A victim's request to IVAC must come with a supporting document, and this attestation is one accepted way to provide it. The support worker or professional confirms that the person disclosed a criminal offence to them and records its description, date and place. IVAC also accepts other documents instead, such as a health evaluation or medical record from a member of a professional order, or a police report.
The person applying fills Section 1, and the support worker or professional completes and signs Section 2: a victim-support worker, police officer, legal worker or health professional who is a member of a professional order.
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Attestation d'un intervenant ou d'un professionnel
Attestation by a Support Worker or Professional (IVAC)
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A victim-support worker, a police officer, a legal worker or a health professional who is a member of a professional order. They complete Section 2, attesting that the victim disclosed the criminal offence and giving its description, date and place, after the person applying has filled in Section 1.
A supporting document is mandatory with an IVAC request, but this attestation is only one way to provide it. IVAC also accepts a health evaluation or medical record from a member of a professional order, or a police report. The chosen document goes with the victim's Demande de qualification.
No. Like IVAC's other forms, the Attestation d'un intervenant ou d'un professionnel is published in French only. The current fillable PDF is dated 2026-06; it can be completed on screen, then signed and sent with the victim's request using the fax details printed on the form.