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REQUEST FORM

Under PART X of the Child, Youth and Family Services Act.

Please note, all areas indicated with a “star” must be completed. If you prefer to submit a hard copy request, please use the pdf version of this form which is available here: Request Form_-_Part X CYFSA






Disclaimer: I agree that my submitted data is being collected and stored by the Children’s Aid Society of Oxford County. Please Note: The Children’s Aid Society of Oxford County must abide by the privacy rules set out in the Child, Youth and Family Services Act, 2017. At the Children’s Aid Society of Oxford County, we are committed to providing you with fast, friendly, easy access to the many services of the Society. In order to assist you, we welcome you to provide your personal information online via our secure server. Any personal information that you give us will be collected, used and disclosed in accordance with law and our privacy policies. If you have any questions about our privacy practices or the collection, use and disclosure of your personal information, please contact Privacy Designate, Alex Wright, at 519-539-6176.


Personal Information contained on this form is collected pursuant to PART X of the Child, Youth and Family Services Act and will be used for the purpose of responding to your request. Questions about this collection should be directed to the Privacy Designate at the Children’s Aid Society of Oxford County, Alexandra Wright at 519-539-6176.