Child Abuse Registry Self-Check Application Form
The purpose of the Child Abuse Registry is to help child and family
services agencies protect children. Access to the Registry is restricted
and all names and information are confidential. Under the Act, you
may apply to see if your name is listed on the Registry.
For more information, see our Child
Abuse Registry page.
| Note:
If you are applying for an unpaid position working with children
(e.g. a volunteer, student trainee or work placement), please
contact the organization and complete their application. |
You can download the application form to send in by mail or fax
using the following steps:
- Download the Application Form (below).
- Download and read Child
Abuse Registry Check Information for Individuals (PDF Format
- 95 KB), which gives information on the Registry, filling out
an application and fee payment.
- You need to provide a photocopy of 2 pieces of identification,
which must be reviewed and signed by someone in a position of
authority. You can download the following instructions to provide
to the individual: Child
Abuse Registry Check Commissioner for Oaths, Notary Public or
Professionals (PDF format - 114 KB).
- Return your application, certified photocopy of your identification
and fee by mail or fax to the Child Abuse Registry at the address
below.
Note: Please allow up to six weeks for results
of the check.
Application Form
For more information on fillable forms, see our Help
with Fillable Forms page.
To download the latest free version of Acrobat Reader, visit the
Adobe
Systems website.

Contact information
For more information, please contact:
Child Protection
201 - 114 Garry Street
Winnipeg, MB R3C 4V5
Phone: (204) 945-6967
Toll-free: 1-800-282-8069
Fax: 948-2222
Email: car@gov.mb.ca
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