1st step: complete the attestation request form
You need to fill out all the sections of the attestation request Form (online form) (PDF 819 Kb).
If needed, you can obtain a printed version of the form at one of these locations:
The “Oath or Solemn Affirmation” section of the form must be completed and signed by you and a commissioner for oaths. Here us the list of individuals authorized to administer the oath:
- Commissioner for oaths;
- Search for a commissioner for oaths
- Clerks if a court of justice, assistant clerks, and justices of the peace;
- Find the courthouse you need to go to
- Mayors, municipal councilors, and clerks or treasurers of a municipality;
- Lawyers and notaries
2nd step: gather all the necessary documents
In addition of the attestation request form, you also have to provide:
- a copy of the birth certificate for the child covered by the application, or any judgment establishing filiation between you and the child;
- a copy of 2 pieces of photo identification issued by the Government of Quebec, the Government of Canada or the government of another country, which validate your identity;
- one of the two following documents:
- a copy of your police report or the name of the police force that intervened in your case (e.g. Sûreté du Québec);
- a document (e.g., a letter) in support of your request from someone related to you or with your child.
The individual related to you or to the child can be:
- your doctor;
- a professional who has previously provided services to you or your child (psychologist, psychiatrist, pediatrician, etc.);
- a person working for an institution in the health and social services network (hospital, youth centre, etc.);
- a worker from a victim assistance service such as a CAVAC, CALACS or shelter.
3rd step: send your documents to the DPCP
To obtain your attestation, send all 4 documents to a DPCP point of service close to your location or deliver them in person.
A public officer will then process your request.
4th step: forward the attestation
The attestation you receive will have an expiry date.
The expiry date is specified in the document. It occurs 45 days after the attestation’s date of issue.
This means that, once you receive the attestation, you have 45 “calendar days” to
- request recognized services for your child;
- place your child on a waiting list for such services.
You should forward the attestation as quickly as possible to the person, clinic or institution that will provide the services.
A person providing services must belong to a professional order (psychologist, physician, etc.) or be a caseworker for a psychosocial support service.
The member of the professional order or the caseworker must analyze and determine the following: (1) if the needs of your child result from the situation of violence and (2) if the health and social services requested are offered to your child.
The health or social services provided for your child may begin or continue after the 45‑day time limit, as long as you requested the services or placed your child’s name on a waiting list within the time limit.
If you do nothing, the attestation will expire, and you will have to apply for a new attestation.