use of information by the Registrar and the disclosure of the results of the check, by the Registrar to me.

I understand that the Director of Child and Family Services (the Director) is obtaining my personal information (including, if necessary for identification purposes, my Manitoba Health Registration Number) so that the Director can conduct a Child Abuse Registry check on me. I understand that my personal information is being collected under the authority of section 36(1) and (b) of Freedom of Information and Protection of Privacy Act  and that my personal health information, if any  , is being collected under the authority of subsection 14(1) of The Personal Health Information Act.

I understand that the Director will also use this information to update the Manitoba Child and Family Services Information System (CFSIS) and the Intake Module (IM) (collectively known as CFSA).

I understand that the results of the Child Abuse Registry check will disclose whether my name is listed on the Registry and that the Director will disclose the results to me.

I understand that the disclosure of the results of the check to me is authorized under Section 19 of The Child and Family Services Act. 

I understand that the Director will release no other information unless the Director is authorized or required to do so by law.

I understand that I may revoke this consent to the collection and disclosure of information and results by written statement at any time prior to the information being released under this consent.

I acknowledge that my checking the “I consent” button is sufficient to allow for the disclosure of the information requested.

Consent is limited to this application only and becomes effective on the date submitted. This consent expires six months from the effective date

I hereby consent to the collection and use of information by the Director and the disclosure of the results of the check, by the Director to me.

If you have any questions about the collection and disclosure of your personal information, you should contact the Child Abuse Registry at (204) 945-6967.