Child Welfare Record Check Request

Centred Content

If you require a Child Welfare Record Check for employment, please fill out the Child Welfare Record Check form.

You must attach one copy of valid government issued photo identification along with your request. This request should be made to the child protection agency in your place of residence, including past residences. Durham CAS cannot provide child welfare information from another Society.

"*" indicates required fields

Personal Details

Name*
Date of birth*

Contact Information

Address*
Preferred Phone Number*

Previous Places of Residence

I have lived in the following places since I reached the age of 18 years or became a parent, whichever first occurred:
I have lived in the following places since I reached the age of 18 years or became a parent, whichever first occurred:
City, province, country
Dates (from – to)
 

Additional Information

Searches may result in multiple records with similar names and dates of birth. The additional information provided below will be used only to assist in locating any child protection records pertaining to you.
Searches may result in multiple records with similar names and dates of birth. The additional information provided below will be used only to assist in locating any child protection records pertaining to you.
My child’s name
Child’s date of birth (DD/MM/YYYY)
Child’s mother’s birth name
 

Request Details

If possible, please provide additional details regarding the reason for your request as this will assist us to provide you with the information you require.
Additional Information

Please attach information to support your request.

No file chosenMax. file size: 300 MB.
No file chosenMax. file size: 300 MB.
No file chosenMax. file size: 300 MB.
No file chosenMax. file size: 300 MB.
Confirmation & Consent*
Confirmation & Consent Checkbox 2*
Confirmation & Consent Checkbox 3*

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