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Alberta Regulation 159/2004
Marketing of Agricultural Products Act
ALBERTA MILK PLAN MINIMUM PRICE FOR 
SUB-CLASS 1A MILK ORDER
Filed: July 19, 2004
Made by the Alberta Energy and Utilities Board on July 15, 2004 pursuant to section 
5(4) of the Alberta Milk Plan Regulation (AR 150/2002). 
1   The minimum price for sub-class 1a milk to be paid by processors 
for a hectolitre of sub-class 1a milk is $69.11.

2   The Alberta Milk Plan Minimum Price for Sub-class 1a Milk Order 
(AR 102/2004) is repealed.

3   This Order comes into force on August 3, 2004.


--------------------------------
Alberta Regulation 160/2004
Child, Youth and Family Enhancement Act
CHILD, YOUTH AND FAMILY ENHANCEMENT REGULATION
Filed: July 20, 2004
Made by the Minister of Children's Services (M.O. 28/04) on July 19, 2004 pursuant 
to section 131(2) of the Child, Youth and Family Enhancement Act. 
Table of Contents
	1	Definitions
	2	Forms
	3	Secure services facilities
	4	Director's qualifications
Part 1 
General Provisions
	5	Mediation
	6	Post-18 support, financial assistance
	7	Duty to keep records
	8	Permanent placement plan reports
	9	Section 21.1(6) plan exceptions
	10	Supports for permanency
Part 2 
Section 105.8 Financial Assistance
	11	Definitions
	12	Director may provide financial assistance
	13	Application for financial assistance
	14	Annual eligibility review form
	15	Basic monthly benefit
	16	Eligibility requirements
	17	Deductions from basic monthly benefit
	18	Supplementary benefits
	19	Child care costs
	20	Out-of-school-care costs
	21	School expenses
	22	Health services and benefits
	23	Annual supplementary enhancement benefit
	24	Changes in circumstances
	25	Recovery of unauthorized payments
	26	Duty to keep documents and records
Part 3 
Repeal, Expiry and Coming into Force
	27	Repeal
	28	Expiry
	29	Coming into force 
 
Schedules
Definitions
1(1)  In this Regulation, "Act" means the Child, Youth and Family 
Enhancement Act.
(2)  For the purposes of Part 1, Division 5 and Part 2 of the Act, 
"qualified person" means
	(a)	an individual who is registered on the general register 
category of the regulated members register of the Alberta 
College of Social Workers, or
	(b)	a person who in the opinion of the Minister is qualified 
because of the person's education and experience.
(3)  For the purposes of the Act, "alternative dispute resolution" means 
mediation.
Forms
2   The forms prescribed for the purposes of the Act related to this 
Regulation are the forms in Schedule 1.
Secure services facilities
3   The facilities listed in Schedule 2 are secure services facilities for 
the purposes of the Act.
Director's qualifications
4   For the purposes of this Act, the qualifications required for a person 
to be appointed as a director are that the person
	(a)	holds a master degree in social work and has 10 years' direct 
experience in the delivery of intervention services, or
	(b)	has a combination of education and experience considered by 
the Minister to be equivalent to that described in clause (a).
Part 1 
General Provisions
Mediation
5(1)  A person who conducts alternative dispute resolution by 
mediation under section 3.1 of the Act must
	(a)	have qualifications or experience, or a combination of both, 
satisfactory to a director, and
	(b)	be agreed to by all parties to the mediation.
(2)  A person who conducts alternative dispute resolution by mediation 
must use a process that facilitates the parties to the mediation to make 
their own decisions to resolve the dispute.
Post-18 support, financial assistance
6(1)  A director may enter into an agreement in Form 12 of Schedule 1 
with a person described in section 57.3 of the Act with respect to the 
provision of support and financial assistance required to assist or 
enable the person to establish or maintain an independent living 
arrangement if, in the opinion of the director, the support and financial 
assistance are not reasonably available to the person from other 
sources.
(2)  An agreement referred to in subsection (1) must include a plan for 
the person's transition to independence and adulthood in Form 9 of 
Schedule 1.
(3)  An agreement referred to in subsection (1) may provide support 
and financial assistance that are required for the health, well-being and 
transition to independence and adulthood of the person referred to in 
section 57.3 of the Act, including
	(a)	living accommodation,
	(b)	financial assistance related to necessities of life,
	(c)	if the person is less than 20 years of age, financial assistance 
related to training and education,
	(d)	if the person is less than 20 years of age, health benefits, and
	(e)	any other services that may be required to enable the person 
to live independently or achieve independence.
(4)  No agreement referred to in subsection (1) may be entered into or 
remains in force after the person's 22nd birthday.
Duty to keep records
7   For the purposes of section 127 of the Act, a director must keep 
records with respect to a child who is the subject of an investigation, 
agreement or order under the Act or any predecessor to the Act.
Permanent placement plan reports
8   A director must report to the Minister regarding the plan for the 
permanent placement for a child described in section 34.1 of the Act at 
12 months, 18 months, 24 months, 30 months, 36 months and at every 
subsequent 12 months after the date that the child becomes the subject 
of a permanent guardianship agreement or order.
Section 21.1(6) plan exceptions
9(1)  A director, when developing a plan pursuant to section 21.1(6) of 
the Act,
	(a)	is not required to determine an alternative permanent 
placement for a child if the child is ordered into the custody 
of a director solely for the purpose of authorizing treatment 
referred to in section 22.2(1) of the Act, and
	(b)	is not required to describe the services to be provided to 
facilitate the return of a child to the custody of the child's 
guardian if all the guardians of the child
	(i)	are deceased, or
	(ii)	have consented to the application for a permanent 
guardianship order.
(2)  A director is not required to develop a plan pursuant to section 
21.1(6) of the Act when a director applies for a temporary 
guardianship order with respect to a youth who has entered into an 
agreement under section 57.2 of the Act.
Supports for permanency
10(1)  The maximum financial assistance that may be provided in 
agreements, pursuant to sections 56.1 and 81 of the Act, in Form 13 of 
Schedule 1
	(a)	if the annual gross family income is under $60 000, the basic 
maintenance rate available for a child in foster care,
	(b)	if the child has behavioural or emotional problems,
	(i)	the cost of 10 counselling sessions annually,
	(ii)	the cost of treatment of the child in a residential facility, 
satisfactory to a director, if the director is of the opinion 
that the placement of the child is likely to break down 
without the treatment, and
	(iii)	$70 weekly to purchase any additional services required 
to address the child's behavioural or emotional problem,
	(c)	in the case of a child who is an Indian, the cost of 
transportation of the child to the child's band for the purpose 
of maintaining cultural ties, and
	(d)	the cost of parental respite services to a maximum of 576 
hours annually per family.
(2)  A director must review an agreement referred to in subsection (1)
	(a)	annually, and
	(b)	within 30 days after receiving a written request for a review 
from the other party to the agreement.
(3)  If, after a review under subsection (2) or after a director receives 
information about changes in circumstances, the director is of the 
opinion that
	(a)	the needs of the child have changed, or
	(b)	the financial ability of the person described in section 56.1 or 
81 of the Act to maintain the child or to provide the services 
required to meet the needs of the child has changed,
the director may require that the agreement be varied or may terminate 
the agreement immediately or on 30 days' written notice, in 
accordance with the terms of the agreement, to the other party to the 
agreement.
(4)  If, on November 1, 2004, an adoptive parent is a party to a 
post-adoption support agreement under Part 4 of the Adoption 
Regulation (AR 37/2002), the adoptive parent may, on the expiry of 
that agreement,
	(a)	enter into a post-adoption support agreement in accordance 
with Part 4 of that Regulation as it read on October 31, 2004 
but the agreement must expire on or before November 1, 
2005, or
	(b)	enter into an agreement in accordance with subsection (1).
(5)  If, on November 1, 2004, an adoptive parent of a child that a 
director had acknowledged in writing to have a special need in 
accordance with section 48(2)(b) of the Adoption Regulation 
(AR 37/2002) is not a party to a post-adoption support agreement 
under Part 4 of that Regulation, the adoptive parent may apply to the 
director
	(a)	prior to October 31, 2005, to enter into an agreement in 
accordance with Part 4 of that Regulation as it read on 
October 31, 2004 but the agreement must expire on or before 
November 1, 2005, or
	(b)	to enter into an agreement in accordance with subsection (1).
(6)  Despite subsections (1) to (5), financial assistance shall not be 
provided if the child, at the time of the adoption or the making of the 
private guardianship order, was the subject of a permanent 
guardianship agreement and did not have a disability, as defined in the 
Family Support for Children with Disabilities Act.
Part 2 
Section 105.8 Financial Assistance
Definitions
11   In this Part,
	(a)	"basic monthly benefit" means the basic monthly benefit 
referred to in section 15;
	(b)	"caregiver" means the adult person who cares for a child 
within the meaning of section 105.8 of the Act.
Director may provide financial assistance
12   A director may, in accordance with this Part, provide benefits 
under this Part to a caregiver in respect of a child referred to in section 
105.8 of the Act.
Application for financial assistance
13(1)  An application by a caregiver for a basic monthly benefit must 
be in Form 14 of Schedule 1 and must be submitted to a director.
(2)  If application is made in respect of more than one child under the 
caregiver's care, a separate application must be submitted in respect of 
each child.
Annual eligibility review form
14(1)  A caregiver who receives a basic monthly benefit must provide 
an annual eligibility review form in Form 15 of Schedule 1 to a 
director on request.
(2)  A separate annual eligibility review form must be submitted for 
each child under the caregiver's care in respect of whom a basic 
monthly benefit is being paid.
(3)  If a caregiver fails to submit the annual eligibility review form as 
required under this section, the director may withhold any further 
benefits under this Part until the form is submitted.
Basic monthly benefit
15   The caregiver of a child who meets the eligibility requirements of 
section 105.8 of the Act and this Part is entitled to receive financial 
assistance in the form of a basic monthly benefit in respect of the child 
in an amount equal to,
	(a)	in the case of a child who is less than 12 years of age, the 
difference between $105 and the total monthly deductions 
calculated in accordance with section 17, and
	(b)	in the case of a child who is 12 years of age or older, the 
difference between $148 and the total monthly deductions 
calculated in accordance with section 17.
Eligibility requirements
16(1)  A basic monthly benefit may be paid in respect of a child if the 
child is occupied full-time in one or more of the following:
	(a)	employment;
	(b)	an education program acceptable to a director;
	(c)	an employment training program acceptable to a director.
(2)  A basic monthly benefit may not be paid in respect of a child if 
any of the following circumstances apply:
	(a)	if the child has a monthly gross employment income that 
exceeds $1000, unless the child is also attending a full-time 
educational program or training program described in 
subsection (1);
	(b)	if the child is married to the child's caregiver or is living with 
the caregiver in a relationship of interdependence as defined 
in the Adult Interdependent Relationships Act;
	(c)	if the child's caregiver is the child's biological or adoptive 
parent.
(3)  Despite subsection (1), a director may pay a basic monthly benefit 
if the director is satisfied that, due to the child's age or for medical 
reasons, the child is unable to be fully occupied with employment or 
education or employment training programs described in subsection 
(1).
Deductions from basic monthly benefit
17(1)  The following monthly income amounts are to be deducted for 
the purposes of calculating the amount of the basic monthly benefit:
	(a)	payments for the child's benefit from income earned by a 
trust account for the child's benefit;
	(b)	support or maintenance payments for the child's benefit from 
the child's parent or guardian;
	(c)	payments received by the child or for the child's benefit 
under any of the following:
	(i)	the Canada Student Loans Act (Canada);
	(ii)	the Canada Student Financial Assistance Act (Canada);
	(iii)	the Student Financial Assistance Act;
	(d)	any other grant or bursary received by the child or for the 
child's benefit for education or training purposes.
(2)  If the total monthly amount referred to in subsection (1) varies 
from month to month, the director may calculate an average amount as 
the monthly deduction for the purpose of this section.
Supplementary benefits
18   If a caregiver is receiving or is eligible to receive a basic monthly 
benefit in respect of a child, a director may, in accordance with 
sections 19 to 23, provide supplementary benefits to the caregiver on 
behalf of the child.
Child care costs
19(1)  If a child attends
	(a)	a licensed day care centre under the Social Care Facilities 
Licensing Act, or
	(b)	a family day home approved by a director for the purposes of 
this section,
the director may pay to the child's caregiver child care costs in 
accordance with this section.
(2)  A director may not pay child care costs under this section unless 
the caregiver establishes a demonstrated need for child care to the 
director's satisfaction.
(3)  The amount of the child care costs to be paid under subsection (1) 
is determined as follows:
	(a)	if the caregiver is eligible for the maximum Provincial Child 
Care Subsidy in respect of the child, the child care costs to be 
paid are an amount that is equal to that part of the child care 
costs that is not covered by the Provincial Child Care 
Subsidy Program and that the caregiver is required to pay;
	(b)	if the caregiver is eligible for less than the maximum 
Provincial Child Care Subsidy in respect of the child, the 
child care costs to be paid are an amount that is equal to that 
part of the child care costs that is not covered by the 
Provincial Child Care Subsidy Program and that the 
caregiver is required to pay, but in no case shall the amount 
of child care costs paid under this section plus the amount of 
the Provincial Child Care Subsidy Program for which the 
caregiver is eligible exceed the maximum Provincial Child 
Care Subsidy offered in respect of the licensed day care 
centre or family day home in respect of a child of the same 
age;
	(c)	if the caregiver is not eligible for the Provincial Child Care 
Subsidy in respect of the child, the child care costs to be paid 
are an amount that is equal to the actual child care costs paid 
by the caregiver, up to the maximum Provincial Child Care 
Subsidy that is offered in respect of the licensed day care 
centre or family day home in respect of a child of the same 
age.
Out-of-school-care costs
20(1)  If a child
	(a)	attends
	(i)	a school in any of grades one to 6, or
	(ii)	a school in any of grades 7 to 12 and the caregiver 
demonstrates to the director's satisfaction a medical or 
developmental need for out-of-school-care for the child,
		and
	(b)	attends an out-of-school-care centre,
the director may pay to the caregiver in respect of the child's 
out-of-school-care costs an amount to be determined as follows:
	(c)	if the caregiver is eligible for an out-of-school-care subsidy 
from another source in respect of the caregiver's 
out-of-school-care costs, the out-of-school-care costs to be 
paid are an amount equal to the difference between the total 
out-of-school-care costs paid and the amount of the subsidy, 
to a maximum of $300 per month;
	(d)	if the caregiver is not eligible for an out-of-school-care 
subsidy from another source, or there is no such subsidy 
available in respect of the caregiver's out-of-school-care 
costs, the out-of-school-care costs to be paid are an amount 
equal to the total out-of-school-care costs paid, to a 
maximum of $300 per month.
(2)  The director may refuse to pay an amount under subsection (1) if 
the director is not satisfied that the caregiver has applied for and 
received all other subsidies for out-of-school-care costs in respect of 
the child for which the caregiver or child is eligible.
School expenses
21   If a child is in full-time attendance at a school in an early 
childhood services program, as defined in the School Act, or any of 
grades one to 12, a director may pay to the child's caregiver an amount 
to cover
	(a)	lunchroom supervision fees, and
	(b)	the actual cost of school expenses, supplies and fees, to an 
annual maximum of
	(i)	$50 if the child is in an early childhood services 
program, as defined in the School Act,
	(ii)	$100 if the child is in grades one to 6, or
	(iii)	$228 if the child is in grades 7 to 12.
Health services and benefits
22   A director may provide health benefits in respect of a child 
pursuant to a Child Health Benefit Program card issued in accordance 
with an agreement between officials on behalf of the Department of 
Children's Services and the Department of Human Resources and 
Employment, if the child is not covered in respect of such benefits 
under an insurance plan of the caregiver or the child's parent or 
guardian.
Annual supplementary enhancement benefit
23(1)  If a director considers it appropriate to do so, the director may 
pay to a caregiver an annual supplementary enhancement benefit in the 
amount of not more than $200 for the benefit of a child under the 
caregiver's care.
(2)  A director may pay the amount referred to in subsection (1) in a 
lump sum or on a periodic basis.
Changes in circumstances
24   A caregiver who is in receipt of a benefit under this Part must 
immediately report the following to a director in writing:
	(a)	if there is a change in the caregiver's address or contact 
information;
	(b)	if a child, in respect of whom a benefit is provided,
	(i)	ceases to live with the caregiver,
	(ii)	ceases to attend a full-time education program or an 
employment training program as required under section 
16(1), or
	(iii)	commences or ceases employment;
	(c)	if there is a change in the income earned by the child;
	(d)	if there is a change in the income received by the caregiver 
on behalf of the child;
	(e)	if there is a change in the caregiver's ability to care for the 
child;
	(f)	if the child's parent moves into the caregiver's home;
	(g)	if there is any other change in circumstances that would 
affect entitlement to a benefit under this Part or the amount 
of it.
Recovery of unauthorized payments
25   If
	(a)	a benefit under this Part is provided to a caregiver who is not 
entitled to it, or
	(b)	an overpayment of a benefit under this Part is made to a 
caregiver,
the Government may recover in an action in debt the amount of the 
unauthorized payment or may make deductions from future benefits 
under this Part to the caregiver until the amount of the unauthorized 
payment is recovered.
Duty to keep documents and records
26   A caregiver must keep records and documents that are relevant for 
the purpose of determining eligibility for or the amount of a benefit 
under this Part and must make those records and documents available 
for inspection on the request of  a director or a person designated by 
the director for that purpose.
Part 3 
Repeal, Expiry and Coming into Force
Repeal
27   The General Regulation (AR 38/2002) and Qualification 
Regulation (AR 40/2002) are repealed.
Expiry
28   For the purpose of ensuring that this Regulation is reviewed for 
ongoing relevancy and necessity, with the option that it may be 
repassed in its present or an amended form following a review, this 
Regulation expires on October 31, 2013.
Coming into force
29   This Regulation comes into force on November 1, 2004.
Schedule 1
Form 1 - 	Family Enhancement Agreement with a Guardian or 
	Custodian 
Form 2 - 	Custody Agreement with a Guardian 
Form 3 - 	Permanent Guardianship Agreement 
Form 4 - 	Access or Consultation Agreement 
Form 5 - 	Concurrent Plan 
Form 6 - 	Secure Services Certificate 
Form 7 - 	Secure Services Plan 
Form 8 - 	Home Assessment Report for Private Guardianship 
Form 9 -	Transition to Independence Plan 
Form 10 - 	Enhancement Agreement with a Youth 
Form 11 - 	Custody Agreement with a Youth 
Form 12 - 	Support and Financial Assistance Agreement 
Form 13 - 	Supports for Permanency Agreement 
Form 14 - 	Application for Child and Youth Support 
Form 15 - 	Annual Eligibility Review 
Form 16 - 	Request for Administrative Review of  
	a Director's Decision 
Form 17 - 	Notice of Appeal to the Appeal Panel
Form 1 
Family Enhancement Agreement with  
a Guardian or Custodian
1   Regarding the child(ren):
   (Name) 	 , born   (date -yyyy/mm/dd)   ,ID # 	
   (Name) 	 , born   (date -yyyy/mm/dd)   ,ID # 	
   (Name) 	 , born   (date -yyyy/mm/dd)   ,ID # 	
2   Agreement
This agreement is made according to section 8 of the Child, Youth and 
Family Enhancement Act.
This agreement is between a director and   (name)   of   (address)   who 
is this child's ? guardian ? custodian.
We agree that this agreement will be effective from   (date -
yyyy/mm/dd)   to   (date -yyyy/mm/dd)   unless cancelled earlier.
We agree that to cancel this agreement, one of us may provide a letter 
to the other person that sets a date for the agreement to end.
We have read and agree to the Family Enhancement Plan dated   (date 
-yyyy/mm/dd)   that is attached to this agreement.
We understand that we may make changes to the Family Enhancement 
Plan if both of us agree.
3   Signatures
    (Guardian/Custodian)     	   (date -yyyy/mm/dd)   
    (Guardian/Custodian)     	   (date -yyyy/mm/dd)   
    (Director's delegate)       	   (date -yyyy/mm/dd)   
Form 2 
Custody Agreement with a Guardian
1   Regarding the child(ren):
   (Name)     , born   (date -yyyy/mm/dd)   , Personal Health # 	
   (Name)     , born   (date -yyyy/mm/dd)   , Personal Health # 	
   (Name)     , born   (date -yyyy/mm/dd)   ,Personal Health # 	
2   Agreement
This agreement is made according to sections 9 and 10 of the Child, 
Youth and Family Enhancement Act.
This agreement is between a director and   (name)  , of   (address)  , 
who is the child's guardian.
We agree that this agreement will be effective from   (date -
yyyy/mm/dd)    to   (date -yyyy/mm/dd)    unless cancelled earlier.
We agree that to cancel this agreement, one of us may provide a letter 
to the other person that sets a date for the agreement to end.
We agree to the terms set out below.
3   Terms
We agree that on signing this agreement the director assumes custody 
of the child during the period of this agreement.
The guardian agrees that the director may:
	?  decide about the child's daily routine,
	?  obtain ordinary medical or dental care,
	?  obtain emergency medical or dental treatment or 
	emergency surgical procedures.
The guardian agrees that the director may:
	?  decide about recreational activities
	?  enroll the child in school or vocational activities
	?  decide about religious or cultural activities
	?  consent to employment
	  consent to obtaining recreational licences and permits 
	(except a firearms permit or driver's licence)
	?  other   	
We agree that the guardian will have the following contact with the 
child:   			
We agree that   (name)   will have the following contact with the child:  
			
We have seen and agree to the Concurrent Plan dated   (date -
yyyy/mm/dd)    that is attached to this agreement.
We understand that we can make changes to the Concurrent Plan if 
both of us agree.
4   Signatures
             (Guardian)                   	   (date -yyyy/mm/dd)   
    (Director's delegate)       	   (date -yyyy/mm/dd)   
Form 3 
Permanent Guardianship Agreement
1   Regarding the     (child's name)     , born   (date -yyyy/mm/dd)  .
2   Introduction
The guardians of this child have asked the director to take guardianship 
of the child.
We understand that once we enter this agreement:
	? anyone who is now a guardian of the child will no longer be 
a guardian;
	? the director will become the child's only guardian;
	? a guardian may end this agreement within 10 days after 
signing it. To end the agreement, the guardian must give the 
director a written request.
?   I have received independent legal advice regarding this 
agreement.
?   I have been advised of my right to seek independent legal advice 
regarding this agreement but have chosen not to.
3   Agreement
This agreement is made according to section 11 of the Child, Youth 
and Family Enhancement Act.
This agreement is between a director and    (names)    who are all of 
the guardians of the child.
We agree that the director will assume sole guardianship of the child.
4   Signatures
	Note:    all copies must have original signatures

    (Witness)           	   (date -yyyy/mm/dd)    	               (Guardian)   
    (Witness)           	   (date -yyyy/mm/dd)    	                (Guardian)  
    (Witness)           	   (date -yyyy/mm/dd)    	    (Director's delegate)  
Form 4 
Access or Consultation Agreement
1   Regarding the     (child's name)     , born   (date -yyyy/mm/dd)  .
2   Agreement
This agreement is made according to:
	?  section 14 of the Child, Youth and Family 	Enhancement 
Act      (temporary guardianship order)
	?  section 34 of the Child, Youth and Family 	Enhancement 
Act  (permanent guardianship order)
This agreement is between a director and   (name)   of   (address)  .

?  This agreement replaces the agreement we entered on    (date -
yyyy/mm/dd)   .
We agree that this agreement will be effective from    (date -
yyyy/mm/dd)    to    (date -yyyy/mm/dd)   .     (NOTE: the expiry date 
may not be after the expiry date of the guardianship order.)
This agreement may be replaced only if both of us agree. To replace 
this agreement, we will enter a new agreement.
We agree that to cancel this agreement, one of us may provide a letter 
to the other person that sets a date for the agreement to end. 
We agree to the terms set out below.
3   Terms
?  Terms of Access
We agree that (  name of guardian or former guardian or other person)   
may have the following access with this child:  
	 . 
?  Terms of Consultation (only if temporary guardianship)
The director agrees to consult on the following matters with the 
guardian: 	
?  Other Terms (only if temporary guardianship) 	
4   Consent to Access by a Child 12 Years of Age or Over
 (Complete if this agreement is with someone who is not a guardian)
My name is    (name)   . I consent to the terms of access in this 
agreement.
              (Child's signature)                 	  (date - yyyy/mm/dd)   
5   Signatures
  (Guardian or former Guardian or other person)   	  (date - yyyy/mm/dd)   

       (Director's delegate)            	  (date - yyyy/mm/dd)   
Form 5 
Concurrent Plan
 
	B.F. Date:  (date -yyyy/mm/dd)  
	Date Completed:  (date -yyyy/mm/dd)  
Use for a child involved in any one of the following: Custody 
Agreement with Guardian, Application for Temporary Guardianship, 
Temporary Guardianship Order, Application for Permanent 
Guardianship Order.
Child(ren) Name(s): 	  (surname)      (first)      (middle)    
Birthdate:	   (date -yyyy/mm/dd)   
Total # of days in care :	                                
Date days in care recorded:	   (date -yyyy/mm/dd)   
Legal Authority:	                               
I.D. Number:	                               
Part A: Plan to Return Child or Youth to Guardian
Goals:	                                                               
Tasks:	  Identify how task will alleviate the intervention concern)  
Who will complete? 	                                      
Signs of Achievement:	                                      
Date to be completed:	   (date -yyyy/mm/dd)   
Date completed: 	   (date -yyyy/mm/dd)   
Part B: Alternative Permanent Plan
Permanency objective:
?   Private Guardianship
?   Adoption
?   Supported Independent Living
?   Other 	

Goals:	                                                               
Tasks:	  Identify how task will alleviate the intervention concern)  
Who will complete? 	                                      
Signs of Achievement:	                                      
Date to be completed:	   (date -yyyy/mm/dd)   
Date completed: 	   (date -yyyy/mm/dd)   
Signatures reflect agreement to the attached Goals and Tasks (if 
signature is not available, state why not).
  (Name (print))    (signature)     (relationship to child, youth or family)  
  (Name (print))    (signature)     (relationship to child, youth or family)  
  (Name (print))    (signature)     (relationship to child, youth or family)  

Copy of Plan to other(s): 	                           (specify)        

Caseworker's 2-month review:           	
Caseworker's Initials:                        	
Form 6 
Secure Services Certificate
1   Regarding the     (child's name)     , born   (date -yyyy/mm/dd)  .
2   Guardian's Consent
I          (name)         am a guardian of this child.
My child is a subject of a: 
?   supervision order.
?   custody agreement between a director and me.
?   family enhancement agreement between a director and me.
I consent to the issuing of a Secure Services Certificate for my child. I 
understand that for the duration of the Certificate, my child will be in 
the custody of a director and will be confined in a secure services 
facility.

   (Guardian's signature)  	  (Guardian's signature (if applicable))  
3   Certificate
This certificate is issued by a director under section 43.1 of the Child, 
Youth and Family Enhancement Act.
This certificate is the authority for confining this child in a secure 
services facility.
The director authorizes any person to confine the child in a secure 
services facility from   (date -yyyy/mm/dd)   to   (date -yyyy/mm/dd)  .
The secure services facility is    (name)    at    (address)   .
4   Affidavit
My name is      (name of director's delegate)    .
I have the authority to act for a director. 
I have reasonable and probable grounds to believe that the child is in a 
condition presenting an immediate danger to the child or others, that it 
is necessary to confine the child in order to stabilize and assess the 
child and that less intrusive measures are not adequate to sufficiently 
reduce the danger because: 	

    (Signature of Director's Delegate)    

SWORN BEFORE ME at the              of	) 
              , in the Province of Alberta, the	) 
         day of                        ,             	 .) 
	)	        (witness signature)	 
(Commissioner for Oaths	)  
in and for the Province of Alberta)	)
Form 7 
Secure Services Plan
Secure Services Admission Information
Child Name: 	  (surname)      (first)      (middle)    
Birthdate:	   (date -yyyy/mm/dd)   
Child's ID # 	                                
Personal Health Number:	                                     
Secure Services Facility:	                               

Admission Date :	  (date -yyyy/mm/dd)  
Legal Authority:	                                    
Authorization for Secure Services
	?   Secure Services Certificate Dated  (date -yyyy/mm/dd)  .
	?   Secure Services Order for   (up to 7 days)   days granted 
  (date -yyyy/mm/dd)  .
	?   Secure Services Order for   (up to 5 days)   days granted 
on   (date -yyyy/mm/dd)  .
	?   Secure Services Order for   (up to additional 5 days)   
days granted on   (date -yyyy/mm/dd)  .
	?   Secure Services Renewal Order for (up to 20 days) days 
granted on   (date -yyyy/mm/dd)  .
State the reasons for maintaining the child in Secure Services and 
identify the less intrusive measures that were attempted prior to 
requesting confinement:  	
State any specific concerns (familial, medical, behavioural) respecting 
this child that the Secure Services Facility staff should be aware  
of: 			

Complete the following to develop a Secure Services Plan.
Description of Services and Interventions
Stabilization Interventions:   Give a comprehensive description of 
the services and interventions that will be provided to the child while 
residing in a secure services facility to achieve stabilization of the 
child.
Goals:	                                                               
Tasks:	  (include how the task will contribute toward progress in relation to goal)  
Who will complete? 	                                      
Progress:	                                      
Signs of Achievement:	                                      
Review date(s):	        (yyyy/mm/dd)       

Safety Plan:   Describe a plan to directly address the at-risk behaviour 
that brought the child into secure services and that identifies who will 
be responsible for delivering and ensuring each part of the plan is 
completed.
Goals:	                                                               
Tasks:	  (include how the task will contribute toward progress in relation to goal)  
Who will complete? 	                                      
Progress:	                                      
Signs of Achievement:	                                      
Review date(s):	        (yyyy/mm/dd)       

Transition Plan:   Recommend services to be obtained and provided 
to assist the child in the successful transition to their parental home or 
other placement on discharge. The services may include, but are not 
limited to: ongoing treatment, behaviour management strategies, 
support services, educational and vocational supports, health services, 
social skills supports and cultural and spiritual supports. 
Goals:	                                                               
Tasks:	  (include how the task will contribute toward progress in relation to goal)  
Who will complete? 	                                      
Progress:	                                      
Signs of Achievement:	                                      
Review date(s):	        (yyyy/mm/dd)       

Placement on discharge:   State where the child will reside on 
discharge. Identify both long term goals and interim residential 
settings, if applicable. 
Goals:	                                                               
Tasks:	  (include how the task will contribute toward progress in relation to goal)  
Who will complete? 	                                      
Progress:	                                      
Signs of Achievement:	                                      
Review date(s):	        (yyyy/mm/dd)       

Signatures
  (Name of Child)     (Signature of Child)    
	  (Date signed (yyyy/mm/dd)  

  (Name of Guardian (if applicable))     (Signature of Guardian)   
	  (Date signed (yyyy/mm/dd)  

  (Name of Caseworker)     (Signature of Caseworker)    
	  (Date signed (yyyy/mm/dd)  

  (Name of Key Worker - Secure Services Facility)    
  (Signature of Key Worker - Secure Services Facility)   
	  (Date signed (yyyy/mm/dd)  

  (Name of Manager or Clinician - Secure Services Facility)   
  (Signature of Manager or Clinician - Secure Services Facility)   
	  (Date signed (yyyy/mm/dd)  

  (Name of Other Support Service (please specify))    
  (Signature of Other Support Service)    
	  (Date signed (yyyy/mm/dd)  
Form 8 
Home Assessment Report 
for Private Guardianship

To prepare the Home Assessment Report, provide information under 
each heading below.

Part 1: Applicant's Information 
Provide information about EACH  applicant.
?  Name on birth certificate
?  Other names, if any
?  Address, street, city, province, 
postal code
?  Mailing address if different from 
above
?  Telephone, residence, business, 
cellular, e-mail
?  Birthdate, year, month and day, 
birthplace
?  Marital or Adult Interdependent 
Relationship status
?  Racial origin
?  Ethnic origin
?  Registered Indian
?  Band Name
?  Metis
?  Metis settlement name or 
community
?  Health as supported by medical
?  Education
?  Employment
?  Religion
?  Languages spoken
?  Brief family history: (include 
parenting style, familial 
relationships, significant childhood 
experiences, views of extended 
family on this application)
?  Involvement with legal and child 
intervention systems: (include criminal 
record checks and intervention records 
checks within the last six months for 
applicants and everyone age 18 or over 
living in the home)
?  Personality


Part 2: Family Dynamics 
Describe the following:
? Family composition
? Relationship dynamics
? Previous marriage(s) or long 
term relationships
? Communication patterns
? Autonomy of individual family 
members
? Ability to solve problems and 
handle crisis
? Emotional interactions
? Family traditions
? Philosophy on child rearing
? Modes of behaviour control
? Interests and hobbies
? Social support network

Part 3: Home and Community 
Describe the following:
? Physical space
? Safe environment assessment 
(include safe storage of medications 
and weapons, if any)
? Availability of resources
? Community involvement
? Contact with professional 
agencies


Part 4: Child Information
? Name of child(ren)
? Date of birth (yyyy/mm/dd)
? Residence
? Ethnic origin
? History of involvement and 
relationship between the applicants 
and the child
? History of child protection 
involvement with child/family
? Acceptability of siblings contact
? Functioning of the child's birth 
family
? Relationship/contact with birth 
parents/biological/extended family
? Placement history of the child
? Current functioning of the child 
(health/physical/emotional and 
academically)
? Current and anticipated needs 
and services for the child

Part 5: Income 
Describe the following:
? The source and level of income 
and expenditures (include T4 slips)
? The effect of a placement on 
family's finances

Part 6: Understanding and Motivation for Proposed Placement 
Describe the following:
? Applicants' understanding of 
the legal, social, inter-racial 
emotional aspects of proposed 
placement
? Applicants' plans to promote 
child's cultural/racial/religious 
heritage and identity

Part 7: References
? References (3 references regarding each of the applicants' suitability 
- include relationship to applicants if any, on what basis judgment is 
made about applicants' potential/actual parenting ability and a 
summary of the results of interview(s).)

Part 8: Overview of Home Assessment Process
? Date of personal visits (include 
amount of time spent at each 
interview and location of 
interviews)
? Persons interviewed (include 
confirmation that each person 
living in the home was 
interviewed separately and as a 
family) 
? Applicants' activities in 
support of their application


Part 9: Summary of Outcome of Assessment
? Report prepared by:
? Report reviewed by:
     ? Position
    ? Position
      ? Date report prepared
     ? Date report reviewed
? Report reviewed by applicants: signature and date

Part 10: Placement Supports

? Needed supports and services
? Will the family be residing or moving out of province
? Arrangements for the provision of the identified supports/services
    ? If yes, is the other jurisdiction aware of and in agreement with the 
proposed order and will they oversee the provision of needed support 
and services? If no, explain why

Part 11: Recommendation/Approval of Assessor
? Assessor Recommendation
         ? Approved
         ? Not Approved (provide brief summary)
? Approved by Supervisor
? Opinion of the child in respect to the application (if applicable)
? Opinion of the child's birth parents in respect to the application (if 
applicable)
Form 9 
Transition to Independence Plan 

Use for a child involved in any one of the following: Custody 
Agreement with a Youth; Enhancement Agreement with a Youth; 
Support and Financial Assistance Agreement; Permanent Guardianship 
Order for a youth; Permanent Guardianship Agreement for a youth.
Identifying Information
  (Name of Youth (includes a person between the ages of 18 and 22 years))  
Date of Birth:	   (date -yyyy/mm/dd)   
Personal I.D. Number:	                               
Legal Authority:	                               
Statement of Youth's Dreams, Goals and Ambitions
The statement below is a general description by the youth of his/her 
vision of their future as it relates to overall dreams, goals and 
ambitions, including related education, training needs and career 
options. 
Statement  
        (If additional space is required, please attach a separate sheet) 	.
Description of Goals, Tasks and Timeframe of Transition Plan for 
Independence
Life Skills Development  
       (If additional space is required, please attach a separate sheet)	.
Goals:	                                                               
Tasks:	  (include how the task will contribute toward progress in relation to goal)  
Who will complete? 	                                      
Signs of Achievement:	                                      
Date to be completed:	   (date -yyyy/mm/dd)   
Date to be reviewed: 	   (date -yyyy/mm/dd)   
Education and Employment Development
       (If additional space is required, please attach a separate sheet)	.
Goals:	                                                               
Tasks:	  (include how the task will contribute toward progress in relation to goal)  
Who will complete? 	                                      
Signs of Achievement:	                                      
Date to be completed:	   (date -yyyy/mm/dd)   
Date to be reviewed: 	   (date -yyyy/mm/dd)   
Placement Objective
       (If additional space is required, please attach a separate sheet)	.
Goals:	                                                               
Tasks:	  (include how the task will contribute toward progress in relation to goal)  
Who will complete? 	                                      
Signs of Achievement:	                                      
Date to be completed:	   (date -yyyy/mm/dd)   
Date to be reviewed: 	   (date -yyyy/mm/dd)   
Connections 
       (If additional space is required, please attach a separate sheet)	.
Goals:	                                                               
Tasks:	  (include how the task will contribute toward progress in relation to goal)  
Who will complete? 	                                      
Signs of Achievement:	                                      
Date to be completed:	   (date -yyyy/mm/dd)   
Date to be reviewed 	   (date -yyyy/mm/dd)   
Service Supports
       (If additional space is required, please attach a separate sheet)	.
Goals:	                                                               
Tasks:	  (include how the task will contribute toward progress in relation to goal)  
Who will complete? 	                                      
Signs of Achievement:	                                      
Date to be completed:	   (date -yyyy/mm/dd)   
Date to be reviewed: 	   (date -yyyy/mm/dd)   

Signatures
  (Name of Youth)     (Signature of Youth)    
	  (Date signed (yyyy/mm/dd)  

  (Name of Caseworker)     (Signature of Caseworker)    
	  (Date signed (yyyy/mm/dd)  

  (Name of Other (if necessary))        (Signature of Other)      
	  (Date signed (yyyy/mm/dd)  
      (Copy of Plan to Other(s) Specify)	

    (Caseworker and Youth's Quarterly Review (date and initials))	
Form 10 
Enhancement Agreement with a Youth
1   Regarding the youth:
   (Name) 	 , born   (date -yyyy/mm/dd)   ,ID # 	

2   Agreement
This agreement is made according to section 57.2 of the Child, Youth 
and Family Enhancement Act.
This agreement is between a director and    (name)    of    (address)   , 
who is the youth.
We agree that this agreement will be effective from    (date - 
yyyy/mm/dd)    to     (date - yyyy/mm/dd)    unless cancelled earlier.
We agree that to cancel this agreement one of us may provide a letter 
to the other person that sets a date for the agreement to end.
We have read and agree to the Transition to Independence Plan dated 
    (date - yyyy/mm/dd)    that is attached to this agreement.
We understand that we may make changes to the attached Transition to 
Independence Plan if both of us agree.
3   Signatures
             (Youth)                   	   (date -yyyy/mm/dd)   
    (Director's delegate)       	   (date -yyyy/mm/dd)   
Form 11 
Custody Agreement with a Youth
1   Regarding the youth:
   (Name) 	 , born   (date -yyyy/mm/dd)   , 
   (Personal Health Number)   	   (Youth ID Number)   
2   Agreement
This agreement is made according to section 57.2 of the Child, Youth 
and Family Enhancement Act. 
This agreement is between a director and    (name)    of    (address)   , 
who is the youth. 
I am the youth, and I understand that on signing this agreement a 
director assumes custody of me during the period of this agreement.
We agree that this agreement will be effective from     (date - 
yyyy/mm/dd)    to     (date - yyyy/mm/dd)    unless cancelled earlier.
We agree that to cancel this agreement, one of us may provide a letter 
to the other person that sets a date for the agreement to end.
We have read and agree to the Transition to Independence Plan dated 
   (date - yyyy/mm/dd)    that is attached to this agreement.
We understand that we can make changes to the attached Transition to 
Independence Plan if both of us agree.
We agree that    (name of guardian or other person)    will have the 
following access with the youth: 	
3   Signatures
             (Youth)                   	   (date -yyyy/mm/dd)   
    (Director's delegate)       	   (date -yyyy/mm/dd)   
Form 12 
Support and Financial 
Assistance Agreement
1   Regarding the person:
   (Name) 	 , born   (date -yyyy/mm/dd)   ,ID # 	
2   Agreement
This agreement is made according to section 57.3 of the Child, Youth 
and Family Enhancement Act.
This agreement is between a director and    (name of person making 
this agreement)    of    (address)   . 
We agree that this agreement will be effective from    (date - 
yyyy/mm/dd)    to    (date - yyyy/mm/dd)    unless cancelled earlier.  
 
(NOTE: the expiry date may not go beyond the person's 22nd birthday.)
We agree that to cancel this agreement, one of us may provide a letter 
to the other person that sets a date for the agreement to end.
We have read and agree to the Transition to Independence Plan dated 
   (date - yyyy/mm/dd)    that is attached to this agreement.
We understand that we can make changes to the attached Transition to 
Independence Plan if both us of agree.
3   Signatures
   (Person making this Agreement)    	   (date - yyyy/mm/dd)   
   (Director's delegate)                       	   (date - yyyy/mm/dd)   

Form 13 
Supports for Permanency Agreement
1   Regarding the child:
   (Name) 		 , born   (date -yyyy/mm/dd)  
?  An adoption order was granted respecting this child on    (date - 
yyyy/mm/dd)   .
?  A private guardianship order was granted respecting this child on 
   (date - yyyy/mm/dd)   .
2   Agreement
This agreement is made according to sections 56.1 and 81 of the Child, 
Youth and Family Enhancement Act.
This agreement is between a director and    (name of adoptive parents 
("parents") or private guardians)    of   (address)   .
A director will review this agreement within 30 days of receiving a 
written request from the parents/private guardians. 
We agree that to cancel this agreement, one of us may provide a letter 
to the other person 30 days before the date we want the agreement to 
end.
We agree to the terms set out below.
The parents/private guardians agree to access all other support 
programs prior to receiving services under the Supports for 
Permanency Program.
3   Terms: Maintenance
The parents/private guardians require financial support to assist them 
to maintain the child in their home.
A director agrees to provide the parents/private guardians with a daily 
maintenance rate to maintain the child. The maintenance rate will be:
?      (# of days)    at $   (daily rate)    = 	$   (amount)    per year.
?      (# of days)    at $   (daily rate)    = 	$   (amount)    per year.
	Total = $   (amount)    per year.
A director agrees to pay $   (total per year)   รถ 12 months = 
	$   (amount)   each month.
The parents/private guardians agree to inform a director about any 
change in their annual gross family income. 
If the family's annual gross income exceeds $60,000 the 
parents/private guardians understand that the terms set out in section 3 
will terminate immediately.
4   Terms: Financial Assistance for the Purchase of Services
?  This child is the subject of an agreement under the Family Support 
for Children with Disabilities Act.
In recognition that ? adoption ? private  guardianship of the child 
has placed an undue burden on the financial resources of the 
parents/private guardians, a director agrees to provide the following:
?  the cost of respite for the parents/private guardians for    (up to 567 
hours)   hours annually;
?  in the case of a child who is an Indian, the cost of transportation of 
the child to and from the child's band for the purpose of maintaining 
cultural ties:
?  to help address the child's emotional or behavioural problems.
	?  the cost    (of up to 10)   counselling sessions annually;
	?  the cost of treatment of the child in   (name of residential 
facility)    for a period of        weeks;
The parents/private guardians agree to make sure the child receives the 
services a director has agreed to provide.
A director agrees to reimburse the parents/private guardians for the 
services they have purchased to meet the child's needs on the 
submission of invoices.
The parents/private guardians understand and agree that, on 30 days 
written notice to the parents/private guardians, a director may vary or 
terminate the terms in section 4 of this Form if the director determines 
that a change in the child's needs has occurred or that the child no 
longer places an undue burden on the finances of the parents/private 
guardians.
5   Terms:   Additional Needs Funds
?  A director agrees to provide Additional Needs Funds of $70 per 
week to purchase services to address the child's emotional or 
behavioural problems.
The parents / private guardians understand and agree that the 
Additional Needs Funds may be spent only to purchase services to 
address the child's emotional or behavioural problems.
The parents/private guardians agree to keep and, on a director's 
request, provide proof of expenditure of the Additional Needs Funds.
The parents/private guardians understand and agree that a director may 
immediately terminate the Additional Needs Funds if the director 
determines that a change in the child's needs has occurred or that the 
child no longer places an undue burden on the finances of the 
parents/private guardians.
6   Terms:   General
The parents/private guardians agree to inform the director about any 
change in the child's needs, and about any change in their financial 
ability to provide the services the director has agreed to provide 
described above.
The terms set out in this agreement may be changed if both of us agree.  
To change this agreement, we will sign a new agreement.
This agreement will be effective from    (date -yyyy/mm/dd)   to   (date 
-yyyy/mm/dd)  .
This agreement terminates without notice if the parents/private 
guardians cease to reside in Canada..
(NOTE: The agreement may not exceed one year or continue after the 
child's 18th birthday.)

7   Signatures
  (adoptive parent's/private guardian's)  	  (date - yyyy/mm/dd)   
  (adoptive parent's/private guardian's)  	  (date - yyyy/mm/dd)   
           (Caseworker's signature)              	  (date - yyyy/mm/dd)   .
           (Supervisor's signature)                	  (date - yyyy/mm/dd)   .
Form 14 
Application for Child 
and Youth Support
	Date of Application:    (yyyy/mm/dd)   
The information you provide on this form will be used to determine 
eligibility for Child and Youth Support Program benefits. The 
collection, use and disclosure of your personal information is done 
under the authority of the Child, Youth and Family Enhancement Act 
and is in compliance with the Freedom of Information and Protection 
of Privacy Act. If you have any questions about this information, 
please contact your caseworker.
1   Caregiver Information
Name of Caregiver     (surname   first name    middle name)     
  	  (date of birth-yyyy/mm/dd)  .
What is your relationship to this child?    (e.g. grandparent, aunt/ uncle, 
cousin, friend, etc.)   
Name of Spouse      (surname   first name    middle name)     
  	  (date of birth-yyyy/mm/dd)  .
Name(s) of all persons living in the home where the child will reside
    (surname   first name    middle name)      	  (date of birth-yyyy/mm/dd)   
    (surname   first name    middle name)      	  (date of birth-yyyy/mm/dd)   
Mailing address    (include street address, city/town, province and 
postal code)        (home phone)       (work phone)   .
Legal Land Description    (if different from above)	.
Are you living on a Reserve?              ?   Yes 	?   No
Residing on a Metis settlement?         ?   Yes 	?   No
    (Name of Metis settlement)    
Are you a Canadian Citizen?          ?   Yes 	?   No
If no 	    ?  Landed Immigrant             ?  Refugee status   
                                  ?  Other    (please specify)   
Does the child reside with you seven days per week? ?   Yes 	?   No 
If no, how many days does this child reside with you? 	
Are you a Private Guardian of the child?                 ?   Yes 	?   No 
If yes, skip to section 3.
2   Information about Child's Parents/Private Guardian (when private 
guardian is not the caregiver)

Parent (Mother)     (surname   first name    middle name)     
  	  (date of birth-yyyy/mm/dd)   
Address    (include street address, city/town, province and postal 
code)         (phone)   
Parent (Father)     (surname   first name    middle name)     
  	  (date of birth-yyyy/mm/dd)  
Address      (if different from above))    	       (phone)     
Private Guardian     (surname   first name    middle name)     
  	  (date of birth-yyyy/mm/dd)  
Address      (if different from above))    	       (phone)     
3   Child's Information
Name of Child     (surname   first name    middle name)     
  	  (date of birth-yyyy/mm/dd)  .
Other surnames used  	
?  Male  ?  Female  Alberta Personal Health Number (PHN) 	
Is the child aboriginal?                         ?   Yes 	?   No
If yes, please specify:           ?  Status  ?  Non-status  ?  Inuit 
                                              ?  Metis ?  Potential for registration
Indian Registration Number    (band, family, position)    
	  (    (band name)    
Is the child receiving services under the:  
?   Child, Youth and Family Enhancement Act  
?   Family Support for Children with Disabilities Act
4   Income Information
Is child employed or in a job training program? ?   Yes 	?   No 
(If yes, request one month of recent pay stubs) If yes, obtain name of 
employer or job training program:  	
Net income from employment as per pay stub $ 	 
Paid              ?  Weekly             ?  Bi-weekly	?  Monthly 
Income received on behalf of child   (If yes, please attach supporting 
documentation)


Yes
No
Monthly Amount
Income & Employment 
Support/Assured Support
 
?
 
?
 
$  __________
Maintenance / Child Support 
Payments
 
?
 
?
 
$  __________
Canada & Alberta Student Loans
 
?
 
?
 
$  __________
Personal Injury Award 
Settlements
 
?
 
?
 
$  __________
Training Allowance
?
?
$  __________
Trust Accounts
?
?
$  __________
Other income:    __________
?
?
$  __________
5   Supplementary Benefit Information
Is this child currently attending school?          ?   Yes 	?   No
If yes,     (grade)   
Name of school the child is attending               City/Town  	
Does the child require child care?                   ?   Yes 	?   No 
Number of days a week ________
Type of care         (private babysitting, daycare centre, approved family 
day home, before and after school care)        
Reason for child care    	
Have you applied for child care subsidy?        ?   Yes 	?   No 
If yes, are you eligible for subsidy?                 ?   Yes 	?   No 
If yes, what is your parental portion?               $  	
What type of medical coverage is available for this child? 
?   Dental 	                       % of coverage 
?   Vision 	                       % of coverage 
?   Prescription 	                       % of coverage
Which plan is this medical coverage under? 
?  through caregiver's plan	?  through parent's plan 
?  through Health Canada 
?  through out-of-province coverage -  
           out of province health care number_________
Name of insurance company is:   	
Are there any special concerns or considerations that we should be 
aware of (health, education, custody, child interventions, etc.)  
           (attach a separate sheet if required)	 .
6   Declaration
?  I understand my responsibilities as a caregiver receiving benefits 
under the Child and Youth Support Program.
?	 I confirm the child, if age 12 or older, has been made aware that I am 
making this application.
?  I am an adult who will provide care to this child.
?  I understand I am responsible to immediately report changes in 
circumstances that affect my eligibility under the Child and Youth 
Support Program to the Child and Youth Support caseworker. Failure 
to report changes or providing false information may result in 
suspension of benefits or recovery of benefits or criminal charges.
?  I understand that I am responsible to complete the Child and Youth 
Support Program Annual Eligibility Review Form at least once per 
year in order to remain eligible for Child Financial Support benefits.
?  If I am not eligible for benefits, I understand I have the right to have 
that decision reviewed within 30 days of being told of the decision by 
completing an Administrative Review form. 
?  I understand I may be required to meet with a Child and Youth 
Support caseworker at any time.
?  I consent to a Child and Youth Support caseworker completing an 
Intervention Record check.
?  I have read and understand the above statements.
?  I declare the information on this application is true and complete.
  (Caregiver's signature)        (date - yyyy/mm/dd)   
	  (witness's signatures)   
  (Caregiver's name - please print)      	  (witness's signatures)   
  (Child's signature - if 12 years or older)   	  (date - yyyy/mm/dd)   
Form 15 
Annual Eligibility Review

Return your completed form to  
   (Child and Family Services)    	 
   (Return Address)   	 
   (Child's name)   	 
   (File number)   	 
   (Caregiver's name)   	 
   (File Number)   	
Please return the completed Annual Eligibility Review by   (date - 
yyyy/mm/dd)    to the above-noted address to avoid a delay disruption 
of the child's financial and medical benefits.
If any of the following information has been checked off, then it must 
be submitted together with this completed form: 
?  Private Guardianship Order 
?  Custody Order / Agreement 
?  School Fee Statement or receipts for school supplies/expenses  
?  Up-to-date attendance report/Report Card 
?  Pay stubs from child's employment or job training program. 
?  Documents to verify child's income other than child's employment 
?  Other: ____   	?  Other: ____

If you have any questions, please contact me at the telephone number 
below.

Sincerely,

Caseworker's Name Caseworker's Telephone Number


Annual Eligibility Review

?  Please complete an Annual Eligibility Review for each child 
receiving Child and Youth Support benefits.   The information you 
provide on this form will be used to determine eligibility for Child and 
Youth Support Program benefits. The collection, use and disclosure of 
your personal information is done under the authority of the Child, Youth 
and Family Enhancement Act and is in compliance with the Freedom of 
Information and Protection of Privacy (FOIP) Act. If you have any 
questions about the collection of this information, please contact your 
caseworker. 

?  Please complete all questions on this Annual Eligibility Review. 

Name and current address:	                                           
Home Address:	   (if different from mailing address, e.g. legal address)  
Child's Name     (surname   first name    middle name)    
Child's Age    ____
Is the child still residing with you 7 days / week?     ?   Yes 	?   No
If less then 7 days, state how many?      	               days / week.
1   Education
Is the child currently attending school                    ?   Yes 	?   No  
?  If yes, child's grade: _____. 
?  If yes, attach receipts verifying school supplies and expenses (if not 
previously submitted for the current school year). 
Name of school:                          	City / Town:                           
Is the child attending school full time                    ?   Yes 	?   No 
Are there any special educational concerns or considerations that we 
should be aware of? 	
2   Employment
Is the child employed or attending a job-training program? 
	?   Yes       ?   No 
? If yes, please submit one month of recent pay stubs from 
employment or job training program.
If yes, Place of Employment              Telephone number 	 
Average monthly income after deductions        $ 	 
?  Job training program ___________
3   Income
Has the child, or have you on the child's behalf, received any of the 
following income during the past year? If yes, please attach 
verification of income. 


Yes
No
Monthly Amount
Income & Employment 
Support/Assured Support
 
?
 
?
 
$  __________
Maintenance / Child Support 
Payments
 
?
 
?
 
$  __________
Canada & Alberta Student Loans
 
?
 
?
 
$  __________
Personal Injury Award 
Settlements
 
?
 
?
 
$  __________
Training Allowance
?
?
$  __________
Trust Accounts
?
?
$  __________
Other:      __________
?
?
$  __________
4   Family Information
a)	What is your relationship to the child (e.g. grandparent, aunt/ 
uncle, cousin, friend, etc.)? 	
b)	Are you the child's private guardian?                ?   Yes 	?   No
c)	How long have you cared for the child?        	
d)	How long do you plan to care for the child?  	
e)	Do the parents have any contact with the child? ?   Yes 	?   No 
Please provide details:    	
f)	Has there been any change pertaining to guardianship and/or 
custody of this child in the last year?                  ?   Yes 	?   No 
Please provide details and submit any new court orders that have 
not previously been submitted:    	
g)	Can the parents financially support the child? 
?   Yes                            ?   No 	?   unknown
h)	Provide the names, current addresses, and phone numbers for each 
of the child's parents. If parents are deceased, please indicate.
	Mother's name:  	 
Mother's address:  	 
Mother's phone number:  	
	Father's name  	 
Father's address:  	 
Father's phone number:  	
i)	Is the child currently receiving services though any other 
government or community agency?                ?   Yes 	?   No 
(e.g. Family Support for Children with Disabilities Act or Child 
Intervention, under the Child, Youth and Family Enhancement Act) 
If yes, please provide a brief description of the services the child is 
receiving.   	
If the child is 16 years of age or older, would the child like to discuss 
future plans with a caseworker?                             ?   Yes 	?   No
5   Health Benefits
Does the child have additional health coverage (aside from the Alberta 
Child Health Benefit Program) through you or the parents? 
                                                                               ?   Yes 	?   No 
If yes, specify insurance company and coverage provided    (insurance 
company)        (coverage)    .
Are there any special health concerns or considerations that we should 
be aware of?  
?   Yes          ?   No.            Please provide details: 	
6   Other Comments
	_____________________________________________________
7   Declaration
?  I am able and willing to continue providing care for this child.
?  I am aware that I must keep receipts and provide supporting 
documents relating to Child and Youth Support supplementary 
benefits. (e.g. Child Care, school expenses and annual supplementary 
enhancement).
?  I will immediately report any changes with respect to the child's 
situation to the caseworker.
?  I understand that giving incomplete or false information or failing to 
report changes may result in suspension of benefits or recovery of 
benefits or criminal charges. 
?  I understand I may be required to meet with a Child and Youth 
Support caseworker at any time.
?  I understand my responsibilities as a caregiver receiving benefits 
under the Child and Youth Support program.
?  I have read and understand the above made statements.
?  I declare the information on this Annual Eligibility Review is true 
and complete.
  (Caregiver's signature)        (date - yyyy/mm/dd)        (phone no.)  
  (Child's signature - if 12 years or older)       (date - yyyy/mm/dd)   
	  (Phone no.)      
Form 16 
Request for Administrative Review 
of a Director's Decision
1   My name is 
          (name)              . 	My phone number is    (telephone no.)   .
I am           ?  a child              ?  a guardian          ?  a caregiver 
for more than 6 of the 12 months preceding a director's decision 
?  a foster parent for more than 6 of the 12 months preceding a 
director's decision  
?  I am between the ages of 18 and 22 years and am receiving or have 
been refused support and financial assistance from a director.
My address is:    	
2   Directions for requesting a review:
1.   Fill out and sign this form. Give the top 3 copies of this form to a 
director within 30 calendar days of the date when you were told about 
the director's decision. Two senior staff members will review the 
decision. The two senior staff members will receive your information 
either in writing or in person. They will provide you with a copy of 
their written decision within 15 calendar days after you submit this 
request.
2.   You may bring a support person(s) with you to the Administrative 
Review. 
3.   After the reviewers make their decision, you may choose to appeal 
their decision to the Appeal Panel. 
4.   If you decide to file an appeal following the Administrative 
Review decision and you qualify to appeal under section 120 of the 
Act, fill out a Notice of Appeal to the Appeal Panel form. You must 
give the director the Notice of Appeal to the Appeal Panel form not 
more than 30 days after the copy of the Administrative Review 
Decision is given to you. If you did not receive a copy of the 
Administrative Review decision, give the director the Notice of Appeal 
to the Appeal Panel form within 45 calendar days from the date when 
you submitted your request for an Administrative Review.
3   Request for a Review
I have been directly affected by a decision of a director.
I was told about the decision of a director on   (date - yyyy/mm/dd)   .
The decision was about the child or youth:    (child's/youth's name)    
  (child's/youth's birthdate)      (date - yyyy/mm/dd)   
The decision I want to have reviewed is:   	
The reason I want decision reviewed is: 
        (if you require additional space, please attach a separate sheet.)	

   (Signature of the requesting person)     	  (date - yyyy/mm/dd)   
Form 17 
Notice of Appeal to the Appeal Panel
1   My name is                           .
My address is                           My telephone number is 	.
2   Right to Appeal
?   I am a child.
?   I am a guardian of a child.
?   I am a person who has had continuous care of the child for more 
than 6 of the 12 months immediately preceding the decision of a 
director.
?   I am between the ages of 18 and 22 years and am receiving or 
have been refused support and financial assistance from a director.
?   I applied to a director to become a foster parent and my 
application was refused. 
?   I was approved by a director as a foster parent and my approval 
has been rescinded.
?   I applied to a licensed adoption agency to have a child placed in 
my home for the purpose of adopting the child and my application was 
refused.
?   I hold an adoption agency licence or I have applied for an 
adoption agency licence.
?   I hold a residential facility licence or I have applied for a 
residential facility licence.
3   Notice
I have been affected by the decision of  	?  a director  
?  a licensed adoption agency              ?  the Minister 
?   I did not request an administrative review of the decision and I 
was given notice about the decision on   (date - yyyy/mm/dd)   .
?   I requested an administrative review of the decision on   (date - 
yyyy/mm/dd)   , and
	?   I received a written response on   (date - yyyy/mm/dd)    or  
	?  I never received a written response.
The decision was about       (if the decision was about a child, give the 
child's name and birthdate)      . 
The decision I am appealing is 	.

   (Signature of person appealing)     	  (date - yyyy/mm/dd)   
Schedule 2
The following are secure services facilities:
	(a)	Youth Assessment Centre (High Prairie);
	(b)	Youth Assessment Centre (Lac La Biche);
 	(c)	Youth Assessment Centre (Red Deer);
	(d)	Yellowhead Youth Centre (Edmonton);
	(e)	Hull Child and Family Services (Calgary).



Alberta Regulation 161/2004
Child, Youth and Family Enhancement Act
RESIDENTIAL FACILITIES LICENSING REGULATION
Filed: July 20, 2004
Made by the Minister of Children's Services (M.O. 29/04) on July 19, 2004 pursuant 
to section 131(2) of the Child, Youth and Family Enhancement Act. 
Table of Contents
	1	Interpretation
Part 1 
Licensing of Foster Homes
	2	Definition
	3	Application
	4	Conditions precedent to issuing licence
	5	Issuance of licence
	6	Number of children
	7	Licence not transferable
	8	Notice of changes
	9	Prohibitions
	10	Incident
	11	Duties of licence holder
Part 2 
Licensing of Child and Youth Facilities
	12	Definition
	13	Application
	14	Conditions precedent to issuing licence
	15	Issuance of licence
	16	Licence not transferable
	17	Notice of changes


	18	Conditions relating to staff
	19	Records
	20	Other records
	21	Notice of policies and procedures
	22	Providing information about facility
	23	Prohibitions
	24	Isolation of child
	25	Incident
	26	Emergency procedures
	27	Safety of facility
	28	Provision of food
	29	Medications
	30	Storage of medication
	31	Dangerous items in facility
Part 3 
Coming Into Force and Expiry
	32	Coming into force
	33	Expiry 
 
Schedule
Interpretation
1(1)  In this Regulation,
	(a)	"Act" means the Child, Youth and Family Enhancement Act;
	(b)	"child and youth facility" means any residential facility as 
defined in section 105.1 of the Act, except a foster home;
	(c)	"child and youth facility licence" means a licence authorizing 
the holder to operate a child and youth facility;
	(d)	"foster child" means a child who is in the custody or under 
the guardianship of a director and is residing in a foster 
home;
	(e)	"foster home" means a residential facility as defined in 
section 105.1 of the Act
	(i)	that is the home of the holder of a foster home licence, 
and
	(ii)	in which care is provided to foster children in a family 
setting;
	(f)	"foster home licence" means a licence authorizing the holder 
to operate a foster home.
(2)  For the purposes of Part 3 of the Act, "residential facility licence" 
means
	(a)	a foster home licence, or
	(b)	a child and youth facility licence.
Part 1 
Licensing of Foster Homes
Definition
2   In this Part, "licence holder" means the holder of a foster home 
licence.
Application
3(1)  An application under section 105.3 of the Act for a foster home 
licence or a renewal of a foster home licence may be made only by an 
adult individual.
(2)  An application for an initial foster home licence must be 
accompanied with the following:
	(a)	subject to subsection (3), the results of a criminal record 
check, dated not earlier than 6 months prior to the date of the 
application, with respect to the applicant and any other adult 
residing with the applicant;
	(b)	a written consent, in a form satisfactory to the Minister, from 
the applicant and any other adult residing with the applicant 
authorizing the Minister to obtain information from any 
jurisdiction in which that person has resided in the 5 years 
immediately preceding the date of the application for the 
purpose of determining if that person has caused a child to be 
in need of intervention in that jurisdiction;
	(c)	a reference from a physician or registered nurse concerning 
the general physical and mental health of the applicant;
	(d)	references from 3 individuals concerning the ability of the 
applicant to operate a foster home;
	(e)	any other information the Minister considers necessary to 
enable the Minister to assess the ability of the applicant to 
operate a foster home.
(3)  Where a foster home is being operated immediately before the 
coming into force of this Regulation, the results of the criminal record 
check to be provided under subsection (2)(a) may be dated up to 3 
years prior to the date of the application.
(4)  An application for a renewal of a foster home licence must be 
made to the Minister at least 60 days before the expiry of the licence 
and must be accompanied with any information the Minister considers 
necessary to enable the Minister to assess the ability of the applicant to 
continue to operate a foster home.
Conditions precedent to issuing licence
4   Before issuing a foster home licence or a renewal of a foster home 
licence, the Minister may
	(a)	conduct an assessment of the applicant and prepare a report 
in the form set out in the Schedule for the purpose of 
determining the applicant's ability to operate a foster home,
	(b)	require the applicant to provide the results of a new criminal 
record check with respect to the applicant and any other adult 
residing with the applicant if the most recent criminal record 
check was carried out more than 3 years prior to the date of 
the application,
	(c)	require the applicant to complete training with respect to the 
operation of a foster home, and
	(d)	require the applicant to provide evidence that the foster home 
to be operated is in compliance with applicable health and 
safety legislation.
Issuance of licence
5   The Minister may issue a foster home licence or a renewal of a 
foster home licence if the Minister is satisfied that
	(a)	neither the applicant nor any other individual residing with 
the applicant poses a risk to children,
	(b)	the applicant is suitable to operate a foster home,
	(c)	the environment of the foster home is conducive to the 
health, safety and well-being of children, and
	(d)	the applicant will comply, or has complied, with the Act, this 
Regulation and any terms or conditions imposed by the 
Minister.
Number of children
6   The maximum number of foster children that may reside in a 
licensed foster home
	(a)	includes children who are placed in the foster home by a 
child welfare authority outside Alberta, and
	(b)	does not include foster children placed in the foster home on 
a temporary basis, as determined by the Minister, where there 
is a need to provide temporary respite to the licence holder of 
the foster home where those foster children normally reside.
Licence not transferable
7   A foster home licence is not transferable.
Notice of changes
8(1)  A licence holder shall notify the Minister of the following:
	(a)	any significant change to the residence of the licence holder, 
including
	(i)	a change of location, and
	(ii)	a change that alters the living space of the residence;
	(b)	any change in the residents of the foster home;
	(c)	any change in circumstances that may affect the ability of the 
licence holder to continue to operate a foster home.
(2)  A notification under subsection (1)(a) of a change in location of 
the licence holder's residence must be provided to the Minister within 
a reasonable time prior to the date of relocation.
(3)  If the Minister has been notified of a change under subsection 
(1)(a), the Minister may require the licence holder to provide to the 
Minister updated evidence that the foster home is in compliance with 
applicable health and safety legislation.
(4)  If the Minister has been notified of a change under subsection 
(1)(b), the Minister may require the licence holder to provide to the 
Minister the results of a criminal record check with respect to any new 
resident of the foster home.
Prohibitions
9   A licence holder shall not, with respect to a foster child residing in 
the foster home,
	(a)	inflict or permit to be inflicted any form of physical 
punishment, verbal or physical degradation or emotional 
deprivation,
	(b)	deny any basic necessities, or
	(c)	practise or permit to be practised any disciplinary measure 
expressly prohibited by the Minister.
Incident
10(1)  In this section, "incident", in respect of a foster child residing in 
a foster home, means
	(a)	a serious illness of or injury to the child,
	(b)	a serious change in the child's health,
	(c)	an error in the administration of prescribed medication to the 
child,
	(d)	an adverse reaction to medication by the child,
	(e)	the death of the child,
	(f)	an unauthorized absence of the child from the foster home,
	(g)	the commission by the child of an offence under an Act of 
Canada, or
	(h)	any other occurrence that may seriously affect the health or 
safety of the child.
(2)  A licence holder shall report each incident to the Minister in the 
manner required by the Minister.
Duties of licence holder
11   A licence holder shall ensure that
	(a)	the licence holder maintains first aid certification,
	(b)	the foster home and grounds are maintained in a manner that 
ensures the safety of children,
	(c)	meals and snacks are provided to foster children in 
accordance with the Canada Food Guide or a similar food 
guide, and are provided at appropriate times and in sufficient 
quantities in accordance with the needs of each child,
	(d)	non-prescription medication and toxic chemicals are stored in 
a safe manner and are not readily accessible by children,
	(e)	prescription medication other than medication that is 
self-administered by a child is stored in a locked container 
that is inaccessible by children,
	(f)	all firearms are trigger locked,
	(g)	all ammunition is stored in a locked container separate from 
any firearm and that the container is inaccessible to children,
	(h)	emergency evacuation procedures are practised regularly, 
and
	(i)	fire extinguishers and smoke alarms are installed and 
maintained in the foster home in accordance with applicable 
legislation.
Part 2 
Licensing of Child and Youth Facilities
Definition
12   In this Part, "licence holder" means the holder of a child and 
youth facility licence.
Application
13(1)  An application under section 105.3 of the Act for a child and 
youth facility licence or a renewal of a child and youth facility licence 
may be made only by
	(a)	an adult individual,
	(b)	a partnership, or
	(c)	a body corporate.
(2)  An application for an initial child and youth facility licence must 
be accompanied with the following:
	(a)	the results of a criminal record check, dated not earlier than 6 
months prior to the date of the application, with respect to the 
following:
	(i)	if the applicant is an individual, the applicant;
	(ii)	if the applicant is a partnership, the partners;
	(iii)	if the applicant is a body corporate, the chief executive 
officer;
	(b)	if the applicant is a body corporate, confirmation that the 
results of a criminal record check with respect to each board 
member, dated not earlier than 6 months prior to the date of 
the application, have been obtained by the applicant;
	(c)	if the applicant is an individual,
	(i)	a written consent, in a form satisfactory to the Minister, 
from the applicant authorizing the Minister to obtain 
information from any jurisdiction in which the applicant 
has resided in the 5 years immediately preceding the 
date of the application for the purpose of determining if 
the applicant has caused a child to be in need of 
intervention in that jurisdiction, and
	(ii)	references from 3 individuals concerning the ability of 
the applicant to operate a child and youth facility;
	(d)	a list of contract and staff positions, including a job 
description for each position and the qualifications and 
experience required for each position;
	(e)	a written description of the applicant's proposed program and 
procedures, including
	(i)	the goals and objectives of the program;
	(ii)	the applicant's organizational structure;
	(iii)	program, financial and personnel administration;
	(iv)	recruitment and screening of employees and volunteers;
	(v)	admission and discharge criteria;
	(vi)	planning, monitoring and evaluation of care to be 
provided to children;
	(vii)	maintenance of records of children residing in the 
facility;
	(viii)	any health or educational services available to children 
residing in the facility;
	(ix)	supervision of children;
	(x)	security of children and staff;
	(xi)	disciplinary measures and use of restraints;
	(xii)	use of isolation;
	(xiii)	emergency procedures;
	(xiv)	handling of allegations of abuse by staff and volunteers;
	(xv)	administration of medication;
	(xvi)	orientation process for children;
	(f)	any other information the Minister considers necessary to 
enable the Minister to assess the ability of the applicant to 
operate a child and youth facility.
(3)  An application for a renewal of a child and youth facility licence 
must be made to the Minister at least 60 days before the expiry of the 
licence and must be accompanied with the following:
	(a)	if there has been a change in any of the information referred 
to in subsection (2)(d) or (e) since that information was last 
provided by the applicant, a statement of the changes;
	(b)	if the applicant is a partnership or body corporate, any 
change in the partners, board members or chief executive 
officer since that information was last provided by the 
applicant;
	(c)	any other information the Minister considers necessary to 
enable the Minister to assess the ability of the applicant to 
continue to operate a child and youth facility.
Conditions precedent to issuing licence
14   Before issuing a child and youth facility licence or a renewal of a 
child and youth facility licence, the Minister may require the applicant 
to provide
	(a)	if the applicant is a partnership or body corporate, evidence 
of the applicant's partnership or corporate status, and
	(b)	evidence that the child and youth facility to be operated is in 
compliance with applicable zoning, health and safety 
legislation.
Issuance of licence
15   The Minister may issue a child and youth facility licence or a 
renewal of a child and youth facility licence if the Minister is satisfied 
that
	(a)	the applicant and the individuals who will be associated with 
the operation of the child and youth facility are suitable to 
operate a child and youth facility,
	(b)	the environment of the child and youth facility is conducive 
to the health, safety and well-being of children,
	(c)	the premises of the child and youth facility provide children 
with adequate space for activities of normal daily living, and
	(d)	the applicant will comply, or has complied, with the Act, this 
Regulation and any terms or conditions imposed by the 
Minister.
Licence not transferable
16   A child and youth facility licence is not transferable.
Notice of changes
17(1)  A licence holder shall notify the Minister forthwith of the 
following:
	(a)	if the licence holder is a partnership or a body corporate, any 
change in the partners, board members or chief executive 
officer;
	(b)	any significant change in the licence holder's program and 
procedures.
(2)  If the Minister has been notified of a change under subsection 
(1)(a), the Minister may require the licence holder to provide to the 
Minister
	(a)	the results of a criminal record check with respect to the new 
partner or chief executive officer, or
	(b)	confirmation that a criminal record check with respect to the 
new board member has been obtained by the licence holder.
Conditions relating to staff
18(1)  A licence holder shall ensure that each staff member who works 
directly with or has unsupervised access to children residing in the 
facility and each volunteer who has unsupervised access to children 
residing in the facility
	(a)	is an adult,
	(b)	provides character references satisfactory to the licence 
holder,
	(c)	provides a criminal record check and an intervention record 
check to the licence holder, both dated not earlier than 6 
months prior to commencing work at the facility, and every 3 
years thereafter,
	(d)	has, within 3 months of commencing work at the facility, 
completed a first aid course that includes CPR training,
	(e)	maintains the first aid certification referred to in clause (d), 
and
	(f)	has received information with respect to safety precautions to 
be followed when working alone.
(2)  In subsection (1)(c), "intervention record check" means a review 
of records by a director to determine if an individual has caused a child 
to be in need of intervention.
Records
19   A licence holder shall, in a manner satisfactory to the Minister,
	(a)	maintain a record of admissions to the facility and discharges 
and absences from the facility, and
	(b)	maintain personnel records of all employees and volunteers.
Other records
20(1)  A licence holder shall maintain a record for each child who is in 
the custody or under the guardianship of a director and residing in the 
facility for the period during which the child resides in the facility.
(2)  A record referred to in subsection (1) must include the following:
	(a)	the name, birth date and gender of the child;
	(b)	the date of and reason for admission or discharge;
	(c)	the name, address and telephone number of a director's 
delegate who is responsible for the child;
	(d)	the facility's plan of care for the child;
	(e)	a record of all case conferences, including admission, 
planning, family and discharge conferences;
	(f)	records of any medical, dental, optical, physical, 
developmental or emotional conditions relevant to the care of 
the child;
	(g)	an immunization and health care history of the child, 
including appointment dates, reasons for referral, names of 
physicians and follow-up required;
	(h)	a record of any therapeutic diet prescribed for the child by a 
physician;
	(i)	a record of the child's school attendance, including the 
child's report cards and a contact name and phone number 
for the school the child is attending;
	(j)	daily observations and comments by employees and 
volunteers about the child;
	(k)	a record of any isolation of the child in accordance with 
section 24;
	(l)	a record of any physical restraint of the child;
	(m)	a list of approved contacts for the child;
	(n)	any other information relative to the child considered 
appropriate by the licence holder or provided or required by a 
director.
(3)  The Minister may exempt a licence holder from the requirements 
of subsection (1) in respect of a child who is placed in the child and 
youth facility on a temporary and short-term basis.
Notice of policies and procedures
21   A licence holder shall keep a copy of facility policies and 
procedures on the premises of the facility, and shall make the policies 
and procedures available to employees, volunteers, residents, 
guardians of children and the Minister.
Providing information about facility
22   A licence holder shall ensure that on admission to a child and 
youth facility, a child receives information appropriate to the child's 
developmental age with respect to
	(a)	the rules of the facility, and
	(b)	the complaint process of the facility.
Prohibitions
23   A licence holder shall not, with respect to a child residing in the 
facility,
	(a)	inflict or permit to be inflicted any form of physical 
punishment, verbal or physical degradation or emotional 
deprivation,
	(b)	deny any basic necessities,
	(c)	use or permit the use of face-down restraints,
	(d)	use or permit the use of any other form of physical restraint 
unless the purpose is to protect the child or others and, in that 
case, only to the degree and duration necessary,
	(e)	encourage or condone punishment of the child by any other 
child,
	(f)	exclude or permit the exclusion of the child from entry to the 
facility as a form of punishment, or
	(g)	practise or permit to be practised any disciplinary measure 
expressly prohibited by the Minister.
Isolation of child
24(1)  A licence holder shall not establish a room for the purpose of 
isolating a child without the approval of the Minister.
(2)  A licence holder shall ensure that
	(a)	a child is isolated only to ensure the child's safety or the 
safety of others,
	(b)	a child is not kept in an isolation room without adult 
supervision,
	(c)	the name of the child, the length of isolation and the reason 
for isolation are recorded and placed on the child's file, and
	(d)	procedures approved by the Minister for the isolation of 
children are followed.
Incident
25(1)  In this section, "incident", in respect of a child who is in the 
custody or under the guardianship of a director and residing in a child 
and youth facility, means
	(a)	a serious illness of or injury to the child,
	(b)	a serious change in the child's health,
	(c)	an error in the administration of prescribed medication to the 
child,
	(d)	an adverse reaction to medication by the child,
	(e)	the death of the child,
	(f)	an unauthorized absence of the child from the facility,
	(g)	the commission by the child of an offence under an Act of 
Canada, or
	(h)	any other occurrence that may seriously affect the health or 
safety of the child.
(2)  A licence holder shall
	(a)	report each incident to the Minister forthwith in the manner 
required by the Minister, and
	(b)	institute any corrective measures that may be required to 
prevent a similar incident from occurring in the future.
Emergency procedures
26   A licence holder shall ensure that
	(a)	emergency telephone numbers and procedures are posted in a 
prominent place in the facility, and
	(b)	emergency evacuation procedures are made known to all 
employees, volunteers and children.
Safety of facility
27   A licence holder shall ensure that the facility and grounds are 
maintained in a manner that ensures the safety of children.
Provision of food
28   A licence holder shall ensure that
	(a)	staff and volunteers are aware of any food allergies or special 
dietary requirements of the children residing in the facility;
	(b)	meals and snacks are provided to the children residing in the 
facility in accordance with the Canada Food Guide or a 
similar food guide, and are provided at appropriate times and 
in sufficient quantities in accordance with the needs of each 
child.
Medications
29(1)  A licence holder shall ensure that
	(a)	a record is kept of all medications prescribed to a child by a 
physician,
	(b)	subject to subsection (2), prescription medications are 
administered to a child only under the general supervision of 
a staff member, and in accordance with the prescription 
instructions, and
	(c)	a record is kept of all medication administered to each child, 
other than self-administered medication, including
	(i)	the type of medication,
	(ii)	in the case of prescription medication, the period for 
which the medication is prescribed, and
	(iii)	the dosage to be administered, when each dosage is 
administered and the name of the staff member who 
administered the dosage.
(2)  A licence holder may allow a child to assume responsibility for 
self-administration of medication if authorized by the child's guardian.
Storage of medication
30   A licence holder shall ensure that
	(a)	all prescription medication other than medication that is 
self-administered is stored in a locked container that is 
inaccessible by children,
	(b)	non-prescription medication and toxic substances are stored 
in a safe manner and are not readily accessible by children, 
and
	(c)	universal precautions are followed by staff and volunteers.
Dangerous items in facility
31   A licence holder shall ensure that firearms, weapons, ammunition 
and explosive substances are not permitted in the facility.
Part 3 
Coming into Force and Expiry
Coming into force
32   This Regulation comes into force on the date on which section 94 
of the Child Welfare Amendment Act, 2003 is proclaimed in force.
Expiry
33   For the purpose of ensuring that this Regulation is reviewed for 
ongoing relevancy and necessity, with the option that it may be 
repassed in its present or an amended form following a review, this 
Regulation expires on October 31, 2013.
Schedule 
 
Home Assessment Report for  
Foster Home Applicant
Part 1: Applicants' Information
Applicant: Provide information about each applicant
?	Name on birth certificate
?	Other names, if any
?	Address, street, city, province, postal code
?	Telephone (residence, business, cellular), e-mail
?	Birthdate (year, month and day), birthplace
?	Marital or adult interdependent relationship status
?	Racial origin
?	Ethnic origin
?	Registered Indian
?	Band name
?	Metis
?	Metis settlement name or community
?	Health as supported by medical
?	Education
?	Employment
?	Religion
?	Languages spoken
?	Brief family history: (include parenting style, familial 
relationships, significant childhood experiences, views of 
extended family on this application)
?	Involvement with legal and child intervention systems: (include 
criminal record checks and intervention record checks within the 
last 6 months for applicants and everyone aged 18 or over living 
in the home)
?	Personality
Part 2: Family Dynamics
Describe the following:
?	Family composition
?	Relationship dynamics
?	Previous marriage(s) or long-term relationships
?	Communication patterns
?	Autonomy of individual family members
?	Ability to solve problems and handle crisis
?	Emotional interactions
?	Family traditions
?	Philosophy on child rearing
?	Modes of behaviour control
?	Interests and hobbies
?	Social support network
Part 3: Home and Community
Describe the following:
?	Physical space
?	Safe environment assessment (includes safe storage of 
medications and weapons, if any)
?	Availability of resources
?	Community involvement
?	Contact with professional agencies
Part 4: Child Desired
?	Is assessment for a specific child?  If yes, describe relationship 
and involvement with child and birth family
?	Age
?	Male / Female
?	Racial origin
?	Sibling group
?	Acceptable background characteristics
?	Acceptable special needs
?	Acceptability of birth family contact
?	Acceptability of sibling contact
?	Acceptability of an abandoned child with no background 
information
?	Acceptability of a child who has lived in an institution
?	Acceptability of legal risk placements
?	Compatibility of applicants and child desired
?	Does assessment worker agree with applicants' choices?
Part 5: Income
Describe the following:
?	The source and level of income and expenditures (include T4 
slips)
?	The effect of a placement on family's finances
Part 6: Understanding and Motivation for Proposed 
Placement
Describe the following:
?	Applicants' understanding of the legal, social, inter-racial, 
emotional aspects of proposed placement
?	Applicants' plans to promote child's cultural/racial/religious 
heritage and identity
Part 7: References
?	References (3 references for each applicant, regarding 
suitability) - include relationship to applicant if any, on what 
basis judgement is made about applicant's potential/actual 
parenting ability and summary of results of interview(s).
Part 8: Overview of Home Assessment Process
?	Date of personal visits (include amount of time spent at each 
interview and location of interviews)
?	Persons interviewed (include confirmation that each person 
living in the home was interviewed separately and as a family)
?	Parent preparation training date completed
?	Applicants' training and activities in support of their application
Part 9: Summary of Outcome of Assessment
?	Report prepared by
	?	Position
	?	Date report prepared
?	Report reviewed by
	?	Position
	?	Date report reviewed
?	Report reviewed by applicants: signature and date
Part 10: Placement Supports
?	Needed supports and services
?	Arrangements for the provision of the identified 
supports/services
Part 11: Recommendation/Approval of Assessor
?	Assessor Recommendation
	?	Approved
	?	Not Approved (provide brief summary)
?	Approved by Supervisor
?	Opinion of the child in respect of the application (if applicable)
?	Opinion of the child's birth parents in respect of the application 
(if applicable)


--------------------------------
Alberta Regulation 162/2004
Local Authorities Election Act
RED DEER ELECTION REGULATION
Filed: July 27, 2004
Made by the Lieutenant Governor in Council (O.C. 330/2004) on July 27, 2004 
pursuant to section 160 of the Local Authorities Election Act. 
Table of Contents
	1	Definition
	2	Modification of s74
	3	Modification of s75
	4	Modification of s78
	5	Expiry
Definition
1   In this Regulation, "Act" means the Local Authorities Election Act.
Modification of s74
2   Section 74 of the Act is modified for use by the City of Red Deer to 
the extent provided as follows:
	(a)	the notice referred to in section 74(1) must include a 
statement that blind voter templates will only be available at 
advance voting stations and will not be available on election 
day.
Modification of s75
3   Section 75 of the Act is modified for use by the City of Red Deer to 
the extent provided as follows:
	(a)	the returning officer referred to in section 75 must make 
blind voter templates readily available at advance voting 
stations.
Modification of s78
4   Section 78 of the Act is modified for use by the City of Red Deer to 
the extent provided as follows:
	(a)	notwithstanding section 78(5), an elector who is blind must 
vote in accordance with section 78(1) or (3);
	(b)	section 78(5) is considered to be repealed;
	(c)	section 78(7) is considered to read as follows:
(7)  When a ballot has been marked pursuant to this section, the 
deputy shall enter in the voting register opposite the name of 
the voter the words "voter assistance".
Expiry
5   For the purpose of ensuring that this Regulation is reviewed for 
ongoing relevancy and necessity, with the option that it may be 
repassed in its present or an amended form following a review, this 
Regulation expires on October 31, 2009.


--------------------------------
Alberta Regulation 163/2004
Municipal Government Act
REGIONAL SHOPPING CENTRE ALLOCATION 
OF ASSESSMENT REGULATION
Filed: July 27, 2004
Made by the Lieutenant Governor in Council (O.C. 331/2004) on July 27, 2004 
pursuant to section 603 of the Municipal Government Act. 
Table of Contents
	1	Definitions
	2	Purpose
	3	Application of regulation
	4	Application for allocation of assessment
	5	Calculation of allocation of assessment
	6	Effect of allocation of assessment
	7	Provision of information
	8	Charges
	9	Recalculation
	10	Review
	11	Repeal
	12	Expiry
	13	Coming into force
Definitions
1(1)  In this Regulation, 
	(a)	"Act" means the Municipal Government Act;
	(b)	"allocation of assessment" means the allocation of the total 
assessment of a regional shopping centre among the 
components of the regional shopping centre;
	(c)	"anchor tenant" means a tenant in a regional shopping centre 
that is prescribed as an anchor tenant in a Ministerial Order 
referred to in subsection (2);
	(d)	"assessed person" means the assessed person of the regional 
shopping centre;
	(e)	"commercial retail unit" or "CRU" means a retail or service 
premises in a regional shopping centre, other than the 
following:
	(i)	anchor tenant premises;
	(ii)	free-standing premises;
	(iii)	office premises;
	(iv)	hotel premises;
	(v)	the exterior common area and interior common area;
	(f)	"component" of a regional shopping centre means the 
following:
	(i)	each anchor tenant premises;
	(ii)	the aggregate of the CRU premises;
	(iii)	each free-standing premises;
	(iv)	the aggregate interior common area;
	(v)	the aggregate exterior common area;
	(vi)	each premises that is not included in any of subclauses 
(i) to (v), including office premises and hotel premises;
	(g)	"exterior common area" includes that part of a regional 
shopping centre that consists of pavement, parking structures 
and land;
	(h)	"interior common area" means that part of the gross building 
area of a regional shopping centre that is not gross leasable 
area;
	(i)	"office premises" means any area within a regional shopping 
centre that consists of more than 6 offices and is specifically 
designated to be used for office purposes;
	(j)	"regional shopping centre" means, subject to section 3(3), a 
shopping centre that is prescribed as a regional shopping 
centre in a Ministerial Order referred to in subsection (2);
	(k)	"total assessment" means the assessment shown for the 
regional shopping centre on the municipality's assessment 
roll, but where section 3(3) applies, excludes that part of the 
total assessment that is attributable to the addition referred to 
in that subsection.
(2)  The Minister may by Ministerial Order prescribe
	(a)	the regional shopping centres to which this Regulation 
applies, and
	(b)	the tenants of each regional shopping centre that are the 
anchor tenants for the purposes of this Regulation.
Purpose
2   The purpose of this Regulation is to provide an allocation of 
assessment for use by regional shopping centres for the purpose of 
internal allocation of property taxes among the components of  
regional shopping centres.
Application of regulation
3(1)  This Regulation applies only in respect of the taxation years 1999 
to 2008 inclusive.
(2)  This Regulation applies in respect of a regional shopping centre in 
respect of a taxation year only where
	(a)	at least one lease agreement between an anchor tenant and 
the assessed person provides for the allocation of the 
property tax payable in respect of the regional shopping 
centre based on either separate assessments or on the 
methodology used by the municipality to derive the 
assessment for the regional shopping centre, 
	(b)	the assessment for the regional shopping centre as 
determined by the municipality for the taxation year is based 
chiefly on the income approach to value, and
	(c)	the assessed person applies in writing to the municipality not 
later than December 31 preceding the taxation year for an 
allocation of assessment under this Regulation.
(3)  Where the building footprint or envelope of a regional shopping 
centre changes by reason of an addition to the shopping centre that is 
completed after December 31, 1997, the addition shall not be 
considered to be part of the regional shopping centre for the purposes 
of this Regulation.
Application for allocation of assessment
4   An application referred to in section 3(2)(c) must be in a form 
acceptable to and contain the information prescribed by the 
municipality.
Calculation of allocation of assessment
5(1)  If the conditions in section 3(2) are met with respect to a regional 
shopping centre, the municipality shall do the following:
	(a)	determine the value of each component by using the 
assessment method that was used by the municipality in the 
year preceding the first year in which an assessment using the 
income approach to value is prepared;
	(b)	prepare an allocation to each component of the total value of 
all components determined under clause (a) by
	(i)	dividing the value for each component determined 
under clause (a) by the total value of all components so 
determined to determine the percentage that the value of 
each component is of the total value, and
	(ii)	multiplying the percentage determined under subclause 
(i) for each component by the total assessment prepared 
using the income approach to value;
	(c)	annually prepare an allocation of the total assessment to each 
component by using the same income approach to value that 
was used in preparing the assessment;
	(d)	prepare an annual allocation of assessment for each 
component by
	(i)	determining the difference in valuation for the 
component as calculated under clauses (b) and (c), and
	(ii)	increasing or decreasing the allocation of value for the 
component calculated under clause (b) for each taxation 
year set out in the Table at the end of this section by a 
yearly increment equal to the corresponding percentage 
of the difference or valuation that is specified for that 
year in column 2 of that Table.
(2)  Where the assessed person first makes application under section 
3(2)(c) in respect of a year after 1999, the percentage increments for 
the purposes of subsection (1)(d)(ii) are set out in Column 3 of the 
Table at the end of this section.
(3)  Subject to section 9(1), the percentages determined under 
subsection (1)(b)(i) shall remain constant for all taxation years to 
which this Regulation applies.
Table
Column 1
Column 2
Column 3
Taxation Year
Percentage Increment 
(section 5(1)(d)(ii))
Percentage Increment 
(section 5(2))

1999
10.00%
N/A
2000
20.00%
11.1111%
2001
30.00%
12.5000%
2002
40.00%
14.2857%
2003
50.00%
16.6666%
2004
60.00%
20.0000%
2005
70.00%
25.0000%
2006
80.00%
33.3333%
2007
90.00%
50.0000%
2008
100.00%
100.0000%
Effect of allocation of assessment
6(1)  An allocation of assessment for a component that is prepared in 
accordance with section 5(1)(d) is deemed to be a separate assessment 
of the component for the purposes of an agreement referred to in 
section 3(2)(a).
(2)  Nothing in this Regulation affects an assessed person's liability to 
pay taxes under the Act.
Provision of information
7   In each taxation year in which this Regulation applies in respect of 
a regional shopping centre, the municipality shall, not later than the 
date on which it sends the tax notice in respect of the regional 
shopping centre to the assessed person, provide to the assessed person
	(a)	a schedule setting out the allocations of assessment in respect 
of the components of the regional shopping centre for the 
taxation year, together with the details of how the allocations 
of assessment were calculated, and
	(b)	sufficient information to disclose the details as to how the 
total assessment and other valuations used for the purposes of 
this Regulation were calculated.
Charges
8(1)  A municipality may impose a reasonable charge on the assessed 
person for
	(a)	the preparation and provision of the material referred to in  
section 7, and
	(b)	making a recalculation under section 9
and the charge may, without limitation, include a charge for the time 
spent by the municipality's employees or agents in the preparation and 
provision of the material or the making of the recalculation. 
(2)  A municipality may add the reasonable charge authorized under 
subsection (1) to the tax roll of the regional shopping centre.
Recalculation
9(1)  Where property forming part of a regional shopping centre is 
destroyed or is the subject of a subdivision, or where a change in the 
component breakdown of the regional shopping centre occurs, the 
municipality shall recalculate the allocations of assessment for the 
remaining applicable taxation years referred to in section 3(1).
(2)  Where the assessment for a regional shopping centre for a taxation 
year changes as a result of the operation of Part 11 or 12 of the Act, the 
municipality shall recalculate the allocations of assessment for that 
taxation year.
(3)  On making a recalculation under subsection (1) or (2), the 
municipality shall forthwith comply with section 7.
Review
10(1)  The assessed person may, not later than August 31, apply to the 
Minister for a review of any or all of the following with respect to the 
taxation year:
	(a)	any amount determined under section 5(1), other than the 
amount of the assessment for the regional shopping centre 
that is shown on the municipality's assessment roll and uses 
the income approach to value; 
	(b)	a recalculation of allocations of assessment under section 9;
	(c)	the charge imposed on the assessed person under section 8.
(2)  An application must contain the information required by and be in 
a form acceptable to the Minister.
(3)  In a review, the Minister may make any changes in the allocations 
of assessment, recalculation or charges that the Minister considers 
appropriate.
(4)  The Minister's decision on a review is final.
Repeal
11   The Regional Shopping Centre Allocation of Assessment 
Regulation (AR 249/2002) is repealed.
Expiry
12   This Regulation is made under section 603(1) of the Act and is 
subject to repeal under section 603(2) of the Act.
Coming into force
13   This Regulation comes into force on November 25, 2004.



Alberta Regulation 164/2004
Regional Health Authorities Act
REGIONAL HEALTH AUTHORITY MEMBERSHIP REGULATION
Filed: July 27, 2004
Made by the Lieutenant Governor in Council (O.C. 337/2004) on July 27, 2004 
pursuant to section 23 of the Regional Health Authorities Act. 
Table of Contents
	1	Definitions
	2	Membership
	3	Appointment of members
	4	Nomination process
	5	Eligibility for nomination
	6	Eligibility for appointment
	7	Disqualification
	8	Transitional - contributions
	9	Transitional - membership
	10	Consequential
	11	Repeals
	12	Expiry
Definitions
1   In this Regulation,
	(a)	"Act" means the Regional Health Authorities Act;
	(b)	"member" means a member of a regional health authority;
	(c)	"Minister" means the member of the Executive Council 
designated under the Government Organization Act as the 
Minister responsible for the Act.
Membership
2   Each regional health authority consists of the number of members 
determined by the Minister by order.


Appointment of members
3(1)  The Minister shall appoint all of the members of a regional health 
authority.
(2)  The Minister shall, with respect to each regional health authority, 
designate one of the members as chair.
(3)  The members may designate the other offices of the regional 
health authority and appoint from among themselves persons to those 
offices and prescribe their duties.
Nomination process
4   The Minister may provide for a nomination procedure or any other 
method for selecting persons from among whom appointments may be 
made under section 3.
Eligibility for nomination
5(1)  In this section, a reference to spouse or adult interdependent 
partner does not include such a person who is living apart from the 
other party if the parties have separated pursuant to a written 
separation agreement or if their support obligations and family 
property have been dealt with by a court order.
(2)  A person may be nominated as a candidate for appointment under 
this Regulation if, at the time that person is nominated, that person
	(a)	is 18 years of age or older,
	(b)	is a Canadian citizen,
	(c)	has been a resident of Alberta for the 6 consecutive 
immediately preceding months,
	(d)	is a resident in the health region in which that person is being 
nominated, and
	(e)	is not otherwise ineligible or disqualified.
(3)  Subject to subsection (5), a person is not eligible to be nominated 
as a candidate for appointment under this Regulation if, at the time that 
person is nominated, that person
	(a)	is an employee of the regional health authority for which the 
person is nominated;
	(b)	is an employee of the Government who is under the 
administration of the Minister;
	(c)	is an independent health service provider who, directly or 
indirectly through a corporation, partnership or other 
association, receives from the Government of Alberta or the 
regional health authority for which the person is nominated, 
or both, income through the provision of health services, or is 
an employee of such an independent health service provider;
	(d)	is a director, officer or employee of a health service 
organization that receives 50% or more of its ongoing 
funding from either or both of the following:
	(i)	the Government of Alberta through the 
Department of Health and Wellness;
	(ii)	the regional health authority for which the person 
is nominated;
	(e)	is a director, officer or employee of a corporation, 
partnership or other association (other than a corporation, 
partnership or association referred to in clause (d)) that 
receives 50% or more of its gross annual income from either 
or both of the following:
	(i)	the Government of Alberta through the 
Department of Health and Wellness;
	(ii)	the regional health authority for which the person 
is nominated;
	(f)	alone or with the person's spouse or adult interdependent 
partner, beneficially owns
	(i)	50% or more of the voting shares of a corporation 
referred to in clause (e), or
	(ii)	at least a 50% interest in a partnership or other 
association referred to in clause (e);
	(g)	receives 50% or more of his or her gross annual income 
through contracts with the regional health authority for which 
he or she is nominated;
	(h)	is a spouse or adult interdependent partner of a person 
referred to in any of clauses (a) to (e) or (g);
	(i)	holds office as or is nominated for office as a member of the 
Legislative Assembly of Alberta, the House of Commons or 
the Senate of Canada;
	(j)	is a judge of a court.
(4)  A person is not eligible to be nominated as a candidate for 
appointment under this Regulation if that person has been convicted of
	(a)	an offence under section 123, 124 or 125 of the Criminal 
Code (Canada), or
	(b)	an offence that is punishable by imprisonment for 5 or more 
years,
and no absolute discharge or pardon has been granted in respect of the 
offence.
(5)  A person who is ineligible under subsection (3) may nevertheless 
be nominated as a candidate for appointment under this Regulation if, 
in the nomination application, the person undertakes to eliminate the 
circumstances that constitute the ineligibility before being appointed.
(6)  The Minister may appoint as a member a person who eliminates 
the circumstances constituting his or her ineligibility in accordance 
with subsection (5).
Eligibility for appointment
6   A person is not eligible to be appointed as a member unless the 
person meets the eligibility requirements in section 5 on the date of the 
appointment.
Disqualification
7   A member is disqualified from being a member if the member 
ceases to meet any of the eligibility requirements in section 5.
Transitional - contributions
8   A person who, on the coming into force of this Regulation, holds a 
surplus of contributions over expenses under section 11.6(1) of the 
Election and Appointment of Regional Health Authority Members 
Regulation (AR 57/2001) shall, within 90 days after the coming into 
force of this Regulation, transfer that surplus to the regional health 
authority for which the person was nominated, or its successor, as 
determined by the Minister.
Transitional - membership
9   A person who on the coming into force of this Regulation has been 
appointed as a member of a regional health authority and is still a 
member is deemed to have been appointed under this Regulation, and 
that person continues as a member until his or her appointment is 
terminated or expires, or he or she is reappointed, as the case may be.
Consequential
10   The Regional Health Authorities Regulation (AR 15/95) is 
amended by repealing section 2.92 and substituting the following:
Organizational meeting
2.92   Where
	(a)	the members of the regional health authority of a newly 
established health region are appointed, or
	(b)	more than half of the members of a regional health authority 
are replaced at the same time or substantially the same time,
the regional health authority shall hold an organizational meeting not 
later than 15 days after the last of the new appointments or 
replacement appointments is made.
Repeals
11   The following regulations are repealed:
	(a)	the Election and Appointment of Regional Health Authority 
Members Regulation (AR 57/2001);
	(b)	the Regional Health Authorities Election Forms Regulation 
(AR 60/2001).
Expiry
12   For the purpose of ensuring that this Regulation is reviewed for 
ongoing relevancy and necessity, with the option that it may be 
repassed in its present or an amended form following a review, this 
Regulation expires on October 31, 2014.


--------------------------------
Alberta Regulation 165/2004
Agriculture Financial Services Act
AGRICULTURE FINANCIAL SERVICES AMENDMENT REGULATION
Filed: July 27, 2004
Made by the Lieutenant Governor in Council (O.C. 338/2004) on July 27, 2004 
pursuant to section 37 of the Agriculture Financial Services Act. 
1   The Agriculture Financial Services Regulation 
(AR 99/2002) is amended by this Regulation.

2   The following is added before section 10:
Loans and guarantees to connected persons
9.1(1)  For the purposes of this section, a person is connected to 
another person if, in the Corporation's opinion,
	(a)	the person is an affiliate of the other person, or
	(b)	2 or more of the following conditions are or would be met in 
respect of loans to those persons:
	(i)	the loans would be, in substance, a single loan or would 
serve substantially the same purpose;
	(ii)	the expected source of repayment of the loans is or 
would be wholly or substantially dependent on a 
common source of money;
	(iii)	the loans would be wholly or substantially dependent on 
the same security.
(2)  Notwithstanding subsection (1), persons who, in the 
Corporation's opinion, are financially independent of each other to 
a material extent are not connected persons for the purposes of this 
section.
(3)  For the purposes of calculating loan and guarantee limits under 
section 29(1)(c) of the Act in respect of a proposed loan to a person 
or a guarantee of a loan to a person,
	(a)	a loan of the Corporation's own funds to a person who is 
connected to that person in respect of the proposed loan or 
guarantee must, for the purposes of section 29(1)(c)(ii) of the 
Act, be considered as a loan to that person, and
	(b)	the Corporation's liability under a guarantee of a loan to a 
person who is connected to that person in respect of the 
proposed loan or guarantee must, for the purposes of section 
29(1)(c)(iii) of the Act, be considered as a guarantee of a loan 
made to that person.
Project limits
9.2   The Corporation must not make a loan or execute a guarantee 
in respect of a project if the sum of
	(a)	the proposed advance of the Corporation's own funds or the 
amount of the Corporation's liability under the proposed 
guarantee, as the case may be,
	(b)	the outstanding balance of all other loans of the 
Corporation's own funds for substantially the same project, 
as determined by the Corporation, and
	(c)	the amount of the Corporation's liability under any other 
guarantee of loans for substantially the same project, as 
determined by the Corporation
would exceed the lesser of $10 000 000 or 80% of the value of the 
project, as determined by the Corporation.


--------------------------------
Alberta Regulation 166/2004
Provincial Offences Procedure Act
PROCEDURES AMENDMENT REGULATION
Filed: July 27, 2004
Made by the Lieutenant Governor in Council (O.C. 340/2004) on July 27, 2004 
pursuant to section 42 of the Provincial Offences Procedure Act. 
1   The Procedures Regulation (AR 233/89) is amended by 
this Regulation.

2   Section 2(p.01) is repealed and the following is 
substituted:
	(p.01)	Tobacco Tax Act, sections 3(1), 4(2)(b), (3), (4) and (5) and 
4.1;

3   Schedule 2, Part 21.01, is repealed and the following is 
substituted:
Part 21.01 
Tobacco Tax Act
1   The specified penalty payable in respect of a contravention of 
section 3(1) of the Tobacco Tax Act is $500.
2(1)  The specified penalty payable in respect of a contravention of 
section 4(2)(b) of the Tobacco Tax Act for the purchase, 
possession, storing, selling or offering for sale of 1000 cigarettes or 
grams of tobacco or less is $1000.
(2)  Where the person purchases, possesses, stores, sells or offers 
for sale more than 1000 cigarettes or grams of tobacco in 
contravention of section 4(2)(b) of the Tobacco Tax Act, the person 
is required to appear before a justice without the alternative of 
making a voluntary payment.
3(1)  The specified penalty payable in respect of a contravention of 
section 4(3) of the Tobacco Tax Act
	(a)	for the purchase or possession of 400 cigarettes or 
grams of tobacco or less is $250, and
	(b)	for the purchase or possession of more than 400 
cigarettes or grams of tobacco but not more than 1000 
cigarettes or grams of tobacco is $500.
(2)  Where the person purchases or possesses more than 1000 
cigarettes or grams of tobacco in contravention of section 4(3) of 
the Tobacco Tax Act, the person is required to appear before a 
justice without the alternative of making a voluntary payment.
4(1)  The specified penalty payable for the contravention of section 
4(4) of the Tobacco Tax Act for the possession of 1000 cigarettes 
or grams of tobacco or less over the permitted amount is $250.
(2)  Where a person is charged with a 2nd or subsequent offence 
for the contravention of section 4(4) of the Tobacco Tax Act for the 
possession of 1000 cigarettes or grams of tobacco or less over the 
permitted amount, the person is required to appear before a justice 
without the alternative of making a voluntary payment.
(3)  Where a person is charged with possession of more than 1000 
cigarettes or grams of tobacco over the permitted amount in 
contravention of section 4(4) of the Tobacco Tax Act, the person is 
required to appear before a justice without the alternative of 
making a voluntary payment.
5(1)  The specified penalty payable for the contravention of section 
4(5) of the Tobacco Tax Act is $500.
(2)  Where a person is charged with a 2nd or subsequent offence 
for contravening section 4(5) of the Tobacco Tax Act, the person is 
required to appear before a justice without the alternative of 
making a voluntary payment.
6(1)  The specified penalty payable in respect of a contravention of 
section 4.1 of the Tobacco Tax Act for the possession of
	(a)	2000 cigarettes or less,
	(b)	2000 grams of tobacco or less or cigars containing 2000 
grams of tobacco or less, or
	(c)	any combination containing 2000 grams of tobacco or 
less,
over the permitted amount is $1000.
(2)  Where a person possesses more than
	(a)	2000 cigarettes,
	(b)	2000 grams of tobacco or cigars containing 2000 grams 
of tobacco, or
	(c)	any combination containing 2000 grams of tobacco,
over the permitted amount in contravention of section 4.1 of the 
Tobacco Tax Act, the person is required to appear before a justice 
without the alternative of making a voluntary payment.


--------------------------------
Alberta Regulation 167/2004
Marketing of Agricultural Products Act
ALBERTA MILK MARKETING AMENDMENT REGULATION
Filed: July 27, 2004
Made by the Alberta Agricultural Products Marketing Council on July 27, 2004 
pursuant to sections 26 and 27 of the Marketing of Agricultural Products Act. 
1   The Alberta Milk Marketing Regulation (AR 151/2002) is 
amended by this Regulation.

2   Section 19(1)(c) is amended by striking out "months" and 
substituting "weeks".

3   The following is added after section 19:
Quota transfer exchange
19.1(1)  Subject to section 20, Alberta Milk may, by 
administrative order, provide for a quota transfer exchange.
(2)  Without limiting the generality of subsection (1), an 
administrative order may include provisions respecting
	(a)	dates, times, policies and procedures respecting 
transfers of quota,
	(b)	the surrender of quota,
	(c)	increasing or reducing quota,
	(d)	service charges,
	(e)	forms, and
	(f)	any other matter Alberta Milk considers necessary to 
effect the orderly transfer of quota.

4   Section 20 is amended
	(a)	by adding the following after subsection (1):
(1.1)  Alberta Milk shall not approve a transfer of quota if, in 
the opinion of Alberta Milk, the transferee or transferor is in 
contravention of the Dairy Industry Act, the regulations under 
that Act, this Regulation, the Alberta Milk Plan Regulation 
(AR 150/2002), the Canadian Dairy Commission Act 
(Canada), the regulations under that Act or Alberta Milk's 
administrative orders or directives.
	(b)	by repealing subsection (2) and substituting the 
following:
(2)  A licensed producer may apply, or another person with 
the written approval of Alberta Milk may apply, pursuant to 
section 19.1, to transfer quota or to receive a transfer of 
quota.

5   This Regulation comes into force on August 1, 2004.


--------------------------------
Alberta Regulation 168/2004
School Act
DISPOSITION OF PROPERTY AMENDMENT REGULATION
Filed: July 28, 2004
Made by the Minister of Infrastructure and the Minister of Learning (M.O. 1/04) on 
July 27, 2004 pursuant to section 201 of the School Act. 
1   The Disposition of Property Regulation (AR 3/2001) is 
amended by this Regulation.

2   Section 1 is amended
	(a)	by adding the following after clause (a):
	(a.1)	"board" includes a Regional authority of a Francophone 
Education Region and an operator of a charter school;
	(b)	by repealing subsection (2) and substituting the 
following:
(2)  A reference to "Minister" in this Regulation is to be read as 
a reference to the Minister of Learning for personal property 
and to the Minister of Infrastructure for real property.

3   Section 2 is amended
	(a)	in subsection (1)
	(i)	in clause (a) by striking out "and";
	(ii)	by repealing clause (b) and substituting the 
following:
	(b)	lease a school building or portion of it for less than 
12 months, and
	(c)	lease a school building or portion of it for 12 
months or more if the lease contains a termination 
provision allowing the board to terminate the lease 
on 12 months' notice.
	(b)	in subsection (2) by striking out "under subsection 
(1)(b)(iii)" and substituting "for 10 days or longer".

4   Section 3 is amended
	(a)	by repealing subsection (1) and substituting the 
following:
Method for sale of property
3(1)  If a board intends to sell
	(a)	an item of real property that has a value of more 
than $50 000, or
	(b)	an item of personal property that has a value of 
more than $10 000,
the board must conduct the sale in accordance with this section.
	(b)	in subsection (4) by striking out "or division" and 
substituting ", division or Francophone Education 
Region".

5   Section 4(2) is repealed and the following is substituted:
(2)  The remaining proceeds referred to in subsection (1)(b) that are 
attributable
	(a)	to the Government contribution under subsection (1)(b)(i) are 
to be retained by the board and, together with the interest 
earned, applied only
	(i)	to the cost of a future school building project approved 
by the Minister, or
	(ii)	to the current operations and maintenance of existing 
buildings with the prior approval of the Minister,
		and
	(b)	to the board under subsection (1)(b)(ii) may be applied only
	(i)	to a future capital expenditure, or
	(ii)	to the current operations and maintenance of existing 
buildings with the prior approval of the Minister.

6   Section 5(1) is amended
	(a)	by striking out "or is directed to transfer it by the Minister 
under section 200(3) of the Act";
	(b)	in clause (a) by striking out "the appraised value of the 
property" and substituting "the current independent 
appraisal of the market value of the land, together with the 
depreciated value of the school building as set out in the 
board's most recent audited financial statements".

7   Section 7 is amended by striking out "July 31, 2004" and 
substituting "July 31, 2014".

THE ALBERTA GAZETTE, PART II, MONTH DAY, 2004


AR 	


739
-  -
THE ALBERTA GAZETTE, PART II, AUGUST 14, 2004


- 738 -
THE ALBERTA GAZETTE, PART II, AUGUST 14, 2004


AR 160/2004	CHILD, YOUTH AND FAMILY ENHANCEMENT
- 739 -
THE ALBERTA GAZETTE, PART II, AUGUST 14, 2004

- 777 -
THE ALBERTA GAZETTE, PART II, AUGUST 14, 2004


AR 161/2004	CHILD, YOUTH AND FAMILY ENHANCEMENT
- 795 -
THE ALBERTA GAZETTE, PART II, AUGUST 14, 2004


AR 162/2004	LOCAL AUTHORITIES ELECTION
- 796 -
THE ALBERTA GAZETTE, PART II, AUGUST 14, 2004


AR 163/2004	MUNICIPAL GOVERNMENT
- 802 -
THE ALBERTA GAZETTE, PART II, AUGUST 14, 2004

- 803 -
THE ALBERTA GAZETTE, PART II, AUGUST 14, 2004


AR 164/2004	REGIONAL HEALTH AUTHORITIES
- 807 -
THE ALBERTA GAZETTE, PART II, AUGUST 14, 2004


AR 165/2004	AGRICULTURE FINANCIAL SERVICES
- 809 -
THE ALBERTA GAZETTE, PART II, AUGUST 14, 2004


AR 166/2004	PROVINCIAL OFFENCES PROCEDURE
- 811 -
THE ALBERTA GAZETTE, PART II, AUGUST 14, 2004


AR 167/2004	MARKETING OF AGRICULTURAL PRODUCTS
- 812 -
THE ALBERTA GAZETTE, PART II, AUGUST 14, 2004


AR 168/2004	SCHOOL
- 813 -