Forms and Policies

Residential Care Licensing - Adult Abuse Registry Record Statement

This form is completed by service providers of home shares (including agency supported home shares), mental health facilities, and facilities providing care for persons requiring support due to frailty or cognitive impairment related to aging during the annual review or renewal process.  By completing the form, the service provider declares whether, to the best of their knowledge, they as the service provider, any other persons providing residential care in the facility or any other adult (other than residents) residing in the facility, has been placed on the Adult Abuse Registry or is presently under investigation for an allegation of abuse or neglect.
Department/Crown: Families
Category: Families