Record Correction

PLEASE NOTE

You must have previously been given access to your own records before requesting a correction.

You must attach one copy of valid government issued photo identification along with your request.

"*" indicates required fields

Personal Details

Name*

First Name Last Name

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

Date of Birth*

Add Child

First Name

Last Name

Date of Birth (MM/DD/YYYY)

Contact Information

Address*

Number and Street Name Unit Number City Select Province Postal Code Country

Phone Number*

Preferred Phone Number*

Home

Work

Cell

Email Address

Request Details

Request Description

Please provide a detailed description of the record(s) of personal information you would like corrected and explain why the record(s) is inaccurate or incomplete. Please include any information that will be needed to correct your personal information.

Additional Information

Please attach information to support your request (copy of incorrect information as well as the correct information).

Additional Information File 1

Max. file size: 300 MB.

Additional Information File 2

Max. file size: 300 MB.

Additional Information File 3

Max. file size: 300 MB.

Additional Information File 4

Max. file size: 300 MB.

Confirmation & Consent*

I certify the above information to be accurate.

Confirmation & Consent Checkbox 2*

I consent to a search of the provincial Child Protection Information Network (CPIN) and of York Region Children’s Aid Society’s legacy system in order for the Society to fulfil my request.

Confirmation & Consent Checkbox 3*

I agree that my submitted data is being collected and stored by the York Region Children’s Aid Society. Please Note: The York Region Children’s Aid Society must abide by the privacy rules set out in the Child, Youth and Family Services Act, 2017.