Undertaking Form

This form is used to request file disclosure in matters related to an application under the Child, Youth and Family Services Act, 2017 (CYFSA).

The Durham Children’s Aid Society requires this form to be completed in order to initiate the disclosure process for CYFSA, 2017 related matters.

All parties involved in the matter must be clearly identified on the form. Please ensure that the full names of all participants are included.

Please note: An ‘unrepresented party’ is an individual who does not have legal counsel acting on their behalf in the proceedings and is considered as self representing.

Parent/Caregiver Name

First name

Last name

Child name(s) and date of birth(s)

First name

Last name

Alternate name (e.g. preferred name, alias)

Date of birth (DD/MM/YYYY)

Requesting Lawyer or unrepresented party name

Name(Required)

First Name Last Name

Durham CAS Lawyer

Name(Required)

First Name Last Name

Durham CAS worker

Name(Required)

First Name Last Name

Next court appearance

Date

Confirmation & Consent(Required)

Please read each statement carefully. By checking each box, you confirm your agreement.

I confirm that I am either the party to this matter or the legal representative of the party, and that I am authorized to receive information relating to a proceeding involving the Durham Children’s Aid Society.

Confirmation & Consent Checkbox 2(Required)

I acknowledge that any evidence or information disclosed to me by the Durham Children’s Aid Society is provided solely for the purpose of the CYFSA, 2017 proceeding for which it is obtained.

Confirmation & Consent Checkbox 3(Required)

I agree that I will not disclose names, addresses, phone numbers, or any other identifying information relating to: foster parents or group homes, non‑professional referral sources, or any other person referred to in the disclosed information, unless prior written approval is obtained from the Durham Children’s Aid Society.

Confirmation & Consent Checkbox 3(Required)

I understand that checking all boxes above constitutes my formal acknowledgement and agreement to the confidentiality and non‑disclosure obligations described, and that these obligations apply whether I am self‑represented or acting as legal counsel for the party.

Centred Content

This form is used to request file disclosure in matters related to an application under the Child, Youth and Family Services Act, 2017 (CYFSA).

Parent/Caregiver Name

Child name(s) and date of birth(s)

Requesting Lawyer or unrepresented party name

Durham CAS Lawyer

Durham CAS worker

Next court appearance

Call Us