Application to Provide an Alternative Care Home
(Restricted, Regular, Specialized)
The personal information requested on this form is collected under the authority of and will be used for the purpose of administering the Child, Family and Community Services Act (CFCS Act).
Under certain circumstances, the collected information may be subject to disclosure as per the CFCS Act and / or the Freedom of Information and Protection of Privacy Act.
Any questions about the collection, use or disclosure of this information should be directed to:
The Director, Child Protection Division, (250) 387-7071, PO Box 9766. Stn. Prov Govt. Victoria, BC V8W 9S5
If you cannot find enough space to include all of your responses to any of the questions on this form, please include it in the “Additional Information” section of the form. Once you have completed this form, please click the SEND button.